Diagnostic accuracy of Color Doppler ultrasonography on Acute scrotal pathologies

Dr. Jayan Stephen; Dr. S. Sivaprasad; Dr. R. P. Unnithan; Dr. Sanal Chottu. M

Volume : VI, Issue : III, March - 2017

Diagnostic accuracy of Color Doppler ultrasonography on Acute scrotal pathologies

Dr. Jayan Stephen, Dr. S. Sivaprasad, Dr. R. P. Unnithan, Dr. Sanal Chottu. M

Abstract :

The new onset of pain, swelling, and/or tenderness of intrascrotal contents is referred to as acute scrotum. In this study we are going to examine the accuracy of CDUS, comp� the sonographical diagnoses with intraoperative findings. Total of 78 patients presenting with acute scrotal pain, swelling or tenderness who are clinically diagnosed as acute scrotum and have undergone colour Doppler sonography (CDUS) and managed operatively in the study period was selected. CDUS findings are documented for making pre-operative CDUS diagnosis. In this study the Colour Doppler sonography was found to have a sensitivity of 81.2% and specificity 83.3%. It has a positive predictive value of 88.6% and negative predictive value of 73.5%. The most important risk of Colour Doppler sonography is false-negative findings, which is 9 in this study. When accuracy was compared Doppler diagnosis have the maximum accuracy of 82.1%, than clinical diagnosis (73.1%), But sensitivity of clinical diagnosis was 97.9%, which is the maximum sensitivity got in this study.