No abstract available.
Rupture* ; Scrotum* ; Ultrasonography*

The decision between continued medical therapy and surgical exploration in patients with traumatized scrotum is difficult. We evaluated scrotal ultrasound as a non-invasive aid in such problematic cases. During s 42 months period. 17 patients were hospitalized for treatment of traumatized scrotum. All of them underwent careful physical examination and scrotal ultrasound. The results were as follows.; 1. In the appropriate clinical setting. ultrasound provides objective information supporting the need for surgical intervention in patients with traumatized scrotum and prevents unnecessary operation. 2. The results of treatment in 12 cases of 13 cases who underwent conservative treatment were good. 3. Scrotal ultrasound is necessary as soon as possible in traumatized scrotum and testicular salvage rates are improved markedly when early surgical correction of a ruptured tunica albuginea is performed. 4. Ultrasound is noninvasive and effective single diagnostic method in scrotal injury.
Humans ; Physical Examination ; Scrotum* ; Ultrasonography*

A retrospective study was undertaken to assess the importance of ultrasonography in the 22 patients with traumatized scrotum who were explored surgically. Ultrasonography was highly accurate, readily available, noninvasive diagnostic method. Also ultrasonography was valuable in the evaluation of the degree of injury and determination of early therapeutic modality. We believe that ultrasonography is the method of choice in the initial evaluation of traumatized scrotum.
Humans ; Retrospective Studies ; Scrotum* ; Ultrasonography*

Localized fibrous tumor of the scrotum is a very rare disease, and few radiologic features have been reported. We report the sonographic and CT findings of a case of localized fibrous tumor, which developed in the scrotum of a thirty-years-old man.
Mesothelioma* ; Rare Diseases ; Scrotum* ; Ultrasonography

Ectopic scrotum is extremely rare and refers to the anomalous position of one hemiscrotum along the inguinal canal. Only two cases of ectopic scrotum have been reported in Korea. We experienced a case of unilateral ectopic scrotum with crytorchidism. The penis showed normal in appearence. The ectopic scrotum with cryptorchidism was found on the left inguinal area. And there was left ipsilateral renal agenesis on the ultrasonogram and DMSA renal scanning. We successfully performed scrotoplasty and orchiopexy.
Cryptorchidism* ; Inguinal Canal ; Korea ; Male ; Orchiopexy ; Penis ; Scrotum* ; Succimer ; Ultrasonography

Intrascrotal lymphangioma is a rare benign lesion of uncertain etiology. A 2-year-old male and a 3-year-old male presented with painful swelling of the right scrotum. After sonographic examination of scrotums, both cases were explored and found to have cystic scrotal masses separated from testes and epididymies. Histopathologic study of the resected specimens confirmed intrascrotal lymphangiomas.
Child, Preschool ; Humans ; Lymphangioma* ; Male ; Scrotum ; Testis ; Ultrasonography

Cystic lymphangioma is a relatively rare congenital malformation of the lymphatic system. It is very rare that retroperitoneal cystic lymphangioma was detected by prenatal ultrasonography. There has been no case reported that scrotal cystic lymphangioma was detected by prenatal ultrasonography. We detected a cystic structure with multiseptation in the scrotum at 30 weeks gestation. In addition, we detected the same structure in the retroperitoneum at 35 weeks gestation by routine ultrasonography. Because of increasing size of the cyst, we performed induction delivery at 38 weeks gestation. Operation of the neonate was performed on the 13th day after birth by a pediatric surgeon and the mass was excised and confirmed as cystic lymphangioma. We experienced a case of huge cystic lymphangioma of the retroperitoneum and scrotum by prenatal sonography and report our case with a brief review of literature.
Fetus* ; Humans ; Infant, Newborn ; Lymphangioma, Cystic* ; Lymphatic System ; Parturition ; Pregnancy ; Scrotum* ; Ultrasonography ; Ultrasonography, Prenatal

PURPOSE: Retrospective studies were carried out to clarify the incidence of contralateral occurrence after unilateral repair of hydrocele in children and the role of ultrasonography in preoperative recognition of asymptomatic hydrocele. MATERIALS AND METHODS: 452 patients of under 14 years old who underwent unilateral hydrocele repairs between January, 1990 and December, 1997 were reviewed. Patients with contralateral occurrence were defined as those who had previous unilateral hydrocele repairs and no clinical or historical evidence of contralateral hydrocele at the time of the initial repair Patients with simultaneous presence of bilateral hydrocele on their initial visit were excluded from this study. 36 patients who visited lately underwent ultrasonographic examination of both side of the groin and scrotum prior to surgery to identify asymptomatic contralateral hydrocele. RESULTS: The incidence of contralateral occurrence after unilateral hydrocele repairs was 5.4%(24 patients). When the left side was repaired initially, 13(7.4%) patients showed contralateral occurrence and when the right side was repaired initially, 11 (4.0%) patients showed contralateral occurrence. In the 36 patients who underwent ultrasonography, 2 patients(5.6%) had asymptomatic contralateral hydrocele and exploration revealed the presence of a patent processus vaginalis. On the other hand, 2 patients(5.6%) with negative ultrasonographic findings had contralateral repairs 1 month after clinically apparent hydrocele repair. CONCLUSIONS: Although the incidence was low, contralateral occurrence after unilateral repair of hydrocele in children was noted. Therefore, preoperative thorough history taking and physical examination in unilateral hydrocele patients should be performed. Also, in suspicious cases, inguinal or scrotal ultrasonography is helpful for the detection of the clinically occult contralateral hydrocele in children.
Adolescent ; Child* ; Groin ; Hand ; Humans ; Incidence ; Physical Examination ; Retrospective Studies ; Scrotum ; Ultrasonography

Thirty seven patients with acute scrotal pain were evaluated by color doppler ultrasonography. The diagnosis was made by clinical finding in 26 cases and surgical finding in 11 cases. There were inflammatory diseases in 22 cases, testicular torsion in 5 cases, other diseases in 10 cases. 20 cases of inflammatory disease showed increased blood flow in color doppler ultrasonography and 4 cases of testicular torsion showed absent blood flow. Thus, color doppler ultrasonographic evaluation had diagnostic value that was 80% in sensitivity and 96% specificity in differentiation of testicular torsion from other acute scrotal diseases. We think that color doppler ultrasonography in acute scrotum is a valuable diagnostic method for differentiation of testicular torsion from other acute scrotal diseases.
Diagnosis ; Humans ; Scrotum* ; Sensitivity and Specificity ; Spermatic Cord Torsion ; Ultrasonography, Doppler, Color*

Segmental testicular infarction is a rare cause of acute scrotum. Its etiology is not well defined and it can be clinically confused with a testicular tumor. Imaging studies play an important role in the preoperative diagnosis, with a Color doppler ultrasonography as the investigation of choice although magnetic resonance imaging (MRI) can be useful in doubtful cases. We report a case of segmental testicular infarction treated with partial orchiectomy seen in a 58-year-old man with right scrotal pain.
Humans ; Infarction ; Magnetic Resonance Imaging ; Middle Aged ; Orchiectomy ; Scrotum ; Testis ; Ultrasonography, Doppler, Color