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Clinical versus Ultrasonographic Evaluation of Scrotal Disorders
Author(s) -
KromannAndersen B.,
Hansen L. B.,
Larsen P. N.,
Lawetz K.,
Lynge P.,
Lysen D.,
Nielsen S. Pors,
Stokholm K. H.,
Foged P.
Publication year - 1988
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1988.tb13973.x
Subject(s) - medicine , scrotum , ultrasound , pathological , physical examination , radiology , predictive value , testicular cancer , clinical history , ultrasonography , surgery , pathology , cancer
Summary— Clinical and ultrasonographic examinations of scrotal disorders were compared in 166 patients in order to determine their ability to distinguish between those diseases requiring surgery and those requiring clinical follow‐up only. Ultrasound examinations were efficient in discriminating between normal and pathological findings. Extra‐testicular lesions were readily differentiated from testicular ones. Although both clinical and ultrasonographic examinations had high sensitivity (90%) in detecting testicular cancer, the number of false positive findings was smaller after ultrasound examination. This gave a predictive value of a positive test of 53% after ultrasound examination but only 33% after clinical examination. Ultrasound examination may, therefore, reduce the number of surgical explorations in the scrotum and should be performed in patients with suspected testicular pathology based on history and palpatory findings.