Ultrasound Evaluation of Scrotal Pain and Swelling According to Age Group

Abstract

Background: Scrotal pathologies are common emergency diseases in male population. The ultrasound is non-invasive tool useful in diagnosis of different disorders.   

Methods: An observational cross-sectional study conducted in Radiology department of Rizgary Teaching hospital and Rojhalat Emergency hospital at Erbil city, Kurdistan region, Iraq within two years from March 1, 2023, to February 28, 2025 on sample of one hundred males with scrotal pain and swelling. Clinical diagnosis of cases was done in emergency department and obtained from their records. The ultrasound diagnosis was implemented by researchers after completing their ultrasound examination

Findings: Clinical diagnosis revealed hydrocele in 40% of patients and varicocele in 42% of them. By ultrasound, the hydrocele was present in 32% of patients and varicocele in 38% of them, while normal testes were detected by ultrasound in 70% of patients. Generally, the present study found that most of studied scrotal pathologies are varied with age of patients.

Conclusions: The ultrasound is a highly accurate and cost-effective imaging tool in differential diagnosis of scrotal pain and swelling. Scrotal pathologies detected by ultrasound examination are variable in regard to different age groups.