DIAGNOSTIC ACCURACY OF ULTRASONOGRAPHY IN TESTICULAR SWELLING

Abstract

Objective: The aim of this study is to determine the accuracy of ultrasonography (USG) for the diagnosis of testicular swelling.

Methods: This prospective study has been accompanied for a duration of 6 months from November 2022 to April 2023 at the Department of General Surgery in collaboration with Department of Urology and Department of Radiodiagnosis, LN Medical College and JK Hospital, LNCT, Bhopal, and BhimaBhoi Medical College and Hospital, Balangir. All the study participants were subjected to scrotal USG to examine the scrotal swelling. The subjects who presented with a history of chronic testicular swelling and suspected to have testicular tumor were taken up for surgery. The demographic and clinical details collected on a case record form were entered into Microsoft Excel and subjected to statistical analysis using statistics is a statistical software suite v. 20.0.

Results: Most of the patients presenting with a chronic testicular swelling belonged to the third and fourth decade of life. A majority of these patients (46.2%) were detected with testicular tumors due to the chronicity of the condition. Teratocarcinoma was the highest in the third decade whereas Seminoma was most frequent in the fourth decade. Metastatic testicular swellings were detected only after the sixth decade. Majority of the patients with testicular tumors (83%) has loss of testicular sensations.

Conclusion: Scrotal USG is an easy, non-invasive, and a very accurate diagnostic tool. This simple test which can be affordable to the common mass and available in remote areas is thus encouraged in all cases with scrotal swelling to support the ultimate analysis.