Speciality
Spotlight

 




 

Urology

 

 




Testicular Torsion

     

  • HJ Paltiel, LP Connolly, A Atala, et al [ Harvard Med School, Boston; Yale Univ New Heaven, Conn]


    Acute Scrotal Symptoms in Boyes with an Indeterminate Clinical Presentation : Comparision of Color Dopper Sonography and Scintigraphy 



    Radiology 207: 223-231, 1998


       


    Conclusions – Clinical examination and impression are the most important factors when one is evaluating for testicular torsion. Diagnostic testing is indicated only when the clinical suspicion of torsion is very low.

       


    This article clearly shows that color Doppler scrotal sonography can miss testicular torsion. Although nuclear scintigraphy was more specific, it was incorrect in 1 of 11 cases of torsion. The authors recommend the use of scintigraphy when color Doppler US findings are indeterminate, but additional delay in obtaining a second diagnostic test in these cases may warrant surgical exploration.

         

 



 

  

Speciality Spotlight

 

 
Urology
 

 

Testicular Torsion
     

  • HJ Paltiel, LP Connolly, A Atala, et al [ Harvard Med School, Boston; Yale Univ New Heaven, Conn]
    Acute Scrotal Symptoms in Boyes with an Indeterminate Clinical Presentation : Comparision of Color Dopper Sonography and Scintigraphy 
    Radiology 207: 223-231, 1998
       
    Conclusions – Clinical examination and impression are the most important factors when one is evaluating for testicular torsion. Diagnostic testing is indicated only when the clinical suspicion of torsion is very low.
       
    This article clearly shows that color Doppler scrotal sonography can miss testicular torsion. Although nuclear scintigraphy was more specific, it was incorrect in 1 of 11 cases of torsion. The authors recommend the use of scintigraphy when color Doppler US findings are indeterminate, but additional delay in obtaining a second diagnostic test in these cases may warrant surgical exploration.
         

 

 

By |2022-07-20T16:42:36+00:00July 20, 2022|Uncategorized|Comments Off on Testicular Torsion

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