Scrotum echo

quick view for the greenhorn urologist

1. Scrotum echo Ultrasound Quarterly 2004;20:181-200

2. S eminoma Most common Most well marginated Most hypoechoiec No cyst or calcifications

3. Microlithiasis was thought to Be related to SEMINOMA In the patient, There is no obvious mass or hypoechoiec lesion in the echo

4. Embryonal cell carcinoma Inhomogenous Poorly marginated Cystic lesions >>check lab

5. teratoma Most teratoma + embryonal carcinoma Well defined but heterogenous texture Cyst: +, calcifications:+

6. Benign testicular condition

7. Cyst of tunica albuginea Maybe in the testis or extra-testis, almost less than 2cm Maybe multifocal

8. Tubular ectasia of the rete testis >> Multiple dilated tubular structure in the mediastinum testis No flow

9. Testicular abscess: Combined with UTI Complications of torsion, testicular hemorrhage, secondary to trauma Clinical finding: Fever and leukocytosis

10. torsion

11. In the first 6 hrs , testis would become heterogenous hypoechoiec echo pattern Nuclear flow was used but not clinical used in some hospital.

12. Testicular microlithiasis

13. Testis microlithiasis If the calcifications more than 5 spots and measure 1-2mm per spots, microlithiasis is impressed. Testis microlithiasis is related to the testis malignancy

14. Epididymitis/ epididymo-orchitis

15. Chronic epididymo-orchitis

16. Chronic epididymitis result from acute incomplete treatment or tuberculosis Coarse calcifications and thickening of the tunica albuginea was noted

17. S permatocele Sperm fluid accumulation: Sometimes occur especially in the post vasectomy syndrome

18. hydrocele Scrotum and peritoneum persistent communication Processus vaginalis : Resolved by 1.5 years

19. Dilated, tortuous vein in the pampiniform plexus near the spermatic cords >> Imcomplete valves were noted Dilated vessels and reflux of flow were noted VARICOCELE

20. SCROTAL HERNIA