Irish Journal of Medical Science

, Volume 177, Issue 3, pp 279–282 | Cite as

Diagnostic accuracy of hand-held Doppler in the management of acute scrotal pain

  • F. M. Shaikh
  • S. K. Giri
  • H. D. Flood
  • J. Drumm
  • S. A. Naqvi
Brief Report

Abstract

We evaluate the reliability of hand-held Doppler (HHD) in the management of acute scrotal pain of 24 h or less duration. Between October 2003 and December 2004, patients presenting with acute scrotal pain were enrolled in this prospective study. After clinical examination, all patients had a HHD assessment. Presence or absence of Doppler arterial signals and its intensity were recorded. A blinded assessor corroborated HHD findings with the clinical, ultrasound, operative findings and final diagnosis. Primary outcome measured were sensitivity and specificity of HHD in the diagnosis of testicular torsion. Twenty-five patients presented during the study period with acute scrotal pain. The final diagnosis was testicular torsion in nine, epididymitis in 13, twisted cyst of Morgagni in two and Henoch–Schoenlein purpura in one patient. The HHD predicted all patients of testicular torsion correctly, preoperatively. HHD is a reliable diagnostic tool in the management of patients with acute scrotal pain.

Keywords

Acute scrotal pain Torsion Hand-held Doppler 

References

  1. 1.
    Gunther P, Schenk JP (2006) Testicular torsion: diagnosis, differential diagnosis, and treatment in children. Radiologe 46:590–595. doi:10.1007/s00117-005-1256-4 PubMedCrossRefGoogle Scholar
  2. 2.
    Dunne PJ, O’Loughlin BS (2000) Testicular torsion: time is the enemy. Aust N Z J Surg 70:441–442. doi:10.1046/j.1440-1622.2000.01853.x PubMedCrossRefGoogle Scholar
  3. 3.
    Blaivas M, Lambert MJ, Harwood RA, Wood JP, Konicki J (2000) Lower-extremity Doppler for deep venous thrombosis–can emergency physicians be accurate and fast? Acad Emerg Med 7:120–126. doi:10.1111/j.1553-2712.2000.tb00512.x PubMedCrossRefGoogle Scholar
  4. 4.
    Dubinsky TJ, Chen P, Maklad N (1998) Color-flow and power Doppler imaging of the testes. World J Urol 16:35–40. doi:10.1007/s003450050023 PubMedCrossRefGoogle Scholar
  5. 5.
    Middleton WD, Melson GL (1989) Testicular ischemia: color Doppler sonographic findings in five patients. AJR 152:1237–1239PubMedGoogle Scholar
  6. 6.
    Levy BJ (1975) The diagnosis of torsion of the testicule using the Doppler ultrasonic stethoscope. J Urol 113:63–65PubMedGoogle Scholar
  7. 7.
    Nasrallah PF, Manzone D, King LR (1977) Falsely negative Doppler examinations in testicular torsion. J Urol 118:194–195PubMedGoogle Scholar
  8. 8.
    Haynes BE (1984) Doppler ultrasound failure in testicular torsion. Ann Emerg Med 13:1103–1107. doi:10.1016/S0196-0644(84)80333-9 PubMedCrossRefGoogle Scholar
  9. 9.
    Kass EJ, Stone KT, Cacciarelli AA, Mitchell B (1993) Do all children with an acute scrotum require exploration? J Urol 150:667–669PubMedGoogle Scholar
  10. 10.
    Lewis AG, Bukowski TP, Jarvis PD, Wacksman J, Sheldon CA (1995) Evaluation of acute scrotum in the emergency department. J Pediatr Surg 30:277–282. doi:10.1016/0022-3468(95)90574-X PubMedCrossRefGoogle Scholar

Copyright information

© Royal Academy of Medicine in Ireland 2008

Authors and Affiliations

  • F. M. Shaikh
    • 1
  • S. K. Giri
    • 2
  • H. D. Flood
    • 2
  • J. Drumm
    • 2
  • S. A. Naqvi
    • 1
  1. 1.Department of SurgeryMid-Western Regional Hospital LimerickLimerickIreland
  2. 2.Department of UrologyMid-Western Regional Hospital LimerickLimerickIreland

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