4,611 results match your criteria scrotal ultrasound

Neonatal Fournier's Gangrene: Avoiding Extensive Debridement.

Pediatr Infect Dis J 2021 Jul 20. Epub 2021 Jul 20.

From the Division of Plastic Pediatric Surgery, Pediatric Surgery Department Neonatology Department Pediatric Surgery Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

Fournier's gangrene is a necrotizing fasciitis of the scrotal and inguinal region, associating high mortality and complication rates. It is extremely rare in the neonatal period and may be life threatening. We present an exceptional case of a 24-day-old boy who consulted to the emergency department for fever (39 °C) and an indurated, fluctuating and painful erythema in both groins, left hemiscrotum, left anterior femoral region and perineum for the last 6 hours. Read More

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Cowper's Glands Abscess with Spreading to Adjacent Organs and Tissues with Development of Septic Shock: An Extremely Rare Case.

Res Rep Urol 2021 15;13:501-507. Epub 2021 Jul 15.

Department of Endoscopic Urology, Peoples' Friendship University of Russia (RUDN University), Moscow, Russian Federation.

Background: We present here the first case of Cowper's gland abscess complicated by septic shock and breakthrough of the abscess into the paraurethral region, cavernous body, scrotum, and pararectal tissue.

Case Presentation: A 63-year-old patient was admitted with complaints of temperature increase up to 39°C, pain and enlargement of the perineum and the right half of the scrotum, frequent and difficulty urination, weakness, dizziness, dry mouth, and a sharp deterioration of the general condition. Clinical-laboratory data showed the presence of septic shock with unstable haemodynamics and many concomitant diseases. Read More

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Polyorchidism in pediatric patients: a case report and a literature review.

Cir Pediatr 2021 Jul 1;34(3):160-163. Epub 2021 Jul 1.

Pediatric Surgery Department. Parc Taulí University Hospital, Sabadell, Barcelona (Spain).

Polyorchidism or testicular duplication is defined as the histologically confirmed presence of more than two testes. This is the case of a full left testicular duplication in an 11-year-old patient presenting with occasional pain in the left hemiscrotum. At physical exploration, a palpable scrotal mass was detected. Read More

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Adolescent Varicocelectomy: Success at What Cost? Clinical Outcome and Cost Comparison of Surgical Ligation and Percutaneous Embolization.

J Laparoendosc Adv Surg Tech A 2021 Jul 9. Epub 2021 Jul 9.

Department of Surgery-Urology, Children's Mercy-Kansas City, Kansas City, Missouri, USA.

Evaluate clinical outcome, recurrence, morbidity, and cost associated with laparoscopic surgical ligation versus percutaneous embolization of adolescent varicocele. We hypothesize that both approaches are similar in outcomes, complications, and cost. A retrospective review of 56 consecutive adolescent males, ≤18 years from 2006 to 2016 with clinical varicocele who underwent laparoscopic surgical ligation or percutaneous embolization. Read More

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Role of ultrasound in manual detorsion for testicular torsion.

J Clin Ultrasound 2021 Jul 8. Epub 2021 Jul 8.

Department of Radiology, Saitama Children's Medical Center, Saitama, Japan.

Purpose: Manual detorsion can be performed for testicular torsion before scrotal exploration. Using sonographic findings, this study investigated the need for additional treatments after manual detorsion for testicular torsion.

Methods: This study evaluated 13 retrospective cases of testicular torsion subjected to manual detorsion. Read More

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Long-term health effects after conflict-related traumatic amputation among patients in Gaza.

Lancet 2021 Jul;398 Suppl 1:S30

Anaesthesia and Critical Care Research Group, Institute of Clinical Medicine, Arctic University of Norway, Tromsø, Norway; Clinic of Emergency Medicine, University Hospital of North Norway, Tromsø, Norway.

Background: In the past 10-15 years, thousands of civilians in Gaza have experienced conflict-related traumatic injuries. How injuries affect survivors' risks of negative long-term health effects and serious illness is unclear. We report follow-up findings in a group of patients with traumatic amputations. Read More

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A Rare Case of Polyorchidism: Sonographic and MR Evaluation of Four Testes.

Mymensingh Med J 2021 Jul;30(3):846-849

Professor Dr Misbah Uddin Ahmed, Professor and Ex-Head of Radiology & Imaging, Mymensingh Medical College (MMC), Mymensingh, Bangladesh.

Polyorchidism is a rare congenital anomaly reported about 200 cases in the world text. A number of theories have been planned concerning the making of polyorchidism, but the real explanation is still not acknowledged. Here we are going to present a case study of polyorchidism. Read More

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Synchronous bilateral testicular cancer with discordant histopathology occurring in a 20-year-old patient: A case report and review of the literature.

Urologia 2021 Jul 5:3915603211028556. Epub 2021 Jul 5.

Department of Urology I, Aristotle University of Thessaloniki, "G. Gennimatas" General Hospital, Thessaloniki, Greece.

Introduction: Bilateral testicular tumors are very rare, accounting for 1%-5% of all testicular germ-cell tumors (TGCTs). The vast majority of primary bilateral TGCTs are metachronous, with synchronous tumors comprising approximately 0.5%-1% of all cases. Read More

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Rupture and hemorrhage of a seminoma mixed with yolk sac tumors in 46XY partial gonadal dysgenesis: a case report and literature review.

BMC Surg 2021 Jul 3;21(1):307. Epub 2021 Jul 3.

General Surgery Department, Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.

Background: 46XY partial gonadal dysgenesis (PGD) is a rare subtype of disorder of sex development (DSD). 46YY PGD is a congenital disease with atypical chromosomal, gonadal, or anatomical sex development. The patient in this case report had male and female genitalia simultaneously. Read More

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Testicular chondrosarcoma.

Urol Ann 2021 Apr-Jun;13(2):171-173. Epub 2021 Apr 13.

Department of Urology, Ministry of the National Guard - Health Affairs, Riyadh, King Abdullah International Medical Research Center, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Only 5% of all urological tumors are accounted as Testicular tumors. Furthermore, a well differentiated chondrosarcoma of the testis is extremely rare. Thus, we are representing a rare case of testicular chondrosarcoma. Read More

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Sonographic evaluation of fetal scrotum, testes and epididymis.

Obstet Gynecol Sci 2021 Jun 28. Epub 2021 Jun 28.

Prenatal diagnosis Unit, Department of Obstetrics, Hospital General Universitario Santa Lucía, Cartagena, Spain.

External male genitalia have rarely been evaluated on fetal ultrasound. Apart from visualization of the penis for fetal sex determination, there are no specific instructions or recommendations from scientific societies. This study aimed to review the current knowledge about prenatal diagnosis of the scrotum and internal structures, with discussion regarding technical aspects and clinical management. Read More

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Open-legs axial plane: A standardized methodology and reference values for fetal genital biometry in mid-trimester ultrasound.

Eur J Obstet Gynecol Reprod Biol 2021 Jun 15;263:50-55. Epub 2021 Jun 15.

Prenatal Diagnosis Unit, Department of Obstetrics, HGU Santa Lucía, Cartagena, Spain.

Background: Evaluation of the external genitalia is an important part of prenatal ultrasound. However, there is no standardized methodology that includes biometric measurements and normative data to be able to carry out this evaluation.

Objective: To develop a standardized methodology for fetal genital biometry and obtain reference values for use in mid-trimester ultrasound. Read More

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EAU-ESPU pediatric urology guidelines on testicular tumors in prepubertal boys.

J Pediatr Urol 2021 Jun 9. Epub 2021 Jun 9.

Department of Urology, University of Leuven, Leuven, Belgium.

Background: Testicular tumors in prepubertal boys account for 1-2% of all solid pediatric tumors. They have a lower incidence, a different histologic distribution and are more often benign compared to testicular tumors in the adolescent and adult group. This fundamental difference should also lead to a different approach and treatment. Read More

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Tunica vaginalis testis metastasis as the first clinical manifestation of pancreatic adenocarcinoma: A case report.

World J Clin Cases 2021 Jun;9(17):4244-4252

Department of Andrology, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China.

Background: Metastases from pancreas or ampullary malignancies are common, but the spread to testicle and paratesticular tissue is exceedingly rare. To the best of our knowledge, fewer than 30 cases have been reported in the literature. More rarely, metastasis to tunica vaginalis testis occurs without involvement of the testes and epididymis. Read More

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Spermatocytic seminoma of testis associated with undifferentiated sarcoma revealed in metastatic disease: A review and case report analysis.

Urol Case Rep 2021 Sep 28;38:101732. Epub 2021 May 28.

Department of Urology, Mohamed VI University Hospital Center, Mohamed I University, Oujda, Morocco.

Spermatocytic seminoma is a relatively rare testicular tumor and is characterized by a good prognosis. The discovery of a sarcomatous contingent modifies the prognosis of the indolent neoplasm. Only 20 cases being reported in English literature. Read More

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September 2021

Assessment of referral patterns for boys with suspected undescended testes and identification of risk factors to aid diagnosis.

Surgeon 2021 Jun 12. Epub 2021 Jun 12.

Department of Urology, Cork University Hospital, Wilton, Cork, Ireland.

Introduction: Undescended testis (UDT) is a clinical diagnosis and a common reason for referral to paediatric urology outpatients. Our aim was to assess current referral patterns at our unit and to identify predictive factors that may better aid primary care physicians (PCP) in diagnosing UDT based on history and physical exam.

Methods: A retrospective analysis of referrals to outpatients from 2014 to 2016 was performed to assess current referral patterns including referral source, age, reason for referral and outcome following assessment by a single consultant paediatric urologist. Read More

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The use of cisplatin in patients after kidney transplantation with chronic renal insufficiency: Is the benefit higher than potential risks in therapy of non-seminomatous germ cell tumors?

Medicine (Baltimore) 2021 Jun;100(24):e26381

Department of Comprehensive Cancer Care, Masaryk Memorial Cancer Institute.

Rationale: The use of cisplatin in patients with chronic kidney disease (CKD) is risky and depends on a number of factors. The optimal procedure in stage I of a non seminomatous germ cell tumor without proven lymphangioinvasion after orchiectomy is controversial and is the subject of a number of discussions due to the lack of randomized studies assessing individual treatment options. The adjuvant method of choice is surveillance or application of cisplatin-based chemotherapy with the risk of treatment related nephrotoxicity. Read More

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Urology residency training in Greece. Results from the first national resident survey.

Actas Urol Esp 2021 Jun 10. Epub 2021 Jun 10.

Department of Urology «Agios Savvas», Anti-Cancer Oncologic Hospital of Athens, Atenas, Grecia.

Background And Objectives: This is the first national survey assessing Greek Urology residency programs. The main objective of this study is to assess the level of confidence and perception of Greek Urology residents regarding their educational program and detect areas of improvement.

Material And Methods: A 51-question survey was developed via an electronic platform and answered by 91 out of 104 Greek residents from March 2019 until May 2019. Read More

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Closed non-suction drain placement as haematoma and seroma formation preventive measure post-nylon darn surgery for inguinoscrotal hernias in adults.

Hernia 2021 Jun 11. Epub 2021 Jun 11.

Department of Medical Laboratory Sciences, School of Biomedical and Allied Health Sciences, University of Ghana, Korle, Bu, Accra, Ghana.

Purpose: Inguinal hernia is a common male surgical disease. Intervention carries a wide range of complications such as scrotal haematoma and seroma which may require surgical re-intervention or predispose patients to developing infections, pains or feeling of mass. This could lead to long hospital stay. Read More

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Role of multiparametric ultrasound in testicular focal lesions and diffuse pathology evaluation, with particular regard to elastography: Review of literature.

Andrology 2021 Jun 11. Epub 2021 Jun 11.

Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.

Background: Ultrasound is the main requested technique for the assessment of traumatic, vascular, neoplastic, and inflammatory testicular pathology. Moreover, the role of ultrasound has broadened over the years along with the introduction of new techniques, such as contrast enhanced ultrasound and ultrasound elastography.

Objective: An updated representation of the pre-existing Literature evidence for multiparametric ultrasound imaging with particular regard to elastography, in the evaluation of focal and diffuse testicular pathologies, has been presented. Read More

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The role of radiological surveillance in the conservative management of incidental small testicular masses: A systematic review.

Arab J Urol 2021 Feb 11;19(2):179-185. Epub 2021 Feb 11.

U-merge Ltd.† (Urology for Emerging Countries), London, UK.

: The increasing use of scrotal ultrasonography (US) for non-cancerous indications has led to greater detection of incidental, small testicular masses. Operative intervention is currently the mainstay of treatment for all testicular tumours; however, despite the low malignant potential of small, incidental masses, little is known about conservative management using radiological surveillance. : A systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted and studies meeting the inclusion criteria were reviewed for patient outcomes. Read More

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February 2021

The prospective evaluation of the effectiveness of scoring systems in the emergency department in cases with suspected ureteral stones: STONE? CHOKAI?

Am J Emerg Med 2021 Jun 1;49:94-99. Epub 2021 Jun 1.

University of Health Sciences Turkey, Bursa Yuksek Ihtisas Training and Research Hospital, Department of Emergency Medicine, Bursa, Turkey. Electronic address:

Introduction: This study evaluates the effectiveness of CHOKAI and STONE scores in patients presenting to the emergency department with ureteral stones.

Methods: Patients over the age of 18 who were admitted to the emergency department with flank pain, groin pain, scrotal pain, and hematuria and who were performed non-contrast abdominal computed tomography (CT) for diagnostic imaging were included. The numeric pain, CHOKAI, and STONE scores of the patients were calculated. Read More

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A Rare Case of a Solitary Fibrous Tumor of the Spermatic Cord.

Case Rep Pathol 2021 22;2021:9956305. Epub 2021 May 22.

University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7750, San Antonio, TX 78229, USA.

Solitary fibrous tumors (SFTs) are rare mesenchymal tumors, originally identified in the pleura. Even though they have subsequently been described in several extrapleural sites, the incidence of SFTs in the spermatic cord is particularly rare. Here, we report a case of a 27-year-old male that presented with a 3-year history of left scrotal swelling. Read More

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Obstructive oligospermia: the role of interventional radiology in its diagnosis and treatment.

Pol J Radiol 2021 12;86:e204-e207. Epub 2021 Apr 12.

Department of Advanced Biomedical Sciences, University Federico II of Naples (UNINA), Naples, Italy.

Purpose: According to the latest World Health Organization guidelines (2010), oligo-sperm it is due to a sperm concentration of less than 15 million/ml of seminal fluid. The cause can be obstructive and non-obstructive. Interventional radiology allows diagnosis and, in some cases, minimally invasive treatment. Read More

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Historical trends for the standards in scrotal ultrasonography: What was, what is and what will be normal.

Andrology 2021 Jun 4. Epub 2021 Jun 4.

Endocrinology Unit, Department of Experimental, Clinical and Biomedical Sciences, University of Florence, Florence, Italy.

Background: Ultrasonography is the gold standard imaging method for scrotal investigation. Colour Doppler ultrasonography, contrast-enhanced ultrasonography and sonoelastography allow sonographers to assess size, echotexture, vascular features and stiffness of the scrotal organs and abnormalities. Scrotal ultrasonography has been used to investigate male reproductive health, scrotal pain, masses and trauma. Read More

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An unusual case of genital filariasis of the testicular tunics in an Italian patient.

Ann Saudi Med 2021 May-Jun;41(3):186-189. Epub 2021 Jun 1.

From the Department of Surgery Pietro Valdoni, Umberto I Policlinico, Roma, Italy.

At least 27 million men present with urogenital manifestations of genital filariasis (GF). Although there is a large burden of GF in residents in endemic regions, infection in short-term travellers and in non-endemic areas is rare. We report the case of a 75-year-old Italian man referred to our institution for a testicular discomfort. Read More

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Central role of ultrasound in the evaluation of testicular function and genital tract obstruction in infertile males.

Andrology 2021 Jun 3. Epub 2021 Jun 3.

Unit of Andrology and Reproductive Medicine, Department of Medicine, University of Padova, Padova, Italy.

Background: Scrotal color Doppler ultrasonography and transrectal ultrasonography provide crucial information about the clinical status of testes and male accessory glands.

Objective: To analyze the impact of ultrasound in the evaluation of infertile males.

Materials And Methods: A total of 1120 records from infertile men were retrospectively evaluated (from January 2016 up to June 2020). Read More

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Scrotal meconium pseudocysts: meconium periorchitis as a rare cause of postnatal acute scrotum.

BMJ Case Rep 2021 Jun 2;14(6). Epub 2021 Jun 2.

Radiology Department, IRCCS Policlinico Sant'Orsola Malpighi, Bologna, Italy.

A 10-day-old newborn was taken to the paediatric emergency room due to scrotal swelling. Physical examination showed scrotal enlargement and palpable intrascrotal hard formations. Laboratory blood tests revealed no significant alterations. Read More

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A better understanding of testicular and/or epididymal tuberculosis based on clinical, ultrasonic, computed tomography, and magnetic resonance imaging features at a high-volume institute in the modern era.

Quant Imaging Med Surg 2021 Jun;11(6):2465-2476

Department of Radiology, West China Hospital, Sichuan University, Chengdu, China.

Background: There is a concerning underdiagnosis of testicular and/or epididymal tuberculosis (TB). A lack of clinician awareness has led to many patients undergoing unnecessary surgeries. The purpose of this series was to enhance understanding of testicular and/or epididymal TB based on clinical, ultrasonic, computed tomography (CT), and magnetic resonance imaging (MRI) features from the past decade. Read More

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Testicular Torsion in the Absence of Severe Pain: Considerations for the Pediatric Surgeon.

Children (Basel) 2021 May 21;8(6). Epub 2021 May 21.

Department of Pediatric Surgery, University Children's Hospital Basel, 4031 Basel, Switzerland.

Testicular torsion is a surgical emergency. Early diagnosis and surgical treatment are vital in order to preserve the affected gonad. Current surgical teaching emphasizes sudden, severe, persistent, unilateral scrotal pain as a cardinal symptom of testicular torsion. Read More

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