The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform

Vikram S Dogra - One of the best experts on this subject based on the ideXlab platform.

  • role of color flow doppler ultrasound in the evaluation of acute Scrotal Pain
    Journal of Andrology, 2021
    Co-Authors: Akshya Gupta, Vikram S Dogra
    Abstract:

    Color flow Doppler ultrasound is a critical tool in the assessment of the scrotum. Ultrasound is the first-line imaging modality and can rapidly differentiate between surgical and nonsurgical conditions, allowing for appropriate and prompt patient management. We review the role of color flow Doppler in the evaluation of acute Scrotal Pain, highlighting some of the most commonly seen pathologies such as epididymo-orchitis and testicular torsion.

  • Imaging Acute Scrotal Pain in Adults: Torsion of the Testis and Appendages
    Scrotal Pathology, 2011
    Co-Authors: Ahmet Tuncay Turgut, Vikram S Dogra
    Abstract:

    Torsion of the spermatic cord is a common cause of acute Scrotal Pain and a delay in intervention may cause irreversible testicular damage. Intravaginal testicular torsion, which is associated either with a long mesorchium or bell-clapper deformity, accounts for most of the cases. Gray-scale US combined with color and pulsed Doppler modes is the method of choice for patients with the clinical presentation of testicular torsion, where the findings depend on the duration of torsion and the degree of twisting of the spermatic cord. The absence of testicular blood flow on color or power Doppler US is considered diagnostic of ischemia. On the other hand, the presence of color or power Doppler flow in a patient with a typical clinical presentation for torsion may be consistent with partial testicular torsion. The main role of ultrasound in the torsion of testicular appendix is to rule out testicular torsion or epididymo-orchitis. Optimization of the color and pulsed Doppler parameters is crucial for increasing the diagnostic yield.

  • role of us in testicular and Scrotal trauma
    Radiographics, 2008
    Co-Authors: Shweta Bhatt, Vikram S Dogra
    Abstract:

    High-frequency ultrasonography (US) with a linear-array transducer is the modality of choice for the initial evaluation of patients with acute Scrotal Pain after trauma. Testicular trauma is the third most common cause of acute Scrotal Pain. US is useful in the triage of patients for medical or surgical management because it reliably depicts tunica albuginea rupture, intra- and extratesticular hematomas, and testicular contusions. Color Doppler US allows direct evaluation of testicular perfusion and detection of uncommon conditions, such as testicular torsion, that may be associated with Scrotal trauma. In addition, 10% of testicular tumors are found incidentally at US performed for the evaluation of trauma. If a conservative approach is adopted for the management of an intratesticular abnormality after trauma, follow-up US should be performed until the images show a complete resolution of the abnormality, so that a tumor will not be missed.

Carlo Trombetta - One of the best experts on this subject based on the ideXlab platform.

  • role of us in acute Scrotal Pain
    World Journal of Urology, 2011
    Co-Authors: Giovanni Liguori, Stefano Bucci, Alessio Zordani, Sara Benvenuto, Giangiacomo Ollandini, Giorgio Mazzon, Michele Bertolotto, Francesca Cacciato, Salvatore Siracusano, Carlo Trombetta
    Abstract:

    The acute scrotum is a common emergency department (ED) presentation and can be defined as any condition of the scrotum or intraScrotal contents requiring emergent medical or surgical intervention. Although rarely fatal, acute Scrotal pathology can result in testicle infarction and necrosis, testicular atrophy, infertility, and significant morbidity. Scrotal US is best performed with a linear 7.5- to 12-MHz transducer. In addition to imaging in the longitudinal and transverse planes, it is helpful to obtain simultaneous images of both testes for comparison. Color Doppler is used to evaluate for abnormalities of flow and to differentiate vascular from nonvascular lesions. Attention to appropriate color Doppler settings to optimize detection of slow flow is critical. The evaluation of acute Scrotal Pain can be challenging for the clinician initially examining and triaging the patient. Acute Scrotal conditions due to traumatic, infectious, vascular, or neoplastic etiologies can all present with Pain as the initial complaint. Additionally, the laboratory and physical examination findings in such conditions may overlap; this, coupled with potential patient guarding and lack of collaboration, may result in a limited, non-specific physical examination. Therefore, Scrotal ultrasound has emerged to play a central role in the evaluation of the patient presenting with acute Scrotal Pain. In conclusion, we are firmly convinced that a Scrotal ultrasound should always be performed in the presence of acute Scrotal Pain. Moreover, urologist should be able to perform a Scrotal ultrasound but, if imaging does not supply a clear diagnosis, surgical exploration is still mandatory.

Giovanni Liguori - One of the best experts on this subject based on the ideXlab platform.

  • role of us in acute Scrotal Pain
    World Journal of Urology, 2011
    Co-Authors: Giovanni Liguori, Stefano Bucci, Alessio Zordani, Sara Benvenuto, Giangiacomo Ollandini, Giorgio Mazzon, Michele Bertolotto, Francesca Cacciato, Salvatore Siracusano, Carlo Trombetta
    Abstract:

    The acute scrotum is a common emergency department (ED) presentation and can be defined as any condition of the scrotum or intraScrotal contents requiring emergent medical or surgical intervention. Although rarely fatal, acute Scrotal pathology can result in testicle infarction and necrosis, testicular atrophy, infertility, and significant morbidity. Scrotal US is best performed with a linear 7.5- to 12-MHz transducer. In addition to imaging in the longitudinal and transverse planes, it is helpful to obtain simultaneous images of both testes for comparison. Color Doppler is used to evaluate for abnormalities of flow and to differentiate vascular from nonvascular lesions. Attention to appropriate color Doppler settings to optimize detection of slow flow is critical. The evaluation of acute Scrotal Pain can be challenging for the clinician initially examining and triaging the patient. Acute Scrotal conditions due to traumatic, infectious, vascular, or neoplastic etiologies can all present with Pain as the initial complaint. Additionally, the laboratory and physical examination findings in such conditions may overlap; this, coupled with potential patient guarding and lack of collaboration, may result in a limited, non-specific physical examination. Therefore, Scrotal ultrasound has emerged to play a central role in the evaluation of the patient presenting with acute Scrotal Pain. In conclusion, we are firmly convinced that a Scrotal ultrasound should always be performed in the presence of acute Scrotal Pain. Moreover, urologist should be able to perform a Scrotal ultrasound but, if imaging does not supply a clear diagnosis, surgical exploration is still mandatory.

Valdemar Ortiz - One of the best experts on this subject based on the ideXlab platform.

  • transurethral resection of the ejaculatory duct in a fertile man
    Fertility and Sterility, 2008
    Co-Authors: José Iran Medeiros Lacerda, Endric Hasegawa, Renato Fraietta, Ricardo Pimenta Bertolla, Agnaldo Pereira Cedenho, Valdemar Ortiz
    Abstract:

    Objective To report a case of transurethral resection of the ejaculatory duct in a fertile man with normozoospermia. Design Case report. Setting Large federal hospital in Sao Paulo, Brazil. Patient(s) A 29-year-old man with normal semen analysis values who had recently fathered a healthy child, seen with complaint of Scrotal Pain and reduced ejaculate volume. Intervention(s) Transurethral resection of the ejaculatory duct. Main Outcome Measure(s) Relief of the symptoms. Result(s) Successful relief of the Scrotal Pain and increase in ejaculate volume after correction of the partial ejaculatory duct obstruction. Conclusion(s) Fertile men with Scrotal Pain and reduced ejaculate volume may be seen with partial ejaculatory duct obstruction, and surgical transurethral resection of the ejaculatory duct may provide resolution of symptoms.

Giangiacomo Ollandini - One of the best experts on this subject based on the ideXlab platform.

  • role of us in acute Scrotal Pain
    World Journal of Urology, 2011
    Co-Authors: Giovanni Liguori, Stefano Bucci, Alessio Zordani, Sara Benvenuto, Giangiacomo Ollandini, Giorgio Mazzon, Michele Bertolotto, Francesca Cacciato, Salvatore Siracusano, Carlo Trombetta
    Abstract:

    The acute scrotum is a common emergency department (ED) presentation and can be defined as any condition of the scrotum or intraScrotal contents requiring emergent medical or surgical intervention. Although rarely fatal, acute Scrotal pathology can result in testicle infarction and necrosis, testicular atrophy, infertility, and significant morbidity. Scrotal US is best performed with a linear 7.5- to 12-MHz transducer. In addition to imaging in the longitudinal and transverse planes, it is helpful to obtain simultaneous images of both testes for comparison. Color Doppler is used to evaluate for abnormalities of flow and to differentiate vascular from nonvascular lesions. Attention to appropriate color Doppler settings to optimize detection of slow flow is critical. The evaluation of acute Scrotal Pain can be challenging for the clinician initially examining and triaging the patient. Acute Scrotal conditions due to traumatic, infectious, vascular, or neoplastic etiologies can all present with Pain as the initial complaint. Additionally, the laboratory and physical examination findings in such conditions may overlap; this, coupled with potential patient guarding and lack of collaboration, may result in a limited, non-specific physical examination. Therefore, Scrotal ultrasound has emerged to play a central role in the evaluation of the patient presenting with acute Scrotal Pain. In conclusion, we are firmly convinced that a Scrotal ultrasound should always be performed in the presence of acute Scrotal Pain. Moreover, urologist should be able to perform a Scrotal ultrasound but, if imaging does not supply a clear diagnosis, surgical exploration is still mandatory.