Role of Gray Scale and Colour Doppler in Evaluation of Scrotal Pathologies

Dr. Praveen Kumar, Dr. Poonam Ohri, Dr. Ajay Chhabra, Dr. Amarbir Singh, Dr. Sanjeev Kumar Kohli, Dr. Manasi Kohli, Parushi Kohli

Abstract: Aims and objectives: To differentiate between the intratesticular and extratesticular pathological lesions of the scrotum. To correlate the ultrasonic diagnosis with the clinical diagnosis in patients presenting with scrotal lesions. Material and methods: A prospective observational study was conducted on 50 patients presenting with scrotal pathologies at the Department of Radiodiagnosis, Government Medical College, Amritsar, over a period of one year. All patients underwent high-resolution ultrasonography using a Mindray DC-8 machine with a 7.5 MHz linear transducer. Comparative grayscale and color Doppler evaluation of both testes was performed. Statistical analysis was done using SPSS software; Chi-square test was applied, and p < 0.05 was considered significant. Sensitivity and specificity were calculated by correlating clinical and sonological diagnoses. Results: Most patients were aged 21?40 years, with swelling and pain as common complaints. Ultrasound identified 54% extratesticular, 24% intratesticular, and 22% mixed lesions. It provided superior diagnostic accuracy compared to clinical examination, especially in detecting inflammatory (e.g., epididymoorchitis), vascular (e.g., torsion), and neoplastic conditions. Color Doppler was particularly effective in assessing vascularity, confirming all cases of torsion and epididymoorchitis. Occult lesions such as spermatocele and undescended testes were identified in clinically normal scrotums. Ultrasonography, with high sensitivity and specificity, proved to be a critical first-line modality for diagnosis, triage, and treatment planning in scrotal disorders. Conclusions: Grayscale and color Doppler ultrasound play a crucial role in accurately differentiating intratesticular and extratesticular scrotal lesions. They demonstrate strong correlation with clinical findings while detecting lesions missed on physical examination. Ultrasound effectively identifies occult abnormalities and guides timely management decisions. Its routine use significantly enhances diagnostic accuracy and patient outcomes in scrotal pathologies.

Keywords: Scrotal pathologies, Ultrasonography, Color Doppler, Grayscale ultrasound, Testicular torsion, Epididymoorchitis, Hydrocele, Varicocele, Testicular mass, High-frequency ultrasound, Testicular perfusion, Non-invasive imaging, Scrotal swelling

How to Cite?: Dr. Praveen Kumar, Dr. Poonam Ohri, Dr. Ajay Chhabra, Dr. Amarbir Singh, Dr. Sanjeev Kumar Kohli, Dr. Manasi Kohli, Parushi Kohli, "Role of Gray Scale and Colour Doppler in Evaluation of Scrotal Pathologies", Volume 14 Issue 11, November 2025, International Journal of Science and Research (IJSR), Pages: 409-415, https://www.ijsr.net/getabstract.php?paperid=SR251106142153, DOI: https://dx.doi.org/10.21275/SR251106142153