1 M. JAMALUDDIN, 2 TANVEER ALAM, 3 BUSHRA TASNEEM,
4 S. M. ABBAS HUSSAIN

ABSTRACT

Objective:To describe the results of ultrasound findings in pure cystic scrotal swellings in patients of all ages in ASH.

Methodology: It was a descriptive case series carriedout from Jan 2003 to Dec 2005 in SOPD and Surgical unit-1, Abbasi Shaheed Hospital & KMDC, Karachi. A total of 100 patients were taken who had pure scrotal swellings which were cystic in nature on clinical examinations. These patients were treated in this hospital during this period. All patients (n=100) attending SOPD of Abbasi Shaheed Hospital with presenting complain of pure scrotal swellings were clinically examined with especial attention to get above the swelling, fluctuation and transillumination test and their size of the swelling also noted by an inch tape. An inform consent was taken and ultrasound of scrotum was done in ultrasound department to confirm the cystic swelling of scrotum and also to measure the size of the swelling. These patients were then divided into three groups according to the size of the scrotal swelling in which Group A (n=22) patients had size <5cm in diameter, Group B (n=51) had size 05-10cm in diameter and Group C (n=27) had size >10cm in diameter. All patients were admitted for surgery (exploration of the scrotal swelling).

Results: On exploration of the scrotum (n=100), about 39%(n=39) of patients had < 50 ml of fluid, 32% (n=32) of patients had 50-100 ml of fluid while 29% (n=29) of patients had >100 ml of fluid in the sac. About 77% (n=77) of patients had clear amber coloured fluid, about 13% (n=13) had serous fluid with calcifications, about 07% (n=o7) had pussy fluid and only 03% (n=03) had bloody fluid in the sac. Therefore about 90% of the patients had hydrocele (n=90), about 07% had pyocele (n=07) and only 03% of patients had haematocele (n=03). No malignancy was found in this study.

Conclusion: Most of the patients coming in this hospital with pure cystic scrotal swellings had hydroceles (90%), some of the patients had pyoceles (07%) while few had haematoceles (03%). All most all cystic scrotal swellings were benign in nature and no malignancy was found in this study.

Keywords: Ultrasound of Scrotum, Hydrocele, Pyocele, Haematocele, spermatocele.

For Full text contact to:
Prof. Dr. Farah Mansuri
editor@annals-ashkmdc.org

1 Assistant Prof. of Surgery
2 Assistant Prof. of Surgery
3 SR. Surgery
4 Head of Surgery KMDC & Abbasi Shaheed Hospital, Karachi.