C Neissner1, V Eisenschmidt2, W H Rösch2. 1. Klinik für Kinderurologie in Kooperation mit der Universität Regensburg, Klinik St. Hedwig Regensburg, Steinmetzstraße 1-3, 93049, Regensburg, Deutschland. claudia.neissner@barmherzige-regensburg.de. 2. Klinik für Kinderurologie in Kooperation mit der Universität Regensburg, Klinik St. Hedwig Regensburg, Steinmetzstraße 1-3, 93049, Regensburg, Deutschland.
Abstract
BACKGROUND: Besides physical examination, ultrasonography is the most valuable diagnostic tool to assess the scrotum and testes in the case of an acute scrotum or scrotal pathology. PROBLEMS: In infants and toddlers the examination can be challenging. Due to the limited patient compliance, the small testicular size (< 0.5 ml), and low blood flow velocity (< 3 cm/s), it can be difficult to achieve a proper flow curve when assessing blood flow. CONCLUSION: The examiner's skills are as important as adequate equipment (i. e., linear ultrasound probe, 12-14 MHz) and optimal program settings (Doppler scale < 3 cm/s, gate 1 mm). However, if there is doubt, surgical exploration is unavoidable.
BACKGROUND: Besides physical examination, ultrasonography is the most valuable diagnostic tool to assess the scrotum and testes in the case of an acute scrotum or scrotal pathology. PROBLEMS: In infants and toddlers the examination can be challenging. Due to the limited patient compliance, the small testicular size (< 0.5 ml), and low blood flow velocity (< 3 cm/s), it can be difficult to achieve a proper flow curve when assessing blood flow. CONCLUSION: The examiner's skills are as important as adequate equipment (i. e., linear ultrasound probe, 12-14 MHz) and optimal program settings (Doppler scale < 3 cm/s, gate 1 mm). However, if there is doubt, surgical exploration is unavoidable.