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Tishreen University Journal for Research and Scientific Studies - Medical Sciences Series Vol. (30) No. ( ) 2008

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Tishreen University Journal for Research and Scientific Studies - Medical Sciences Series Vol. (30) No. ( ) 2008

Sonographic Findings in Epididymitis

Dr. Rafiq Sarheel

Dr. Khudar Reslan** Mohammad Reza Hamidani***

(Received 3 / 6 / 2008. Accepted 6/8/2008)

� ABSTRACT �

The study was conducted on 94 patients expected to have epididymitis at Al-Assad Hospital in Latakia (2007-2008). The aim was to highlight the role of ultrasound in the diagnosis of epididymitis as a safe, easy, fast, and cheap means of diagnosis. Epididymitis was confirmed by sonography in 62 patients based on the following criteria: epididymal enlargement (91.94%), heterogeneous echogenicity of epididymitis (79.03%), scrotal wall thickening (59.68%), associated hydrocele (24.19%), epididymal hyperemia (95.6%), and the resistive index was less than 0.50 (96.77%). It is noticed that epididymitis occurs mostly in 35-60-year old men (50%) and among the married people (67.74%). The study showed that Gray-scale, Color, and Pulsed Doppler sonography (using RI) have an essential and important role in the early diagnosis of epididymitis and its differentiation from the other scrotal lesions especially testicular torsion. Keywords: epididymitis/ Resistive Index (RI)

* Assistant professor, department of Radiology, Faculty of Medicine, Tishreen University, Lattakia,

Syria ** Associate professor, department of Urological Surgery, Faculty of Medicine, Tishreen University-Lattakia- Syria ***Postgraduate student, department of Radiology, Faculty of Medicine, Tishreen University, Lattakia, Syria

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Tishreen University Journal. Med. Sciences Series

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epididymo-orchitis isolated orchitis

David Rickards and Simon Jones

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Tishreen University Journal. Med. Sciences Series

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1-CAROL M. RUMACK,STEPHANIE R.WILSON,J.WILLIAM CHARBONEAU ; associate editor Jo-Ann M.Johnson Diagnostic Ultrasound-Third edition ,2005,849-888.

2-DAVID SUTTON. Textbook of radiology and imaging-Sixth edition. David Rickards and Simon Jones with acontribution from E.Rhys Davies/the scrotum,testes ,and penis/.1998 ,1197-1203.

3-PAUL L.ALLAN,PAUL A.DUBBINS,MYRON A.POZNIAK,W.NORMAN MC DICKEN Clinical Doppler Ultrasound,2000, (223-236).

4-PETER T.K.CHAN AND PTER N. SCHLEGEL.Inflammatory Conditions of the Male Excurrent Ductal System. Part 1.Journal of Andrology, Vol.23,No.4, July/August. American Society of Andrology2002/453-460/.

5-VIKRAM S.DOGRA,RONALD H.GOTTLIEB, MAY OMI OKA, DEBORAH J.RUBENS. Sonography of the Scrotum. Radiology:Vol227.Number 1,2003,/18-36/.

6-DOGRA VS/RUBBES DJ. GOTTIEB RH; Torsion and beyond;new twists in spectral Doppler evaluation of the scrotum. J Ultrasound Med Aug;23(8); 2004,1077-88 [Medline ]

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