Pattern of scrotal disease as seen at ultrasonography at Kenyatta National Hospital

Abstract

Objective; To determine the pattern of scrotal disease among male patients presenting for scrotal ultrasonography at DDR and US department KNH. Method; A cross sectional descriptive study was done. A total of 138 patients were reviewed over 6 month's duration from July 2004 to January 2005. The sample included all patients referred from wards, general and private clinics as well as hospitals. A few cases with inflammatory disease were followed up with repeat scanning. Results; The patients examined were aged between 6 weeks and 90 years with a mean age of 30.1 years. Ultrasound demonstrated scrotal disease in 93.S%. Scrotal disease was most prevalent in the 20-40 age group constituting SO.70/0of the total cases. The most common presenting complaint was scrotal swelling accounting for 28.3%. Scrotal mass was the most common finding at sonography,seen in 63% of cases. Sixty nine percent of scrotal masses were extra testicular. Inflammatory disc ase was the second commonest sonographic diagnosis(31.2%), followed by the undescended testes which accounted for 18.1%. Conclusion; Scrotal disease is seen in all the age groups but most prevalent in the middle aged, who constitute more than SO% of the cases in this study. The incidence decreases as one approaches SOyears and above. Extratesticular mass is the most prevalent scrotal disease at KNH. Ultrasound plays a vital role in evaluation of scrotal disease.