Imaging in scrotal trauma: a European Society of Urogenital Radiology Scrotal and Penile Imaging Working Group (ESUR-SPIWG) position statement.
Doppler
Scrotum
Testis
Trauma
Ultrasonography
Journal
European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
received:
05
10
2020
accepted:
11
12
2020
revised:
16
11
2020
pubmed:
16
1
2021
medline:
24
6
2021
entrez:
15
1
2021
Statut:
ppublish
Résumé
Imaging plays a crucial role in the evaluation of scrotal trauma. Among the imaging modalities, greyscale ultrasound and Colour Doppler ultrasound (CDUS) are the primary techniques with the selective utilisation of advanced techniques such as contrast-enhanced ultrasound (CEUS) and elastography. Despite ultrasound being the mainstay of imaging scrotal trauma, its diagnostic performance is not fully established. Considering these difficulties and their impact on clinical practice, the Scrotal and Penile Imaging Working Group of the European Society of Urogenital Radiology (ESUR-SPIWG) established an expert task force to review the current literature and consolidate their expertise on examination standards and imaging appearances of various entities in scrotal trauma. This paper provides the position statements agreed on by the task force with the aim of providing guidance for the use of imaging especially multiparametric US in scrotal trauma.Key Points• Greyscale and Colour Doppler ultrasound are the mainstay of imaging in patients with scrotal trauma.• Contrast-enhanced ultrasound and elastography are the advanced techniques useful as a problem-solving modality in equivocal cases.• This paper summarises the position statements of the ESUR-SPIWG on the appropriate utilisation of multiparametric ultrasound and other imaging modalities in the evaluation of scrotal trauma.
Identifiants
pubmed: 33449189
doi: 10.1007/s00330-020-07631-w
pii: 10.1007/s00330-020-07631-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
4918-4928Références
Kitrey ND, Djakovic N, Hallscheidt P et al (2020) EAU guidelines on urological trauma. Edn. Presented at the EAU Annual Congress, Amsterdam, the Netherlands
Bhatt S, Dogra VS (2008) Role of US in testicular and scrotal trauma. Radiographics 28:1617–1629
pubmed: 18936025
Buckley JC, McAninch JW (2006) Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 175:175–178
pubmed: 16406902
Corrales JG, Corbel L, Cipolla B et al (1993) Accuracy of ultrasound diagnosis after blunt testicular trauma. J Urol 150:1834–1836
pubmed: 8080482
Lotti F, Maggi M (2015) Ultrasound of the male genital tract in relation to male reproductive health. Hum Reprod Update 21:56–83
pubmed: 25038770
Horstman WG, Middleton WD, Melson GL, Siegel BA (1991) Color Doppler US of the scrotum. Radiographics 11:941–957 discussion 958
pubmed: 1749858
Mostafa T, Labib I, El-Khayat Y, El-Rahman El-Shahat A, Gadallah A (2008) Human testicular arterial supply: gross anatomy, corrosion cast, and radiologic study. Fertil Steril 90:2226–2230
pubmed: 18555239
Hunter SR, Lishnak TS, Powers AM, Lisle DK (2013) Male genital trauma in sports. Clin Sports Med 32:247–254
pubmed: 23522506
Terrier JE, Paparel P, Gadegbeku B, Ruffion A, Jenkins LC, N'Diaye A (2017) Genitourinary injuries after traffic accidents: analysis of a registry of 162,690 victims. J Trauma Acute Care Surg 82:1087–1093
Deurdulian C, Mittelstaedt CA, Chong WK, Fielding JR (2007) US of acute scrotal trauma: optimal technique, imaging findings, and management. Radiographics 27:357–369
pubmed: 17374858
Bjurlin MA, Kim DY, Zhao LC et al (2013) Clinical characteristics and surgical outcomes of penetrating external genital injuries. J Trauma Acute Care Surg 74:839–844
pubmed: 23425745
Ayaz E, Ayaz M, Önal C, Yıkılmaz A (2019) Seeing the unseen: evaluating testicular vascularity in neonates by using the superb microvascular imaging ultrasound technique. J Ultrasound Med 38:1847–1854
pubmed: 30548880
Wang Z, Yang JR, Huang YM et al (2016) Diagnosis and management of testicular rupture after blunt scrotal trauma: a literature review. Int Urol Nephrol 48:1967–1976
pubmed: 27567912
Cubillos J, Reda EF, Gitlin J, Zelkovic P, Palmer LS (2010) A conservative approach to testicular rupture in adolescent boys. J Urol 184:1733–1738
pubmed: 20728174
Rao MS, Arjun K (2012) Sonography of scrotal trauma. Indian J Radiol Imaging 22:293–297
pubmed: 23833421
pmcid: 3698892
Yosuf G, Rafailidis V, Moore S et al (2020) The role of contrast-enhanced ultrasound (CEUS) in the evaluation of scrotal trauma: a review. Insights Imaging 11:68
Bhatt S, Ghazale H, Dogra VS (2007) Sonograhic evaluation of scrotal and penile trauma. Ultrasound Clin 2:45–56
Nicola R, Carson N, Dogra VS (2014) Imaging of traumatic injuries to the scrotum and penis. AJR Am J Roentgenol 202:W512–W520
pubmed: 24848844
Dogra V, Bhatt S (2004) Acute painful scrotum. Radiol Clin North Am 42:349–363
pubmed: 15136021
Purushothaman H, Sellars ME, Clarke JL, Sidhu PS (2007) Intratesticular haematoma: differentiation from tumour on clinical history and ultrasound appearances in two cases. Br J Radiol 80:e184–e187
pubmed: 17762053
Tumeh SS, Benson CB, Richie JP (1991) Acute diseases of the scrotum. Semin Ultrasound CT MR 12:115–130
pubmed: 1863474
Bertolotto M, Cantisani V, Valentino M, Pavlica P, Derchi LE (2016) Pitfalls in imaging for acute scrotal pathology. Semin Roentgenol 51:60–69
pubmed: 27020237
Lunawat R, Craciun M, Omorphos S, Weston PM, Biyani SC (2014) Seminoma presented as testicular rupture: case report and literature review. Can Urol Assoc J 8:E749–E751
pubmed: 25408819
pmcid: 4216311
Lucky M, Brown G, Dorkin T et al (2018) British Association of Urological Surgeons (BAUS) consensus document for the management of male genital emergencies - testicular trauma. BJU Int 121:840–844
pubmed: 29635819
Gordon LM, Stein SM, Ralls PW (1996) Traumatic epididymitis: evaluation with color Doppler sonography. AJR Am J Roentgenol 166:1323–1325
pubmed: 8633441
Zavras N, Siatelis A, Misiakos E, Bagias G, Papachristos V, Machairas A (2014) Testicular dislocation after scrotal trauma: a case report and brief literature review. Urol Case Rep 2:101–104
pubmed: 26955557
Kochakarn W, Choonhaklai V, Hotrapawanond P, Muangman V (2000) Traumatic testicular dislocation a review of 36 cases. J Med Assoc Thai 83:208–212
pubmed: 10710892
Ko SF, Ng SH, Wan YL et al (2004) Testicular dislocation: an uncommon and easily overlooked complication of blunt abdominal trauma. Ann Emerg Med 43:371–375
pubmed: 14985665
Schwartz SL, Faerber GJ (1994) Dislocation of the testis as a delayed presentation of scrotal trauma. Urology 43:743–745
pubmed: 8165779
Seng YJ, Moissinac K (2000) Trauma induced testicular torsion: a reminder for the unwary. J Accid Emerg Med 17:381–382
pubmed: 11005420
pmcid: 1725459
Howe AS, Vasudevan V, Kongnyuy M et al (2017) Degree of twisting and duration of symptoms are prognostic factors of testis salvage during episodes of testicular torsion. Transl Androl Urol 6:1159–1166
pubmed: 29354505
pmcid: 5760391
Bandarkar AN, Blask AR (2018) Testicular torsion with preserved flow: key sonographic features and value-added approach to diagnosis. Pediatr Radiol 48:735–744
pubmed: 29468365
pmcid: 5895684
Morey AF, Brandes S, Dugi DD et al (2014) Urotrauma: AUA guideline. J Urol 192:327–335
pubmed: 24857651
pmcid: 4104146
Cline KJ, Mata JA, Venable DD, Eastham JA (1998) Penetrating trauma to the male external genitalia. J Trauma Acute Care Surg 44:492–494
Churukanti GR, Kim A, Rich DD et al (2016) Role of ultrasonography for testicular injuries in penetrating scrotal trauma. Urology 95:208–212
pubmed: 27132505
Piscaglia F, Nolsøe C, Dietrich CF et al (2012) The EFSUMB Guidelines and Recommendations on the Clinical Practice of Contrast Enhanced Ultrasound (CEUS): update 2011 on non-hepatic applications. Ultraschall Med 33:33–59
pubmed: 21874631
Sidhu PS, Cantisani V, Dietrich CF et al (2018) The EFSUMB Guidelines and Recommendations for the Clinical Practice of Contrast-Enhanced Ultrasound (CEUS) in non-hepatic applications: update 2017 (long version). Ultraschall Med 39:e2–e44
pubmed: 29510439
Sidhu PS, Cantisani V, Dietrich CF et al (2018) The EFSUMB Guidelines and Recommendations for the Clinical Practice of Contrast-Enhanced Ultrasound (CEUS) in non-hepatic applications: update 2017 (short version). Ultraschall Med 39:154–180
pubmed: 29510440
Lobianco R, Regine R, De Siero M, Catalano O, Caiazzo C, Ragozzino A (2011) Contrast-enhanced sonography in blunt scrotal trauma. J Ultrasound 14:188–195
pubmed: 23396988
pmcid: 3558072
Valentino M, Bertolotto M, Derchi L et al (2011) Role of contrast enhanced ultrasound in acute scrotal diseases. Eur Radiol 21:1831–1840
pubmed: 21633826
Yusuf G, Konstantatou E, Sellars ME, Huang DY, Sidhu PS (2015) Multiparametric sonography of testicular hematomas: features on grayscale, Color Doppler, and contrast-enhanced sonography and strain elastography. J Ultrasound Med 34:1319–1328
pubmed: 26112637
Badea R, Lucan C, Suciu M, Vasile T, Gersak M (2016) Contrast enhanced harmonic ultrasonography for the evaluation of acute scrotal pathology. A pictorial essay. Med Ultrason 18:110–115
pubmed: 26962563
Bertolotto M, Muça M, Currò F, Bucci S, Rocher L, Cova MA (2018) Multiparametric US for scrotal diseases. Abdom Radiol (NY) 43:899–917
Hedayati V, Sellars ME, Sharma DM, Sidhu PS (2012) Contrast-enhanced ultrasound in testicular trauma: role in directing exploration, debridement and organ salvage. Br J Radiol 85:e65–e68
pubmed: 22391504
Trinci M, Cirimele V, Ferrari R, Ianniello S, Galluzzo M, Miele V (2020) Diagnostic value of contrast-enhanced ultrasound (CEUS) and comparison with color Doppler ultrasound and magnetic resonance in a case of scrotal trauma. J Ultrasound 23:189–194
pubmed: 31168706
Konstantatou E, Fang C, Romanos O et al (2019) Evaluation of Intratesticular lesions with strain elastography using strain ratio and color map visual grading: differentiation of neoplastic and nonneoplastic lesions. J Ultrasound Med 38:223–232
pubmed: 30027626
Goddi A, Sacchi A, Magistretti G, Almolla J, Salvadore M (2012) Real-time tissue elastography for testicular lesion assessment. Eur Radiol 22:721–730
pubmed: 22028111
Wang A, Stormont I, Siddiqui MM (2017) A review of imaging modalities used in the diagnosis and management of scrotal trauma. Curr Urol Rep 18:98
pubmed: 29081016
Kim SH, Park S, Choi SH, Jeong WK, Choi JH (2009) The efficacy of magnetic resonance imaging for the diagnosis of testicular rupture: a prospective preliminary study. J Trauma 66:239–242
pubmed: 19131833
Mittal PK, Abdalla AS, Chatterjee A et al (2018) Spectrum of extratesticular and testicular pathologic conditions at scrotal MR imaging. Radiographics 38:806–830
pubmed: 29757721
Avery LL, Scheinfeld MH (2013) Imaging of penile and scrotal emergencies. Radiographics 33:721–740
pubmed: 23674771
Tsili AC, Bertolotto M, Turgut AT et al (2018) MRI of the scrotum: recommendations of the ESUR Scrotal and Penile Imaging Working Group. Eur Radiol 28:31–43
pubmed: 28698942
Muglia V, Tucci S Jr, Elias J Jr, Trad CS, Bilbey J, Cooperberg PL (2002) Magnetic resonance imaging of scrotal diseases: when it makes the difference. Urology 59:419–423
pubmed: 11880084
Sharp VJ, Kieran K, Arlen AM (2013) Testicular torsion: diagnosis, evaluation, and management. Am Fam Physician 88:835–840
pubmed: 24364548
Redmond EJ, Mac Namara FT, Giri SK, Flood HD (2018) Blunt testicular trauma - is surgical exploration necessary? Ir J Med Sci 187:1109–1113
pubmed: 29423823