To the Editor.—
I found the recent article by Haynes et al1 entitled "The Diagnosis of Testicular Torsion" to be state of the art clinically; however, the authors failed to discuss fully state-of-the-art scrotal imaging techniques.The authors aptly discussed radionuclide scrotal scanning, which can, with a high degree of probability, distinguish between avascular torsion and less emergent conditions, and the use of the Doppler flowmeter, which allows the examiner to evaluate blood flow to the testes. However, they failed to discuss the use of B-scan and real-time ultrasound techniques, which are, given the appropriate clinical setting, more accurate than other imaging modalities in demonstrating scrotal pathologic conditions.Bird et al,2 in a thorough discussion of B-scan ultrasound findings in testicular torsion, were, when given appropriate clinical information, able to exclude torsion and demonstrate chronic missed torsion and epididymitis without using correlative imaging modalities. However, because of overlapping
Wosick WF. Scrotal Imaging Techniques. JAMA. 1984;251(4):469. doi:10.1001/jama.1984.03340280025015
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: