Background: The diagnosis of the inguinoscrotal pathologies primarily rests upon clinical history and careful physical examination. We tried to study the colour doppler characteristics of these swellings in a tertiary care institutional setting. Methods: This prospective observational study was carried out from January 2020 to December 2021. In this study of total 55 patients from all age groups with signs and symptoms related to inguinoscrotal diseases were included. Results: Maximum number of cases i.e. 23 (41.8%) cases were seen in the third decade of life. The most common symptom was scrotal swelling in 70.9% of the cases followed by pain in the testis in 51% of patients. 8 cases were diagnosed as varicocele by colour doppler demonstrating a sensitivity of 100%. In acute inflammation, acute epididymo-orchitis was present in 38.1% of cases while in chronic inflammation chronic epididymo-orchitis was the most common pathological finding (85%) followed by chronic epididymitis 71%. Colour doppler was about 85% sensitive for diagnosing chronic conditions. Conclusions: Colour Doppler imaging has a significant role in differentiating inguinal swellings from scrotal pathologies and also correlates well with histopathological findings of inguinoscrotal lesions.
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