Clinical Evaluation Of Causes Of Scrotal Pain And Its Ultrasonographic Correlation

Background: Scrotal pain is a common urological emergency with causes ranging from benign inflammatory conditions to surgical emergencies like testicular torsion. Accurate diagnosis is essential to guide timely management and prevent complications. Objectives: To evaluate the clinical causes of scrotal pain and correlate them with ultrasonographic findings for accurate diagnosis and management. Materials and Methods: This prospective observational study was conducted on patients presenting with scrotal pain at a tertiary care hospital. Detailed clinical evaluation was performed, followed by ultrasonography with color Doppler. Findings were correlated to determine diagnostic accuracy and outcomes. Results: Epididymo-orchitis was the most common cause of scrotal pain, followed by hydrocele and testicular torsion. Ultrasonography with color Doppler showed high sensitivity and specificity in differentiating torsion from inflammatory conditions. Clinical diagnosis alone was less reliable, but when combined with ultrasonography, diagnostic accuracy significantly improved. Conclusion: Clinical evaluation supplemented with ultrasonography is the most effective approach for assessing scrotal pain. This combined strategy enhances diagnostic precision, reduces unnecessary surgical exploration, and ensures timely intervention, thereby improving patient outcomes.