SHORTCOMINGS OF COLOR DOPPLER SONOGRAPHY IN THE DIAGNOSIS OF TESTICULAR TORSION

Purpose: We determined the shortcomings of color Doppler sonography fo r the diagnosis of testicular torsion. Materials and Methods: We revie wed 5 cases of testicular torsion in which findings on color Doppler s onography were inconsistent with surgical findings. Results: Color Dop pler sonography showed blood flow in 2 patients who had necrotic teste s at surgery. In 3 other patients blood flow was also normal by color Doppler sonography of whom 2 were treated for epididymitis with subseq uent loss of the testes and 1 underwent salvage by immediate explorati on. Conclusions: Testicular torsion is a clinical diagnosis requiring consideration of many variables, Color Doppler sonography is helpful b ut should not be regarded as the definitive discriminator.