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Doctor insights on: Scrotal Ultrasound

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Scrotal Ultrasound (Overview)

A scrotal ultrasound uses sound waves to visualize the structures of the scrotum, including the testicles, spermatic cords & epididymides. A probe is used in a sweeping motion across the scrotum and groin to create the images. Many standard images are taken, along with measurements & doppler evaluation. Testicular tumors, fluid collections, infection & torsion can be visualized using the test.


Dr. George Klauber Dr. Klauber
Pediatrics - Urology
years in practice
University of London, Royal Free Hospital School of Medicine
1

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Is it normal to need a scrotal ultrasound?

Is it normal to need a scrotal ultrasound?

If necessary: Scrotal ultrasound is normal and indicated for following reasons:- scrotal pain, scrotal swelling, rule out testis torsion, suspected testis tumor, acute hydrocele, infertility, non-palpaable testicle in child, compare testicle size in presence of varicocele, follow-up for testicular microlithiasis.

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Scrotal Ultrasound (Overview)

A scrotal ultrasound uses sound waves to visualize the structures of the scrotum, including the testicles, spermatic cords & epididymides. A probe is used in a sweeping motion across the scrotum and groin to create the images. Many standard images are taken, along with measurements & doppler evaluation. Testicular tumors, fluid collections, infection & torsion can be visualized using the test.


Dr. Simon Kimm Dr. Kimm
Urology
12 years in practice
Northwestern University Feinberg School of Medicine
2

2
What is the definition or description of: scrotal ultrasound?

What is the definition or description of: scrotal ultrasound?

Imaging the testes.: A scrotal ultrasound uses sound waves to visualize the structures of the scrotum, including the testicles, spermatic cords & epididymides. A probe is used in a sweeping motion across the scrotum and groin to create the images. Many standard images are taken, along with measurements & doppler evaluation. Testicular tumors, fluid collections, infection & torsion can be visualized using the test.

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Dr. Steven Chmielewski Dr. Chmielewski
Diagnostic Radiology
26 years in practice
Jefferson Medical College of Thomas Jefferson University
3
Dr. Eric Wang Dr. Wang
Radiology
15 years in practice
UCLA School of Medicine
4

4
Where is a scrotal ultrasound usually done? At a hospital?

Where is a scrotal ultrasound usually done? At a hospital?

Yes. Or Imaging ctr: Imaging procedures are done in hospitals or outpatient imaging centers.

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Dr. M. Hytham Beck Dr. Beck
Surgery
39 years in practice
University of Damascus Faculty of Medicine
5

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Scrotal ultrasound shows mild thickening of right epidymis but NO other issues. Possible its not epidymitis? US says inconclusive of that.

Scrotal ultrasound shows mild thickening of right epidymis but NO other issues. Possible its not epidymitis? US says inconclusive of that.

Depend: It depends on your symptoms and why you had an ultrasound. In general if you are having pain and the ultrasound show thickening in the epidymis then most likely you have epidydemitis

Dr. Anil Khosla Dr. Khosla
Radiology
years in practice
All-India Institute of Medical Sciences
6

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14 months ago I had scrotal ultrasound for tc. Came out clear. Bus as tc is rare, could the doc have read the images wrong due to inexperience?

Scrotal Ultrasound: Information is limited - why the ultrasound was done? Ultrasound is excellent in detecting a testicular mass. It may not always differentiate benign from malignant tumors. Ultrasound is always operator dependent..

Dr. John Fung Dr. Fung
Surgery
35 years in practice
Johns Hopkins University School of Medicine
7

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Would scrotal ultrasound rule out fourniers gangrene? Have fever plus scrotal discoloration.

Not useful: Physical symptoms of fournier's gangrene are progressive and include the following: 1) crepitant ("spongy" to the touch) skin which may be painful or numb; 2) dead and discolored (gray-black) tissue; murky and malodorous fluid weeping from skin; 3) fever and lethargy; 4) increasing genital pain and redness; 5) swelling of tissue in the genital area.

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Dr. James Lin Dr. Lin
Urology
47 years in practice
Kaohsiung Medical University
8

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How easily would a testicular abscess be picked up on a scrotal ultrasound? Even a smaller abscess? Easily noticed?

How easily would a testicular abscess be picked up on a scrotal ultrasound? Even a smaller abscess? Easily noticed?

Quite easy if...: Scrotal ultrasound is supporting tool to "confirm" a clinical suspicion and diagnosis which is suggested and reached through a detailed info on specifics, relevance, and sequence of events of all symptoms plus properly performed physical exam and tests as needed. So doing will uplift the usefulness of scrotal US - very effective!

Dr. Steven Chmielewski Dr. Chmielewski
Diagnostic Radiology
26 years in practice
Jefferson Medical College of Thomas Jefferson University
9

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Scrotal ultrasound measured testicular length at 5 cm, bilateral hydrocele is 1.7 cc. What is the actual testicular length?

5 cm.: A hydrocele is not 'counted' in the length of the testis. It is a fluid collection around the testis. The testis is solid and usually measured in 3 dimensions.

Dr. Johnny Roy Dr. Roy
Urology
55 years in practice
University of Baghdad College of Medicine
10

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If a man had mild orchitis would it still be easily noticeable on a scrotal ultrasound? What does it look like to the radiologist on the ultrasound?

If a man had mild orchitis would it still be easily noticeable on a scrotal ultrasound? What does it look like to the radiologist on the ultrasound?

See remark: Inflammation of testis (orchitis) if treated usually leaves NO residual effect. The ultrasound would not show anything significant. Unless one had mumps then there will be some shrinkage in the size of the testicle

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Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
11

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What to do if the right testicle bulges forward/sits much higher - scrotal ultrasound is clear of cancer!?

What to do if the right testicle bulges forward/sits much higher - scrotal ultrasound is clear of cancer!?

Probably nothing: Quite a few guys have curiously-positioned testicles and this doesn't mean a thing. Since you've been ultrasounded, I trust the urologist has also seen this and decided no intervention.

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Dr. Addagada Rao Dr. Rao
Surgery
52 years in practice
Andhra University, Guntur Medical College
12

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Is testicular cancer fairly easily detected on a scrotal ultrasound and what does it appear as on the ultrasound? Help?

Is testicular cancer fairly easily detected on a scrotal ultrasound and what does it appear as on the ultrasound? Help?

In majority of cases: testicular cancer can be detected by clinical examination, ultra sound is an additional help. Yes it s possible in minority of cases, will present with abdominal metastasis, primary is detected after orchiectomy small focus histologically seen in the specimen.

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Dr. Daniel Saurborn Dr. Saurborn
Diagnostic Radiology
19 years in practice
University of Rochester School of Medicine and Dentistry
13

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How easily would a testicular abscess be picked up on a scrotal ultrasound? Even a small abscess in the testi? Easily noticed?

How easily would a testicular abscess be picked up on a scrotal ultrasound? Even a small abscess in the testi? Easily noticed?

Yes, easily noticed.: A testicular abscess is not easily missed on an ultrasound. Provided that the scan was done by a certified ultrasound tech or radiologist and not an unlicensed practitioner. Also an abscess would make you quite sick, with fever and pain.

Dr. Zafar Khan Dr. Khan
Urology
54 years in practice
University of the Punjab, Nishtar Medical College
15

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Would a routine Scrotal ultrasound show the bell clapper deformity very easily? Without the doctor specifically looking for it. Why/why not? Pls help

Would a routine Scrotal ultrasound show the bell clapper deformity very easily? Without the doctor specifically looking for it. Why/why not? Pls help

Sonogram not needed: To reveal the "bell clapper" deformity of the testis, you Donot need the sonogram. A physical examination by a urologist who is familiar with this condition is all that is needed. The ultra sound will not be helpful.

Dr. Leila Hashemi Dr. Hashemi
Internal Medicine
17 years in practice
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Had a scrotal ultrasound done on left side. Found a couple of stones. Could this be testicular cancer?

Had a scrotal ultrasound done on left side. Found a couple of stones. Could this be testicular cancer?

Scrotal Stone: This is very question to answer as there is no consensus among experts, usually your history defines the recommendation, if u r a healthy person with no risk factor for testicular cancer then no further work up is needed, but if you have risk for cancer like undescended Testis then close follow up with Ultrasound is recommended.

Dr. Jason Hester Dr. Hester
Pediatrics
18 years in practice
Medical College of Georgia School of Medicine
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I read scrotal ultrasound has low sensitivity for diagnosing testicular ruptures resulting from blunt trauma. How can I then know if there is a ruptur?

U/s is sensitive: High frequency ultrasound with a linear array transducer is actually quite sensitive in detecting problems after acute testicular trauma. This would be considered the test of choice post trauma.

Dr. James Lin Dr. Lin
Urology
47 years in practice
Kaohsiung Medical University
18

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Can a scrotal ultrasound almost always show if someone has testicular cancer? If not what do they do? Just remove everyone's testicles?

Here are some. ..: Most of times, it will be true and safe to remove the testicle with mass through inguinal incision - called radical orchiectomy. Why? The experience in the decision to do so by a good history, proper physical exam, and tests such US, hormonal tests have proved to be accurate and well worth, although occasional mistake may occur. How to make such a final decision may widely vary depending on. ..

Dr. Daniel Kessler Dr. Kessler
Family Medicine
11 years in practice
Nova Southeastern University College of Osteopathic Medicine
19

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Burning sensation in left testicles alone. Took scrotal ultrasound test. It said no problem. But still worried. I have GERD problem. Is it related?

Burning sensation in left testicles alone. Took scrotal ultrasound test. It said no problem. But still worried. I have GERD problem. Is it related?

Don't think so: Needs physical exam and more history, if you are still worried then discuss with your physician other options. As far as gerd is concerned make sure you are also tested for h pylori which is a bacteria associated with ulcers. Try to avoid any motrin/aleve/ibuprofen for your pain as that may make your gerd worse. Good luck.

Dr. Liawaty Ho Dr. Ho
Internal Medicine - Hematology & Oncology
19 years in practice
Udayana University Faculty of Medicine
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If I have testicular pain suspected to be referred muscular pain, no lumps or swelling of testicle, does it make any sense to get a scrotal ultrasound?

If I have testicular pain suspected to be referred muscular pain, no lumps or swelling of testicle, does it make any sense to get a scrotal ultrasound?

To completely r/o: It makes sense as to completely rule out other possibilities even though no mass/swelling is noted. Especially if the pain does not go away after a week or so, also it depends on your other history, age, examination etc. Discuss with your doctor.

Dr. Michael Gabor
2,263 Doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


Scrotum (Definition)

Sac below penis that holds testicles ...Read more