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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.


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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. ...Read more

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.


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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. ...Read more

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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. ...Read more

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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 ...Read more

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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.. ...Read more

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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. ...Read more

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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! ...Read more

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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. ...Read more

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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 ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. .. ...Read more

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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. ...Read more

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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. ...Read more

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Dr lin. Orchitis nitrofurantoin follow-up. Had scrotal ultrasound for pain and inflammation. Showed orchitis only. No std. No other issues/mass.?

Dr lin. Orchitis nitrofurantoin follow-up. Had scrotal ultrasound for pain and inflammation. Showed orchitis only. No std. No other issues/mass.?

Here are some. ..: I appreciate your patience. Now, we got things almost meaningfully together. Despite reporting orchitis on US, I would leave it alone after completing 1-2 courses of antibiotics for bacterial or STD infection, as long as you're reasonably comfortable. Remember the US report, to a degree & extent, tends to be reviewer-subjective so all the findings have to correlate with clinical pictures for. .. ...Read more

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Had a scrotum ultrasound a few months ago for right testicle swelling. Would they have noticed any tumors if present? I didn't ask at the time.

Had a scrotum ultrasound a few months ago for right testicle swelling. Would they have noticed any tumors if present? I didn't ask at the time.

Yes: The US would have identified any tumors present. That does not mean that something might not have developed in the mean time. If you are still having the problem, see a good urologist ...Read more

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Peas size and 1/2 pea size lumps in testicles @ end of scrotum. Ultrasound 5 months ago showed nothing. Still there, should I worry abt the cysts? Ttc

Peas size and 1/2 pea size lumps in testicles @ end of scrotum. Ultrasound 5 months ago showed nothing. Still there, should I worry abt the cysts? Ttc

U may have cysts: (which are benign)underneath the skin of ur scrotum and not internally, in your testicles. The normal scrotal ultrasound is reassuring. Follow up with ur urologist for any concern. Take care! ...Read more

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Pulled heavy weight resulting in slight right side bulge in scrotum. Ultrasound shows no signs of hernia. Had inguinal hernia repair 30 years ago. Feel slight pain below incision scar after exercise. The bulge reduces at times but mostly stays. Do I need

Pulled heavy weight resulting in slight right side bulge in scrotum. Ultrasound shows no signs of hernia. Had inguinal hernia repair 30 years ago. Feel slight pain below incision scar after exercise. The bulge reduces at times but mostly stays. Do I need

Hernia: It sure still sounds like a hernia. The quality of ultrasound varies tremendously based on the equipment and also the technician, I would not hesitate to get a second opinion. Having a hernia is very often a clinical diagnosis, if there is any question a ct scan can be helpful. ...Read more

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M 22male I got epididymis in left scrotum and ultrasound test shows that its a minor epididymus thickning. Any advice. M taking moxifloxacin400, flamzox?

Epididymitis: Complete your antibiotic. Scrotal elevation. Consider using a sitz bath (to include your genitals) 1-2 x's/day. F/u with your md if symptoms are not improving at least by the time that you've completed your antibiotics - remember, it takes longer for the inflammation to resolve than it takes the antibiotic to kill the infection (bacteria). ...Read more

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Testes scrotal when ultrasound at 3 days old. Later diff positions, even perineal. Urologist can't get them scrotal, so now operation. Hope fertility?

Yes if in time: Yes if they are normal when put in scrotum and if not left up rectracted too long, not sure when but 3 days sounds not a problem. ...Read more

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I have a lump on my testicle and fluid in my scrotum, got a ultrasound and was declared benign, but the doctors wouldent take it out why? Canitturncanc

WE CAN NOT DOUBLE GU: We can not double guess your doctors who have examined you and know what you have. If you are not happy with their decision, you have a choice to get second opinion. ...Read more

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Scrotal and abdomen ultrasound clear. Doxycycline 100mg, Diclofenac Potassium 50mg, Serratiopeptidase 10mg for 6 weeks. Will this cure LUTS?

Scrotal and abdomen ultrasound clear. Doxycycline 100mg, Diclofenac Potassium 50mg, Serratiopeptidase 10mg for 6 weeks. Will this cure LUTS?

Here are some. ..: The reported drug use suggests you've been treated under the assumption of STD-related epididymitis, which is related with STD-related urethritis. LUTS is to denote voiding problems resulting from poor relaxation of bladder neck, prostate urethra, and membranous urethra + prostate enlargement. At 25, LUTS (if any) is more commonly related with poor relaxation, not prostate enlargement. No cure... ...Read more

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What to do if ultrasound on scrotum after cat scan.?

What to do if ultrasound on scrotum after cat scan.?

Here are some. ..: Why did you get CT scan for, pain somewhere or bloody urine? Was scrotal ultrasound ordered after seeing something in suspicion first? With the answers to these questions in mind, one can better detail your Hx in point, conduct physicals, and do additional tests as needed so to deduce reasonable Dx for proposing possible Rx options. So, go to ask and work with Doc timely and closely for the best. ...Read more

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Does an ultrasound show every detail of the scrotum region? If not, what else can?

Does an ultrasound show every detail of the scrotum region? If not, what else can?

Has limitations: Is very good quick non invasive test fairly inexpensive but will show what your doctor is looking for. Not every thing.
Speak to your doctor will explain to you. ...Read more

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Can doppler ultrasound detect injury to the scrotal -testicular ligament?

Can doppler ultrasound detect injury to the scrotal -testicular ligament?

No: The gubernaculum itself is not evaluated with scrotal ultrasound. Scrotal injury evaluation is directed toward the testicles (fracture/hematoma) and whether there is fluid (hematocele, hydrocele) around the testicles which can itself be uncomfortable and, in the setting of hematocele, a marker for the degree of injury. ...Read more

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If u get hit in the scrotum when it is already numb, how would you know if there is an injury without MRI or ultrasounds?

If u get hit in the scrotum when it is already numb, how would you know if there is an injury without MRI or ultrasounds?

Significant injury: A significant injury requiring intervention will usually result in noticeable swelling and redness of the scrotum. If there is a risk of testicular injury with specific activity, then a scrotal support is recommended. ...Read more

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Why are handheld therapeutic ultrasound machines not allowed to be used on the scrotum? Used for groin injuries, can some scrotal contact be ok?

???????: As long as the probe has been cleaned there is no reason that a handheld unit cannot be used to image the scrotum and its' contents. The probe should be of a higher frequency than for the typical abdominal probe, about 5-8mhz. ...Read more

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Scrotum is really squishy, the testicles do not feel firm. Had ultrasound couple weeks back. I think the technician squished the testicles too hard.?

Scrotum is really squishy, the testicles do not feel firm. Had ultrasound couple weeks back. I think the technician squished the testicles too hard.?

Health issues: Conditions that can result in testes being softer include varicoceles and prior trauma as well as repeated exposure to wet heat. Your history of gangrene and fever can also affect testicular health. A standard scrotal us should not affect testicular firmness. ...Read more

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Had an ultrasound of my testes, they are normal but on left side, the lining of scrotum was really inflammed, where I have the pain, what could this be?

Had an ultrasound of my testes, they are normal but on left side, the lining of scrotum was really inflammed, where I have the pain, what could this be?

Depends on why it wa: Epididymis may be inflammed. Perhaps skin is inflammed/ infection. I would see the doctor who asked for the study. ...Read more

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Does a normal ultrasound following epididymitis and scrotal trauma imply that the testicles are alive or could the normal ultrasound be false negative?

Does a normal ultrasound following epididymitis and scrotal trauma imply that the testicles are alive or could the normal ultrasound be false negative?

Normal: A normal ultrasound is very unlikely to be a false negative, especially if doppler was also used to evaluate the blood supply to the testicles. ...Read more

Dr. Michael Gabor
2,275 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