A scrotal ultrasound is a safe and painless test that uses sound waves to make images of the scrotum (the pouch of skin at the base of the penis that contains the testicles).
Ultrasonography is the ideal noninvasive imaging modality for evaluation of scrotal abnormalities. It is capable of differentiating the most important etiologies of acute scrotal pain and swelling, including epididymitis and testicular torsion, and is the imaging modality of choice in acute scrotal trauma.
In patients presenting with palpable abnormality or scrotal swelling, ultrasonography can detect, locate, and characterize both intratesticular and extratesticular masses and other abnormalities.
A 12-14 MHz high frequency linear array transducer SIFULTRAS-3.5 provides excellent anatomic detail of the testicles and surrounding structures. In addition, vascular perfusion can be easily assessed using color and spectral Doppler analysis.
In most cases of scrotal disease, the combination of clinical history, physical examination, and information obtained with ultrasonography is sufficient for diagnostic decision-making.
Ultrasonography of the scrotum includes greyscale and color Doppler evaluation of testicles, epididymides, and the scrotum. Spectral Doppler evaluation is performed to demonstrate appropriate waveforms within the testicular artery and vein.
Ultrasound can detect different scrotum abnormalities inclusing, Acute Scrotal Pain and Swelling, Orchitis, Torsion, Cellulitis, Vasitis, Testicular trauma. Further it provides accurate diagnostic of various Palpable Lumps and Incidental Findings. To name a few, Epididymal Cyst, Testicular Cyst, Epidermoid Cyst, Spermatocele, Varicocele, Hydrocele, Microlithiasis, Scrotolith, Adenomatoid Tumor, Germ Cell Tumors, Non-Germ Cell Tumor, …
Ultrasonography remains the first-line imaging modality for evaluation of acute or chronic scrotal diseases. It is a safe and reliable tool for demonstration of scrotal anatomy, localization of testicular lesions and assessment of vascularity.
As several testicular pathologies have characteristic ultrasonographic appearances, ultrasonography is able to appropriately guide patient management and potentially prevent unnecessary surgical intervention.
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