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Published: 23/03/2023

Reasons to Get a Testicular Ultrasound

Testicular ultrasound is an imaging exam that utilizes sound waves to create pictures of your testicles and tissues surrounding them. Also referred to as scrotal ultrasound, this test can be used to diagnose any pain or abnormalities in the male reproductive system.

This test is painless and noninvasive. A healthcare professional gently moves a small device called a transducer over your body, emitting and receiving high-frequency sound waves that create images on a video monitor.

Pain

Testicular ultrasound is an ultrasound exam that provides pictures of the testicles and tissues surrounding them. It can be used to detect various issues with these organs, including cancer, cysts (fluid-filled sacs), turmo or torsion as well as blood flow within the scrotum.

Sonographers typically perform this test, which uses high-frequency sound waves to produce images of the testicles and scrotum. To begin, they apply warm, water-based gel onto your scrotum before employing a transducer - an electronic device that passes back and forth over it to capture images that are sent to a computer for analysis.

This test can be used to diagnose a variety of conditions and look for lumps in the testicles. Most lumps are benign (non-cancerous), but they may cause pain which requires treatment.

Your doctor will ask you to lie on an exam table with your scrotum resting against the edge. The technician will apply warm, water-based gel that allows the transducer to glide over your body smoothly.

The technologist will then perform the ultrasound, pressing the transducer across your scrotum in a series of short, rapid strokes. You may feel some pressure as the probe pushes against your skin as it travels over your genital area.

A radiologist, a doctor trained to read and interpret medical imaging tests, will review your ultrasound images and issue you with a report. This can help your physician decide whether or not treatment for whatever ailment caused the ultrasound.

If the testicular ultrasound reveals a condition that requires medical intervention, you should make an appointment with your doctor to begin treatment. In extreme cases, they may suggest surgery to remove affected tissue or perform a biopsy for further diagnosis and confirmation.

If you receive a testicular ultrasound, your urologist will review the test results with a physical examination of your scrotum and other body parts. They take an extensive medical history and ask questions about symptoms to pinpoint what may be causing your discomfort and suggest treatments tailored specifically for you.

Swelling

Testicular ultrasound is a noninvasive test used to diagnose various health problems, including testicular cancer. It uses sound waves to create an image of the inside of your body that's usually performed at either a doctor's office or hospital and should take around 30 minutes.

If you experience a lump or swelling in your scrotum, your doctor may suggest testicular ultrasound as a possible remedy. This test can help identify what's causing the issue and whether any treatment is necessary.

Most testicular lumps or swellings are not cancerous, but it's still best to see your primary care doctor if you have one. They will inspect it and if needed, refer you to a radiologist for further testing.

Your doctor will also inspect your scrotum to detect any other changes, such as blood vessels or nerves supplying your testicles. If they detect anything, they'll let you know immediately.

Some scrotal swellings are due to infection. These can range from viral, bacterial or sexually transmitted infections (STIs). If you have an infection, your doctor may prescribe antibiotics as treatment.

Scrotum swelling can be extremely painful and indicative of an underlying medical problem; it should be treated promptly to avoid further discomfort or risk to yourself or your partner.

If your scrotum swelling doesn't resolve within a couple of days, it is time to visit the hospital. This could be indicative of something more serious that requires urgent treatment such as a tumour or twisted testicle.

The scrotum is a fleshy sac that surrounds and protects the testicles and their contents, called sperm. Male patients may experience swelling of this area due to inflammation or infection.

Ultrasound scans can assist your doctor in determining what's causing the pain or swelling in your scrotum. They provide pictures of inside of your scrotum that they can compare with images from other tests to pinpoint the source.

Ultrasound can also be used to assess the condition of a cyst, or collection of fluid in the scrotum, known as a cyst. It also shows whether there's an internal mass called turmo or torsion present - this can cause intense pain but usually is not a serious issue.

Abnormality

Testicular ultrasound (sonogram) provides images of your testicles and surrounding tissue. This noninvasive and painless test can be done at either your doctor's office or hospital and help diagnose an abnormality within your scrotum or determine what's causing symptoms like lumps, swelling or pain.

The testicles are the primary male reproductive organs, producing sperm and testosterone (the male sex hormone). Both testicles reside within a pouch known as the scrotum which hangs below the penis. This contains nerves, blood vessels, and of course the testicles themselves.

Ultrasound is an invaluable imaging modality in the diagnosis of scrotal pathology, providing fine anatomical details of testicles and surrounding structures as well as real-time assessment of vascular perfusion. Additionally, ultrasound helps detect intratesticular or extratesticular lesions that may require urgent surgical intervention.

During the test, your healthcare provider will pass a small device (a transducer) over your scrotum. This sends sound waves to a computer which then transforms them into images displayed on a video screen.

Some potential abnormalities that could arise during the test include:

A testicular fracture, defined as a discontinuity in the normal parenchyma of the testis, appears as a hypoechoic linear stripe without vascularity on ultrasound images. This type of fracture occurs most commonly among men who experience tunica albuginea rupture at 17%.

Testicular fracture is the most serious type of testicular damage and often leaves a permanent disability. A fracture can affect any part of the testes or its appendages, including the epididymis and scrotal wall.

Torsion of the spermatic cord and/or testis can lead to severe ischemia in the testis, an emergency situation requiring prompt medical attention.

Ultrasonography may reveal a torsion of either the spermatic cord and/or testis as an irregular mass in the head of epididymis, commonly referred to as the "whirlpool sign." Color Doppler evaluation shows decreased flow within the affected testis while blood flow remains normal elsewhere.

Cancer

Ultrasound scanning of the testicles is an effective way to check for any abnormality that could be cancer. It helps doctors determine whether a lump is malignant or not, as well as providing them with information on its size.

Testicular ultrasound is a non-invasive, safe procedure that uses sound waves to create pictures of the testicles and surrounding tissues. It's an affordable, painless way to detect cancer and other diseases early on.

At a doctor's office or hospital, this procedure doesn't require special equipment or anesthesia. A technician applies warm, water-based gel onto your testicles and uses a transducer tool to push against the skin of your scrotum. As sound waves pass through this tool, images of your testicles appear on a computer screen for review by a radiologist.

On average, a testicular ultrasound should take around 30 minutes. Your doctor will explain the procedure and ask you questions about your health history.

If the doctor suspects you of having testicular cancer, they will conduct blood tests to detect specific tumour markers. These markers tend to be elevated in some types of testicular cancer and can help predict treatment outcome.

These markers include lactate dehydrogenase hormone (LDH), which may be elevated in certain non-seminoma and seminoma cancers. Elevated levels of LDH indicate that the cancer has metastasized, or spread to other parts of the body.

If your blood tests reveal tumour markers, your doctor will refer you to a specialist who specializes in treating testicular cancer - usually an urologist. If necessary, the urologist may perform surgery to remove the testicle if it proves to be cancerous.

A urologist may use imaging tests to detect whether cancer has spread beyond the prostate. These may include CT scans and MRI scans.

When found in its early stages, testicular cancer can usually be curable. Unfortunately, if it's discovered later on, treatment may become more challenging. If this is the case for you, your doctor will work together with you to decide the most suitable course of action.

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Ultrasound London Clinic Address:
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Phone: 020 3633 4902 Email: info@sonoworld.co.uk or sonoworlduk@gmail.com
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