Name of the Procedure:

Ultrasound, scrotum and contents
Common Name(s): Scrotal ultrasound, Testicular ultrasound

Summary

A scrotal ultrasound is a non-invasive imaging procedure that uses high-frequency sound waves to create images of the scrotum and its contents, including the testicles, epididymis, and surrounding tissues.

Purpose

The procedure helps in diagnosing medical conditions affecting the scrotum and its contents, such as testicular cancer, varicoceles, hydroceles, epididymitis, and testicular torsion. The main goal is to provide accurate images to aid in the diagnosis and guide appropriate treatment.

Indications

• Persistent scrotal pain or tenderness
• Swelling or enlargement of the scrotum
• Lumps or masses detected during a physical examination
• Infertility evaluation
• Traumatic injury to the scrotum
• Suspected infections or inflammation

Preparation

• No special preparation is generally needed.
• Patients may be asked to wear loose-fitting clothing.
• Removal of any metallic objects or jewelry in the area may be required.
• Ensure the patient is aware of the need to expose the scrotal area during the procedure.

Procedure Description

1. The patient lies on an examination table.
2. A water-based gel is applied to the scrotal area to ensure good contact between the ultrasound probe and the skin.
3. A transducer (ultrasound probe) is moved gently over the scrotum to capture images.
4. The technician takes images from multiple angles for a comprehensive evaluation.
5. The gel is wiped off, and the procedure is complete.

Tools Used:

• Ultrasound machine with a high-frequency transducer
• Water-based conductive gel

Anesthesia:

• No anesthesia or sedation is required for this procedure.

Duration

The procedure typically takes about 15 to 30 minutes.

Setting

Performed in a hospital's radiology department, outpatient clinic, or specialized diagnostic center.

Personnel

• Radiologist or a qualified ultrasound technician (sonographer)
• The images are often reviewed by a radiologist and sometimes a urologist.

Risks and Complications

• There are minimal risks associated with this non-invasive procedure.
• Rarely, patients might feel slight discomfort from the pressure of the transducer.

Benefits

• Accurate and detailed images of the scrotum and its contents.
• Non-invasive and painless with no exposure to radiation.
• Vital for the early detection and treatment of serious conditions.

Recovery

• No recovery time is required.
• Patients can return to normal activities immediately after the procedure.
• Follow-up appointments may be scheduled based on the findings.

Alternatives

• MRI (Magnetic Resonance Imaging) of the scrotum
  • Pros: Provides more detailed images.
  • Cons: More expensive, time-consuming, and typically used if ultrasound results are inconclusive.

Patient Experience

During the procedure, the patient may feel slight pressure from the transducer but generally no significant discomfort. Afterward, there should be no pain or side effects, allowing the patient to resume daily activities immediately.