Ultrasound of the scrotum organs (testicles)
Testicular ultrasound – examination of the organs of the scrotum with the use of ultrasonic waves. Has a wide range of indications. It is used for infertility, oncological lesions, cryptorchidism, hydrocele, varicocele, inflammatory diseases, trauma, etc.
The ultrasound of the scrotal organs is prescribed at the initial stage of the examination, can be performed to control the effectiveness of treatment during therapy and in the long-term period. Allows you to examine all elements of the scrotum, identify pathological foci, evaluate their number, diameter, localization and structural features. It is carried out on an outpatient basis or in a hospital.
Does not require special preparation.
Testicular ultrasound of the scrotal organs is a modern non-invasive procedure used to detect pathological processes in the scrotal area. The procedure is painless and absolutely safe for the patient’s body. It is widely used in modern andrology and urology, allows you to quickly receive and interpret information about the condition of the testicles, appendages and other anatomical formations.
Ultrasound of the scrotal organs is one of the main methods used at the initial stage of diagnosis of injuries and diseases of organs of the anatomical zone. It can be prescribed during surgical interventions and in the process of monitoring the change in the condition of pathological foci against the backdrop of treatment and in the long-term period.
If it is necessary to clarify the nature and severity of the revealed pathology, the ultrasound of the scrotum organs is supplemented by other methods: ultrasound of scrotal vessels, biopsy, etc.
Indications for the testicular ultrasound
In the list of indications for ultrasound of the scrotum organs include male infertility, erectile dysfunction, changes in spermogram, premature or delayed puberty, edema and pain in the scrotum, an increase or decrease in the size of the testis and appendage, suspected neoplasm, cysts, calcifications and inflammatory processes , hydrocele, varicocele, cryptorchidism, traumatic damage to the scrotum and an increase in regional lymph nodes.
In addition, ultrasound of the scrotal organs can be used in some operations and invasive procedures (for example, aspiration of the contents of a pathological focus or fine needle biopsy). The technique is also used in the process of dynamic monitoring of the condition of the organ after surgical interventions and conservative therapy.
Testicular ultrasound: Contraindications
The method has practically no contraindications. The only limitations to the ultrasound of the scrotum organs are allergic reactions to the gel used in the study, the extremely serious condition of the patient and mental disorders that prevent the preservation of immobility and the fulfillment of physician’s instructions.
Due to its accessibility, safety and sufficiently high informativeness, scrotal ultrasound scores occupy a worthy place in the list of diagnostic procedures used in the detection and treatment of andrologic diseases. The procedure is recommended to be carried out annually, during the next preventive examination.
Testicular ultrasound: what to expect?
Special preparation for the study is not required, it is sufficient to perform standard hygiene procedures. Referring to the ultrasound of the scrotum organs, you should take with them the results of tests and previous studies, excerpts from the case histories and doctors’ conclusions.
If the diagnostic method is prescribed to a child of child age, care should be taken to ease the undressing and choose loose, easily removable clothing and underwear. Before starting the procedure, the doctor gets acquainted with the submitted documents.
Testicular ultrasound: Method of conducting
The ultrasound of the scrotum is performed in the supine position. On the scrotum of the patient, apply a special gel, heated to body temperature. Heating the gel is necessary to prevent retraction of the testicles upon contact with a cold object. Research usually begins with a healthy half of the scrotum.
The diagnostic moves the sensor through the scrotum. From the sensor, information is sent to the monitor, where it is displayed as a dynamically changing image. After the ultrasound examination of the scrotum organs, the specialist gives the patient a napkin to remove the gel.
In some clinics, patients are offered to bring a napkin, a small towel or diaper with them. The study takes about 20 minutes, the duration of the preparation of the conclusion is 20-30 minutes. With a large number of patients, the timing of the conclusion can be increased.
After the testicular ultrasound results
Normally, the length of the testicles of an adult patient is 3-5 cm, width – 2-3 cm. The body and tail of a healthy appendage when performing ultrasound of the organs of the scrotum are not visible.
The diameter of the appendage head is no more than 1-1.5 cm. The contours of the testicle and appendage are even, the structure is homogeneous, the volume formations are absent. In the space between the visceral and parietal shells of the testicle, a small amount of liquid is detected (not more than 2 ml). The wall thickness of a healthy scrotum is up to 8 mm.
With epididymitis, the head of the appendage is enlarged; during the ultrasound of the scrotum organs, the tail and body of the organ are sometimes seen.
The amount of free liquid in the inter-shell space is increased. With hydrocele and varicocele, an increase in the amount of free liquid is determined. When the abscess of the appendage reveals volumetric formation of reduced echogenicity with uneven contours and heterogeneous structure. The ultrasound of the testicles of patients with traumatic lesions indicates an increase in the amount of fluid, changes in the shape and contours of the testicles.
In the cyst of the appendage, a round volumetric formation with smooth contours is filled, filled with a liquid. With oncological lesions ultrasound of the scrotum organs confirms a change in the shape and size of the testicle, an increase in the amount of fluid and the presence of volumetric education with a decreased or increased echogenicity, often beyond the limits of the organ.
With cryptorchidism, the testicle is absent in the scrotum. When infertility during ultrasound of the scrotum organs, volumetric formations that prevent the progress of sperm through the system of tubules of the testicle and its appendages are revealed.
Cost of testicular ultrasound in USA
Ultrasound examination of the scrotal organs is a non-invasive, inexpensive, safe procedure, widely used in the diagnosis and control of the effectiveness of treatment of a number of diseases of male genital organs.
State medical institutions, as a rule, offer more affordable prices for ultrasound of the scrotal organs in US. In some clinics, the cost of the study varies depending on the qualifications of the doctor. When combined ultrasound with other ultrasound diagnostic techniques (for example, with dopplerography), the price of the procedure is increased.