Identify testicular masses
Ultrasound can detect both benign and malignant testicular masses – often distinguishing between cysts and solid tumours, guiding biopsy or surgical intervention.
Scrotal ultrasound is a non‑invasive imaging test that uses high‑frequency sound waves to evaluate the testicles, epididymis, spermatic cord, and surrounding tissues. It is the primary imaging tool for assessing scrotal pain, swelling, lumps, infertility, and trauma. It is safe, radiation‑free, and provides real‑time information about the size, shape, structure, and blood flow of the scrotal contents.
Ultrasound can distinguish between solid and cystic masses, identify testicular torsion, detect varicoceles, and evaluate for infections (epididymo‑orchitis) or hernias. It is often the first‑line investigation for any scrotal abnormality.
At Amytri, our scrotal ultrasounds are performed by experienced consultant radiologists using state‑of‑the‑art high‑frequency linear transducers, with colour Doppler for vascular assessment. We follow a systematic protocol to evaluate each testicle, epididymis, and the spermatic cord, documenting findings and providing a detailed, actionable report. Our reports help your urologist or GP make informed decisions about further investigation, medical treatment, or surgery.
Scrotal symptoms are common – and can be serious. Ultrasound provides a safe, accurate assessment that guides diagnosis and management, from infection to cancer.
Ultrasound can detect both benign and malignant testicular masses – often distinguishing between cysts and solid tumours, guiding biopsy or surgical intervention.
Colour Doppler can detect reduced or absent blood flow, enabling rapid diagnosis of torsion – a surgical emergency that requires prompt intervention to save the testicle.
For patients with varicocele, chronic epididymitis, or a history of testicular cancer, serial ultrasound monitors for changes and recurrence.
We perform a systematic examination of both testicles, epididymis, spermatic cord, and scrotal wall, using high‑frequency transducers and colour Doppler for optimal assessment.
We measure testicular size and volume, assess echotexture, and look for focal lesions – cysts, solid masses, calcifications, or microlithiasis. We compare both sides.
We evaluate the epididymal head, body, and tail for enlargement, cysts (spermatocele), or signs of inflammation (epididymitis).
We assess testicular blood flow – a key parameter in diagnosing torsion (reduced/absent flow) and epididymo‑orchitis (increased flow).
We assess the spermatic cord for dilated veins (>2‑3 mm), with reflux on Valsalva manoeuvre – a common cause of male infertility.
We detect hydrocele, haematocele, or pyocele – fluid collections around the testicle. We also evaluate the scrotal wall for skin thickening or masses.
We look for bowel or fat protruding through the inguinal canal into the scrotum, which may cause pain or swelling.
No special preparation is required. You can eat, drink, and take medications as usual. Wear loose‑fitting trousers or shorts to allow easy access.
You lie on your back on the examination table. The radiologist applies gel to your scrotum and uses a small transducer to scan each testicle and surrounding structures. You may be asked to perform a Valsalva manoeuvre (bearing down) to assess for varicocele. The scan takes 15‑20 minutes and is painless.
The radiologist reviews the images and Doppler data, measures structures, characterises any lesions, and provides a comprehensive report for your referring doctor.
We discuss the findings with you (where appropriate) and recommend further steps – which may include surveillance, antibiotics, surgery (for torsion, tumour, or varicocele), or specialist referral (urology).
It is a key investigation for a wide range of scrotal symptoms and conditions.
Acute or chronic pain – ultrasound can identify torsion, infection, trauma, or hernia.
Any new lump should be evaluated – ultrasound can distinguish between benign cysts and suspicious masses.
Ultrasound can identify varicocele, which is a common cause of male infertility and may be treatable.
After blunt or penetrating trauma, ultrasound assesses for haematoma, rupture, or testicular fracture.
Sudden severe pain with nausea – urgent Doppler ultrasound is essential to rule out torsion and guide emergency surgery.
Patients with a history of testicular cancer, chronic epididymitis, or hydrocele benefit from regular ultrasound surveillance.
Dr. Abhishek has extensive experience in scrotal ultrasound, with a special focus on testicular masses, vascular assessment (torsion), and varicocele evaluation. He is skilled in performing comprehensive examinations and interpreting subtle findings, ensuring accurate diagnosis and timely management.
Scrotal ultrasound can be an anxious experience – having your partner with you provides support and shared understanding.
We welcome partners to attend the ultrasound. We explain what we are seeing, show you the images on screen, and discuss the findings. Your partner's presence can be helpful for understanding the results and planning next steps together.
It is a non‑invasive imaging test that uses sound waves to evaluate the testicles, epididymis, and other scrotal structures – assessing for lumps, pain, infection, torsion, varicocele, and infertility causes.
No special preparation is required. You can eat and drink normally. Wear loose‑fitting trousers or shorts to allow easy access.
No, the scan is painless. You will feel mild pressure from the transducer on your scrotum, but it is not uncomfortable.
Ultrasound is the primary imaging tool for detecting testicular masses. It can identify suspicious features (solid, hypoechoic, vascular masses) that suggest malignancy. If a suspicious mass is found, further investigation (tumour markers, biopsy, or surgery) is typically recommended.
A scrotal ultrasound typically takes 15‑20 minutes, or slightly longer if Doppler assessment is required.
Yes, a referral from your doctor is recommended. They will use the results to guide your diagnosis and treatment – especially important for urgent conditions like torsion.
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