A testicular (or scrotal) sonogram is an examination of the testicles and the surrounding tissues in your scrotum. Ultrasound is the primary imaging modality used to observe and diagnose abnormalities in the testicles and scrotum. Images are obtained of each teste, epididymis, spermatic cord, venous plexus and scrotal wall, as well as an assessment of blood flow. The procedure is safe and painless, lasting approximately 20 to 30 minutes.
Several Common Indications for the Exam:
Palpable lump in the teste or scrotum
Pain or swelling in your testicles
Evaluation of varicoceles, which are varicose spermatic veins
Assess the causes of infertility
Find the location of an undescended testicle
What to Expect
A typical testicular scan will take about 20 to 30 minutes. It involves the following steps. You will need to undress from the waist down and change into a gown. You’ll lie on your back with your legs spread slightly. The sonographer may place a towel underneath your scrotum to keep it elevated. You will be asked to use another towel to drape and hold your penis up against your abdomen. The sonographer will position the transducer as needed to acquire the necessary information.
Typically, there’s no special preparation necessary for a testicular ultrasound.
In emergent cases, or if requested by your referring provider, a preliminary report of findings will be provided immediately following the examination. Final reports are typically available in the morning of the next business day.