Ultrasonography.  2016 Jul;35(3):180-197. 10.14366/usg.15075.

Ultrasonography of the scrotum in adults

• Kühn AL
• Scortegagna E
• Nowitzki K
• Kim YH

• KMID: 2327624
• DOI: http://doi.org/10.14366/usg.15075

Abstract

Ultrasonography is the ideal noninvasive imaging modality for evaluation of scrotal abnormalities. It is capable of differentiating the most important etiologies of acute scrotal pain and swelling, including epididymitis and testicular torsion, and is the imaging modality of choice in acute scrotal trauma. In patients presenting with palpable abnormality or scrotal swelling, ultrasonography can detect, locate, and characterize both intratesticular and extratesticular masses and other abnormalities. A 12-17 MHz high frequency linear array transducer provides excellent anatomic detail of the testicles and surrounding structures. In addition, vascular perfusion can be easily assessed using color and spectral Doppler analysis. In most cases of scrotal disease, the combination of clinical history, physical examination, and information obtained with ultrasonography is sufficient for diagnostic decision-making. This review covers the normal scrotal anatomy as well as various testicular and scrotal lesions.

Keyword

Testicle; Scrotum; Spermatic cord torsion; Orchitis; Ultrasonography

MeSH Terms

Adult*
Epididymitis
Humans
Male
Orchitis
Perfusion
Physical Examination
Scrotum*
Spermatic Cord Torsion
Testis
Transducers
Ultrasonography*