Testicular Ultrasound: What to Expect During the Procedure

A testicular ultrasound is a non-invasive imaging test that uses sound waves to create detailed pictures of the testicles and the surrounding structures within the scrotum. This diagnostic tool is commonly used by healthcare providers to help evaluate and diagnose various conditions affecting this area of the male anatomy. The procedure is considered safe and does not involve radiation exposure, providing a clear visualization of internal tissues and blood flow.

Purpose of the Ultrasound

Healthcare providers frequently recommend a testicular ultrasound to investigate concerns or symptoms related to the testicles and scrotum. This imaging method is often the initial approach to assess abnormalities, such as a new or enlarging lump. It helps determine if a mass is a fluid-filled sac, like a cyst, or a solid formation, which could indicate a tumor.

The ultrasound can also help identify the source of pain or swelling in the testicular region. Conditions such as epididymitis, an inflammation of the tube behind the testicle that stores sperm, can be detected, as can testicular torsion, a severe condition where the spermatic cord twists, potentially cutting off blood flow. Additionally, this scan is used to evaluate enlarged scrotal veins, known as varicoceles, which can sometimes affect fertility. It can also help locate an undescended testicle, a situation where one or both testicles have not moved into the scrotum.

Preparing for Your Ultrasound

Preparing for a testicular ultrasound is generally straightforward, with minimal steps required before your appointment. There is typically no need for dietary changes, fasting, or maintaining a full bladder. Patients are usually advised to wear comfortable, loose-fitting clothing to the appointment for ease of changing.

You will be asked to remove clothing and any jewelry from the waist down before the examination begins. A healthcare provider may offer a gown for you to wear.

The Ultrasound Procedure

You will lie on your back on an adjustable table. The room may be dimly lit, and a sonographer will explain the procedure. A warm, water-based gel will be applied to the scrotum; this gel helps the transducer glide smoothly and ensures effective sound wave transmission.

The sonographer will gently move a small, handheld transducer across the scrotum. This device emits high-frequency sound waves that bounce off internal structures, converting echoes into real-time images on a monitor. You may feel light pressure as the transducer moves, and if you have pain or swelling, you might experience some discomfort. The sonographer may ask you to remain still or hold your breath briefly for clear images. The entire imaging process takes 15 to 30 minutes.

After Your Ultrasound

Once imaging is complete, the sonographer will wipe the gel from your skin. There is no recovery period, allowing you to resume normal activities and diet immediately. The captured images are then analyzed by a radiologist, a medical doctor specializing in interpreting imaging results.

The radiologist prepares a detailed report of their findings, sent to your referring doctor. While a medical professional may discuss preliminary findings, the sonographer cannot provide immediate results or a diagnosis. Your doctor will contact you to explain the results, usually within a few hours to a day, though this can vary. Your doctor will discuss the findings and recommend any further steps, such as additional tests or treatment.