Scrotal ultrasound

Category: Imaging & Scans · All imaging & scans

Scrotal ultrasound — Imaging & Scans

What it is

A scrotal ultrasound uses sound waves to picture the testicles and surrounding structures, including blood flow. It is a quick, painless way to assess lumps and pain.

Why it is done

It is used to investigate a lump in the scrotum, swelling, or testicular pain, and to look for causes such as cysts, fluid collections or varicose veins (varicocele).

How to prepare

No preparation is needed. The examination is done in a private room and a chaperone is available.

What happens during the procedure

You lie on a couch, gel is applied and the probe is moved gently over the scrotum. It usually takes 15 to 20 minutes. Sudden severe testicular pain is an emergency and is assessed in hospital immediately, not by waiting for a routine scan.

Afterwards — recovery & results

You can leave straight away. The report goes to your doctor promptly, and any lump that needs further assessment is usually referred on to a specialist urgently as a precaution.

Risks & considerations

There are no known risks from the scan. Severe, sudden testicular pain should always be treated as an emergency because a twisted testicle (torsion) needs surgery within hours.

Frequently asked questions

Can the scan tell a harmless cyst from something serious?

It usually can show whether a lump is fluid-filled, part of the normal structures, or solid within the testicle itself. Solid lumps inside the testicle always need specialist assessment.

Does it hurt?

The scan is painless, though pressing on a tender area can be briefly uncomfortable.

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Please note: This page is educational information about a medical procedure or test. It does not replace the instructions of your own care team, who know your situation and whose preparation, fasting and medication advice you should follow if it differs from anything here. If you have symptoms that worry you, or an appointment you do not understand, contact your clinical team.