What can testicular ultrasound detect?

Male reproductive health is extremely important in life, because male reproductive organs are the basis for reproduction and maintaining male characteristics. Once affected, it will affect male health. For example, testicular problems are common in modern men. Therefore, regular genital health examinations are very necessary, and testicular color Doppler ultrasound is a relatively important item. Let's take a look at what testicular color Doppler ultrasound can detect.

(1) Ultrasound can help detect small testicular tumors, including local occult cancer with retroperitoneal metastasis (only 2-3 mm according to literature reports); ultrasound can also help detect whether patients with testicular tumors have retroperitoneal and hilar lymph node metastases, which is beneficial for clinical staging. Color Doppler ultrasound can improve the ultrasound detection rate or sensitivity of testicular tumors, but it lacks specificity in the identification of certain inflammatory diseases.

(2) In the case of scrotal trauma, ultrasound examination can help to correctly judge scrotal hematoma and determine whether the testicles are damaged; it can also help to determine the indications for surgical exploration, such as testicular rupture and retained foreign body.

(3) Ultrasound is sensitive and accurate in diagnosing varicocele. The overall sensitivity of CDI can be as high as 100%.

(4) Ultrasound is the preferred method for diagnosing occult testis because it is simple, relatively accurate, non-radioactive and non-invasive. Ultrasound is less sensitive than X-rays and CT scans, and ultrasound examination is often difficult when the testis is located in the peritoneum. If ultrasound scans fail to detect occult testis, "absent testis" should not be diagnosed, and CT scans or surgical exploration are still necessary.

Applicable:

(1) Unexplained scrotal enlargement.

(2) Diagnosis and differentiation of testicular, epididymal and penile masses.

(3) Diagnosis of scrotal and testicular trauma, testicular torsion, and penile trauma.

(4) Varicose vein.

(5) Cryptorchidism.

Notes

Usually the patient lies supine, exposing the lower abdomen and vulva, and uses a treatment towel or tissue to lift the scrotum to the anterior abdominal wall and instruct the patient to fix it with his hands. The standing position is used to examine varicocele and hernia. More coupling agent is needed on the surface of the scrotum to ensure adequate contact between the skin and the probe.

Related symptoms

Scrotal cold pain, vas deferens pain, vas deferens obstruction, scrotal prolapse, scrotal swelling, ejaculation pain, penile and scrotal edema, hematospermia, body pain, male infertility.

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