Testicular Ultrasound – Testicular sonogram of Scrotam

Last updated: February 8, 2026Reviewed date: February 8, 2026Reading time: 10 min read
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Testicular ultrasound; Testicular sonogram Scrotal ultrasound is an imaging test that looks at the scrotum. It is the flesh-covered sac that hangs between the legs at the base of the penis and contains the testicles. The testicles are the male reproductive organs that produce sperm and...

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বাংলা রোগী নোট এখনো যোগ করা হয়নি। পোস্ট এডিটরে “RX Bangla Patient Mode” বক্স থেকে সহজ বাংলা সারাংশ যোগ করুন।

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Article Summary

Testicular ultrasound; Testicular sonogram Scrotal ultrasound is an imaging test that looks at the scrotum. It is the flesh-covered sac that hangs between the legs at the base of the penis and contains the testicles. The testicles are the male reproductive organs that produce sperm and the hormone testosterone. They are located in the scrotum, along with other small organs, blood vessels, and a small tube...

Key Takeaways

  • This article explains How the Test is Performed in simple medical language.
  • This article explains How to Prepare for the Test in simple medical language.
  • This article explains How the Test will Feel in simple medical language.
  • This article explains Why the Test is Performed in simple medical language.
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Definition

Testicular ultrasound; Testicular sonogram

Scrotal ultrasound is an imaging test that looks at the scrotum. It is the flesh-covered sac that hangs between the legs at the base of the penis and contains the testicles. The testicles are the male reproductive organs that produce sperm and the hormone testosterone. They are located in the scrotum, along with other small organs, blood vessels, and a small tube called the vas deferens.

A testicular ultrasound is a diagnostic test that obtains images of the testicles and the surrounding tissues in the scrotum. It’s also known as a testicular sonogram or scrotal ultrasound.

An ultrasound is a safe, painless, and non-invasive procedure in which high-frequency sound waves produce images of organs inside your body.

An ultrasound uses a probe or transducer. This handheld device converts energy from one form to another. An ultrasound technician, or sonographer, moves it against the targeted part of your body in sweeping motions.

The transducer emits sound waves as it moves. The transducer then receives the sound waves as they bounce off your organs in a series of echoes. A computer processes the echoes into images on a video monitor.

Normal and abnormal tissue transmit different types of echoes. A radiologist can interpret the echoes to distinguish between a benign condition and a solid mass that could be a malignant tumor.

How the Test is Performed

You lie on your back with your legs spread. The health care provider drapes a cloth across your thighs under the scrotum or applies wide strips of the adhesive tape to the area. The scrotal sac will be slightly raised with the testicles lying side by side.

A clear gel is applied to the scrotal sac to help transmit the sound waves. A handheld probe (the ultrasound transducer) is then moved over the scrotum by the technologist. The ultrasound machine sends out high-frequency sound waves. These waves reflect off areas in the scrotum to create a picture.

How to Prepare for the Test

No special preparation is needed for this test.

How the Test will Feel

There is little discomfort. The conducting gel may feel slightly cold and wet.

Why the Test is Performed

A testicle ultrasound is done to:

  • Help determine why one or both testicles have become larger
  • Look at a mass or lump in one or both of the testicles
  • Find the reason for pain in the testicles
  • Show how blood flows through the testicles

Normal Results

The testicles and other areas in the scrotum appear normal.

What Abnormal Results Mean

Possible causes of abnormal results include:

  • Collection of very small veins, called a varicocele
  • Infection or abscess
  • Noncancerous (benign) cyst
  • Twisting of the testicle that blocks blood flow, called testicular torsion
  • Testicular tumor

Risks

There are no known risks. You will not be exposed to radiation with this test.

Considerations

In certain cases, Doppler ultrasound may help identify blood flow inside the scrotum. This method can be helpful in cases of testicular torsion, because blood flow to the twisted testicle may be reduced.

FAQ

What will a testicular ultrasound show?

  • Images from the test will help them detect patterns that might indicate cancer. They can also reveal whether you have a cyst (fluid-filled sac), or tumor torsion. An ultrasound can also be used to diagnose testicular cancer or problems with blood flow in the scrotum.

How is a testicular ultrasound done?

  • A clear gel is applied to the scrotal sac to help transmit the sound waves. A handheld probe (the ultrasound transducer) is then moved over the scrotum by the technologist. The ultrasound machine sends out high-frequency sound waves. These waves reflect off areas in the scrotum to create a picture.

Is a testicular ultrasound embarrassing?

  • Many may feel the procedure is embarrassing, but it is always important to remember that it is being carried out for the benefit of your health, so there is nothing to be ashamed of.

Can testicular cancer be detected on an ultrasound?

  • An ultrasound is often the first test done if the doctor thinks you might have testicular cancer. It uses sound waves to produce images of the inside of your body. It can be used to see if a change is a certain benign condition (like a hydrocele or varicocele) or a solid tumor that could be cancer.

What are the 5 warning signs of testicular cancer?

Testicular Cancer: Symptoms and Signs

  • A painless lump or swelling on either testicle. …
  • Pain, discomfort, or numbness in a testicle or the scrotum, with or without swelling.
  • Change in the way a testicle feels or a feeling of heaviness in the scrotum. …
  • Dull ache in the lower abdomen or groin.

What are the warning signs of testicular cancer?

Signs and symptoms of testicular cancer include:
  • A lump or enlargement in either testicle.
  • A feeling of heaviness in the scrotum.
  • A dull ache in the abdomen or groin.
  • A sudden collection of fluid in the scrotum.
  • Pain or discomfort in a testicle or the scrotum.
  • Enlargement or pain when an area is touched or pressed. সহজ বাংলা: চাপ দিলে ব্যথা।" data-rx-term="tenderness" data-rx-definition="Tenderness means pain when an area is touched or pressed. সহজ বাংলা: চাপ দিলে ব্যথা।">tenderness of the breasts.
  • pain: Back pain means pain in the spine, muscles, discs, joints, or nerves of the back. সহজ বাংলা: পিঠ/কোমরের ব্যথা।" data-rx-term="back pain" data-rx-definition="Back pain means pain in the spine, muscles, discs, joints, or nerves of the back. সহজ বাংলা: পিঠ/কোমরের ব্যথা।">Back pain.

How long can you live with untreated testicular cancer?

  • This means that 95 out of every 100 people diagnosed with testicular cancer will live at least 5 years after diagnosis. The survival rate is higher for people diagnosed with early-stage cancer and lower for those with later-stage cancer.

Does testicular cancer spread quickly?

  • There are two main types of testicular cancer – seminomas and nonseminomas. Seminomas tend to grow and spread more slowly than nonseminomas, which are more common, accounting for roughly 60 percent of all testicular cancers. How quickly a cancer spreads will vary from patient to patient.

What is the key to early detection of testicular cancer?

Self-Exams Are Key to Early Detection
  • Testicular cancer is usually found by an individual during a self-examination. Men of all ages should make a point of examining their testicles once a month, ideally after a warm bath or shower when the scrotum is relaxed.

How long does a testicular ultrasound take?

  • In total, the testicular ultrasound scan should only take around 15 to 30 minutes. Results will be sent to the referring provider within a few days.

Do you get ultrasound results immediately?

  • How long will it take for my doctor to receive the results of my ultrasound exam? One of our board-certified radiologists will review and interpret your ultrasound results immediately. Your doctor will receive a written report and hardcopy images within 24 hours.

Do you need to shave before an ultrasound?

  • You may empty your bladder and leave a urine specimen prior to your appointment. Usually, the ultrasound is performed vaginally, it is not necessary to shave.

How do I prepare for a testicular ultrasound?

  • Typically, there’s no special preparation necessary for a testicular ultrasound. There’s no need to make dietary changes, fast, or maintain a full bladder before the exam.

Can you see sperm in an ultrasound?

  • In our study group (closed speculum), the echogenic droplets moved in a wave-like movement in the direction from the cervix to the fundus. In conclusion, this is the first time in the medical literature that concentrated sperm suspension has been used as a highly echogenic material that can be detected with ultrasound.

Do you have to remove clothes for an ultrasound?

  • You should wear comfortable, loose-fitting clothing for your ultrasound exam. You may need to remove all clothing and jewelry in the area to be examined. You may be asked to wear a gown during the procedure.

Can you eat before a testicular ultrasound?

Preparing for a testicular ultrasound
  • There is no need to avoid eating or drinking before the appointment. Before the examination, a man will need to remove all clothing below the waist. A man may wish to wear something loose-fitting and easy to take off.

Can an ultrasound miss a testicular lump?

  • In most cases these lumps are benign and sometimes we just feel normal anatomy. A cancerous lump, however, needs to be excluded and a testicular ultrasound scan will be able to confirm what the lump is.

What are 5 warning signs of testicular cancer?

Testicular Cancer: Symptoms and Signs
  • A painless lump or swelling on either testicle. …
  • Pain, discomfort, or numbness in a testicle or the scrotum, with or without swelling.
  • Change in the way a testicle feels or a feeling of heaviness in the scrotum. …
  • Dull ache in the lower abdomen or groin.

How accurate is a testicular ultrasound?

  • From our experience, the accuracy rate of ultrasound evaluation of blunt scrotal trauma was 56%, with a 58% negative predictive value.

What should you not do before an ultrasound?

General Ultrasound Preparation

  1. (Exam time: 30 min; visit time about 1-1/2 hours)
  2. Adults: Do not eat or drink eight hours before exam.
  3. Children: Do not eat or drink four hours before study or skip one meal.
  4. Take medications with a small sip of water.
  5. If you are diabetic, please take your insulin.

Why do you hold your breath during an ultrasound?

  • You will be asked to take in a deep breath and hold it in at various times during the exam. This serves two purposes. It fills the lungs, thereby pushing the abdominal organs lower, below the ribcage which allows for better visualization. It also stops the organs from moving as you breathe.

Will the ultrasound tech tell me if something is wrong?

  • If your ultrasound is being performed by a technician, the technician most likely will not be allowed to tell you what the results mean. In that case, you will have to wait for your doctor to examine the images. Ultrasounds are used during pregnancy to measure the fetus and rule out or confirm suspected problems.

Why do I have to drink water before an ultrasound?

  • Don’t eat or drink for 6 hours before your ultrasound. Having an empty stomach makes it easier to see your gallbladder and other internal organs. Take your medications with a sip of water.

Does hair interfere with an ultrasound?

  • On the day of your ultrasound, you should not apply any lotion or powder to the skin on or around your breasts or wear deodorant. These substances can interfere with getting clear images from the test. You may be relieved to know that any existing hair does not interfere with the images

Do I need to fast before a renal ultrasound?

  • The primary requirement is to drink at least 24 ounces of a clear liquid an hour or more before the procedure. This is because a kidney ultrasound is also a bladder ultrasound and your physician will want images of your bladder both before and after you empty it. There is no fasting requirement for a renal ultrasound.

What are 4 uses of ultrasound?

Ultrasound is used for many reasons, including to:
  • View the uterus and ovaries during pregnancy and monitor the developing baby’s health.
  • Diagnose gallbladder disease.
  • Evaluate blood flow.
  • Guide a needle for biopsy or tumor treatment.
  • Examine a breast lump.
  • Check your thyroid gland.
  • Detect genital and prostate problems.

What should I wear to my ultrasound?

  • The most important thing is to relax when you pass this exam. Therefore, try to wear loose clothing, especially on the upper part, so that it is easier to perform the ultrasound. At the bottom, you can choose to wear a leggings or skirt that is easy to fit while on the stretcher. Relax and enjoy the moment.

What doctor treats testicular lumps?

  • If you detect a scrotal mass, you’ll probably start by seeing your family doctor. You might be referred to a specialist in the urinary tract and male genital disorders (urologist). Preparing for your or your child’s appointment with your doctor or a urologist will help you make the most of your time with the doctor.

How big is the lump for testicular cancer?

  • Typical symptoms are a painless swelling or lump in 1 of the testicles, or any change in shape or texture of the testicles. The swelling or lump can be about the size of a pea but may be larger.

What were your first testicular cancer symptoms?

  • Usually, an enlarged testicle or a small lump or area of hardness are the first signs of testicular cancer. Any lump, enlargement, hardness, pain, or tenderness should be evaluated by a doctor as soon as possible.
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Care roadmap for: Testicular Ultrasound – Testicular sonogram of Scrotam

Use this simple roadmap to understand the next safe steps. It is educational and does not replace examination by a doctor.

Go to emergency care if you notice:
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  • Breathing difficulty, chest pain, fainting, confusion, severe weakness, major injury, or severe dehydration
Doctor / service to discuss: Qualified healthcare provider; specialist depends on symptoms and examination.
  1. Step 1

    Check danger signs first

    If danger signs are present, seek emergency care and do not wait for online information.

  2. Step 2

    Record the symptom story

    Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.

  3. Step 3

    Visit a qualified clinician

    A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.

  4. Step 4

    Do only useful tests

    Do tests after clinical assessment. Avoid unnecessary tests, random antibiotics, or repeated medicines without diagnosis.

  5. Step 5

    Follow up and return early if worse

    If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips
  • Take a written symptom diary and all previous prescriptions/test reports.
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