Ultrasound and Radiology

Scrotal Ultrasound

Fast & Reliable Reports You Can Trust
Accurate Reports Delivered On Time
Advanced Imaging Technology for Clear Diagnosis
Expert Radiologists Reviewing Every Scan

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₹800/*

*Prices may vary by city and chosen centre. Inclusive of sonologist report. No hidden charges.

Fast & Reliable Reports You Can Trust
Accurate Reports Delivered On Time
Advanced Imaging Technology for Clear Diagnosis
Expert Radiologists Reviewing Every Scan

Scrotal Ultrasound — About the Test

A Scrotal Ultrasound is a real-time imaging scan of the scrotum, testes, and epididymis using high-frequency sound waves. It is the first-line imaging investigation for testicular pain, scrotal swelling, testicular lumps, and male infertility evaluation. It includes Colour Doppler assessment of blood flow — making it capable of detecting testicular torsion (a surgical emergency requiring immediate action) and varicocele. Unlike other imaging investigations, a Scrotal Ultrasound is painless, requires no preparation, and delivers results in 4 hours. No radiation. No injections. When to book immediately: Sudden severe testicular pain is a medical emergency — it may indicate testicular torsion, where the blood supply to the testis is cut off. If not treated within 4–6 hours, the testis may be lost permanently. If you have sudden severe testicular pain, proceed directly to a hospital emergency department. Do not wait for an ultrasound appointment.

What Happens During a Scrotal Ultrasound? (15–20 Minutes)

Key benefits of this package include:

Step 1 — Preparation: No fasting or preparation required. You will be asked to lie on the scanning table on your back. A towel is placed over the thighs for support and draping, ensuring complete privacy and comfort throughout the procedure.
Step 2 — Positioning: The sonographer places a rolled towel or support beneath the scrotum and gently positions it for imaging. The penis is draped away from the field. The procedure is completely non-invasive.
Step 3 — The scan: Warm gel is applied to the scrotal skin. The sonographer moves the high-frequency probe over both testes and epididymides systematically — measuring size, assessing echogenicity (tissue texture), and looking for masses, fluid collections, or structural abnormalities.
Step 4 — Colour Doppler assessment: Blood flow to both testes is assessed using Colour Doppler — reduced or absent flow indicates torsion; increased flow suggests infection or inflammation.
Step 5 — Done: 15–20 minutes. Report ready within 4 hours.

What a Scrotal Ultrasound Can Detect

Testicular Conditions

Testicular torsion — absent or markedly reduced blood flow (surgical emergency)

Testicular tumour — solid hypoechoic testicular mass (urgent referral required)

Orchitis — testicular inflammation, increased blood flow on Doppler

Testicular microlithiasis — small calcifications within the testis (requires monitoring)

Testicular atrophy — reduced size and vascularity

Testicular trauma — haematoma, rupture, or fracture post-injury

Undescended testis (cryptorchidism) — locating an undescended testis in the inguinal canal

Epididymal Conditions

Epididymitis — inflamed epididymis, typically from infection; increased Doppler flow

Epididymal cysts — smooth, well-defined, fluid-filled (very common and usually benign)

Epididymo-orchitis — combined infection of epididymis and testis

Scrotal Fluid Collections

Hydrocele — fluid surrounding the testis (common)

Haematocele — blood collection following trauma

Pyocele — infected fluid collection

Vascular Conditions

Varicocele — dilated pampiniform venous plexus (>3 mm); a significant cause of male infertility

Absent or reversed Doppler flow — torsion indicator

FAQs

It evaluates the testes and epididymis for pain, swelling, lumps, and vascular abnormalities. It is the gold-standard investigation for testicular torsion, varicocele, epididymitis, and testicular tumour — and is also part of male fertility workups.

No. The scan is completely painless and non-invasive. It is performed with full privacy, professional draping, and respect throughout. The gel may feel slightly cool at first.

No preparation is needed. No fasting, no special clothing required.

It can identify suspicious masses that require further evaluation. A solid, hypoechoic mass within the testis is highly suspicious for a testicular tumour and requires urgent referral. Only histopathology (biopsy or orchiectomy) provides a definitive diagnosis. Tumour markers (AFP, beta-hCG, LDH) are ordered alongside.

A varicocele is a collection of enlarged veins in the scrotum — similar to varicose veins. It is found in approximately 15% of all men and 35–40% of men investigated for infertility. It can reduce sperm quality by raising scrotal temperature. Scrotal Ultrasound with Doppler is the standard investigation for varicocele grading.

15–20 minutes. Report ready within 4 hours.

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