Ultrasound of the scrotum organs in children

Ultrasound examination of the scrotal organs is a non-invasive diagnostic technique used to assess structures within the scrotum, including the testicles, epididymis, and surrounding tissues. This procedure is important for diagnosing various conditions such as testicular torsion, hydrocele, varicocele, tumors, and infections. Ultrasound is the preferred diagnostic method in pediatrics as it does not involve radiation, is painless, and provides visualization of the organs. In the "Dobrobut" medical network, experienced specialists use modern ultrasound equipment for accurate diagnosis.

When to Consult a Doctor

Parents should seek medical help for an ultrasound examination of the scrotal organs if they observe:

• Swelling or enlargement in the scrotal area, which may indicate issues such as hydrocele or inguinal hernia.
• Complaints of pain or discomfort in the scrotum or groin area, especially if the pain occurs suddenly.
• Changes in the position, shape, or size of the testicles.
• Nausea and vomiting, particularly in combination with scrotal pain.
• Fever accompanying discomfort in the scrotum, which may indicate an infection.

Indications and Contraindications for Ultrasound

Ultrasound examination of the scrotum is generally indicated for the following conditions:

• Cryptorchidism (undescended testicles): to determine the location of undescended testicles and assess their position, which is crucial for planning potential surgical intervention.
• Hydrocele: allows the assessment of fluid accumulation around the testicles, determining the degree and possible causes of hydrocele, which may be congenital or acquired.
• Varicocele: detects the presence of dilated veins within the scrotum that may affect the function and development of the testicles.
• Testicular torsion: in acute cases, to assess blood flow to the testicles and to exclude or confirm torsion. Early diagnosis is critical for preserving testicular viability and preventing complications.
• Epididymitis/orchitis: to diagnose inflammation or infection of the epididymis or testicles, often manifested by pain and swelling in the scrotum.
• Scrotal masses: to characterize any new formations and differentiate benign conditions like cysts from more serious issues like tumors.
• Trauma: to assess for any scrotal injuries, detect hematomas, ruptures, or other tissue damage to the testicle.
• Testicular atrophy: to measure the size of the testicle and evaluate any shrinkage that may indicate underlying pathology or previous trauma.
• Inguinal hernia: to assist in diagnosing inguinal hernias that extend into the scrotum by visualizing loops of intestine or omental tissue within the scrotal sac.

Ultrasound provides detailed information about the anatomy and pathology within the scrotum, which may influence subsequent treatment decisions.

Contraindications for ultrasound examination are minimal, as the procedure is safe; however, it may be difficult to perform due to the child's age or when the child cannot remain still during the examination.

Diagnosis of the Need for the Procedure

To confirm the necessity for an ultrasound examination of the scrotal organs, the doctor usually performs a thorough examination of the scrotal area to identify the presence of swellings, tenderness, and mobility restrictions, collects information about symptoms, history of previous injuries, and the child's overall health, and may order additional tests if necessary.

Preparation

Preparation for the ultrasound examination of the scrotal organs is straightforward. The child should be dressed in comfortable clothing that allows for easy access to the scrotal area for examination and should be calmed beforehand.

How the Procedure is Conducted

An ultrasound examination of the scrotal organs in children typically lasts from 15 to 30 minutes. 

During the procedure, the child is comfortably positioned, often lying on their back. A transparent gel is applied to the scrotal area to facilitate the transmission of sound waves. The ultrasound doctor uses a portable transducer to examine the scrotum and surrounding structures.

After the examination, preliminary results can be obtained immediately, and a full report is provided to the referring physician.

Appointments for ultrasound examinations or consultations can be made through the form on the website or by calling the contact center.