Ecografie — Scrot și testicule (MCB)

SCROTUM/TESTES US PROTOCOL

PURPOSE:

 To evaluate the size of the testes and assess for abnormalities of the testes and extra testicular structures.

INDICATIONS:

 Evaluation of scrotal pain, including but not limited to testicular trauma, ischemia/torsion and infectious or inflammatory scrotal disease.  Evaluation of a palpable inguinal, scrotal or testicular mass.  Evaluation of scrotal asymmetry, swelling or enlargement.  Evaluation of potential scrotal hernia.  Detection/evaluation of varicoceles.  Evaluation of male infertility.  Follow-up of prior indeterminate scrotal ultrasound findings.  Localization of nonpalpable testes.  Detection of an occult primary tumor in patients with metastatic germ cell tumor or unexplained retroperitoneal adenopathy.  Follow-up of patients with prior primary testicular neoplasms, leukemia or lymphoma.  Evaluation of an abnormality noted on other imaging studies.  Evaluation of a disorder of sexual development.

EQUIPMENT:

 5-15 MHz linear probe

PATIENT PREPARATION & ASSESSMENT:

 Introduce yourself to the patient.
 Verify patient identity via two patient identifiers (name and date of birth) per hospital policy.  Explain the examination, its purpose and how long it will take.  Answer any questions the patient may have regarding the examination.  Obtain patient history including symptoms, signs, risk factors and other relevant history.

GENERAL GUIDELINES:

 Send the measurements screenshot page if your machine is capable.  For focal lesions (masses, cysts, nodules, lymph nodes, fibroids) obtain split-screen images of the lesion without calibers, with calibers and with Color Doppler.
 Any deviations from the standard protocol and any limitations to the examination should be documented on the technologist worksheet for future reference and for repeatability in follow-up studies.  Report preliminary critical findings to the referring clinician when appropriate (i.e. immediate medical attention may be warranted) and according to hospital policy.

Scrotum Protocol – Last Updated 3/31/2024 - Page 1 of 2

DOCUMENTATION:

Right Testis  Document longitudinal images of the following (scanning lateral to medial):  Lateral (far lateral)  Lateral (between lateral & mid)  Mid without and with maximal length measurement (normal 3-5 cm) and one with color Doppler flow
 Medial (between mid & medial)  Medial (far medial)  Document transverse images of the following (scanning superior to inferior):  Superior (far superior)  Superior (between superior and mid)  Mid without and with AP and TR measurements (normal AP 3 cm and TR 2-4 cm) and one with color Doppler flow  Mid with spectral Doppler waveforms of the artery and vein (normal artery PSV 4-19 cm/sec and EDV 2-7 cm/sec)  Inferior (between mid and inferior)  Inferior (far inferior)

Right Extra Testicular Structures  Document transverse images of the epididymal head without and with width measurement and with color Doppler flow.
 Document longitudinal images of the epididymal head without and with width measurement and with color Doppler flow.
 Document any hydroceles, varicoceles, extra testicular masses, lymph nodes or inguinal hernias.

Left Testis and Extra Testicular Structures  Document same as for right side.

Dual Comparison  Document transverse grayscale and color Doppler images showing both testes.

Scrotum Protocol – Last Updated 3/31/2024 - Page 2 of 2