Ultrasonography of the scrotum: Extratesticular

Nirvikar Dahiya, Maitray D. Patel, Christine O. Menias

Research output: Contribution to journalArticle

Abstract

Extratesticular lesions are mostly benign. Adenomatoid tumor of the epididymis is the most common solid extratesticular tumor. Differentiating between a spermatocele and an epididymal cyst is not clinically relevant. Sperm granuloma is an entity to consider more strongly in patients with previous vasectomy. When evaluating a suspected palpable lesion with ultrasonography, the examiner should palpate the lesion to ascertain firmness and help direct the examination. By virtue of the ascending nature of the infection, epididymitis may be limited to the epididymal tail, so sonographic evaluation of suspected acute epididymitis must carefully evaluate this region. Evaluation of suspected hernias and varicoceles usually requires provocative maneuvers; having the patient do a Valsalva maneuver may be sufficient, but in some cases upright positioning will be needed to better demonstrate the abnormality.

Original languageEnglish (US)
Pages (from-to)457-469
Number of pages13
JournalUltrasound Clinics
Volume9
Issue number3
DOIs
StatePublished - Jan 1 2014

Fingerprint

Spermatocele
Epididymitis
Scrotum
Ultrasonography
Adenomatoid Tumor
Valsalva Maneuver
Vasectomy
Varicocele
Epididymis
Hernia
Granuloma
Spermatozoa
Infection
Neoplasms

Keywords

  • Epididymis
  • Extratesticular
  • Scrotum
  • Testes
  • Ultrasonography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Ultrasonography of the scrotum : Extratesticular. / Dahiya, Nirvikar; Patel, Maitray D.; Menias, Christine O.

In: Ultrasound Clinics, Vol. 9, No. 3, 01.01.2014, p. 457-469.

Research output: Contribution to journalArticle

Dahiya, Nirvikar ; Patel, Maitray D. ; Menias, Christine O. / Ultrasonography of the scrotum : Extratesticular. In: Ultrasound Clinics. 2014 ; Vol. 9, No. 3. pp. 457-469.
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