Testicular ultrasound

Testicular and scrotal ultrasound assesses the testicles, epididymides and surrounding tissues. It helps investigate a lump, swelling or other abnormality. At Tartaczna 2 Medical Centre in Gdańsk, examinations are performed by radiologist Dr Ewa Kołyszko.

When might you need a testicular ultrasound?

• A lump or thickening in a testicle or elsewhere in the scrotum.
• Scrotal enlargement or a new change in the size of one testicle.
• Pain, tenderness or swelling, with the urgency of assessment determined by the symptoms.
• A suspected hydrocele, epididymal cyst or varicocele.
• An injury or suspected inflammation.
• As part of a fertility assessment when your doctor considers it necessary.
• Follow-up of a previously identified abnormality.

Sudden severe testicular pain – when to seek urgent help

Sudden severe pain in a testicle or the scrotum, particularly with nausea, vomiting or rapidly increasing swelling, needs immediate hospital assessment. It may indicate testicular torsion, a time-critical condition. Do not wait for a routine outpatient ultrasound appointment.

A new painless lump also needs prompt medical assessment. The absence of pain does not establish that a lesion is harmless.

What does a scrotal Doppler ultrasound show?

The doctor assesses testicular size and structure, the epididymides, focal lesions and any fluid in the scrotum. The scan helps establish whether a lump is inside or outside the testicle and whether it is solid or fluid-filled.

Doppler imaging assesses blood flow and may be useful when investigating inflammation or a varicocele. We use a GE LOGIQ E10 ultrasound system. Blood flow assessment alone cannot confirm or exclude cancer. If testicular torsion is suspected, urgent decisions depend on the overall clinical assessment.

How to prepare for a testicular ultrasound

You do not need to fast, have a full bladder or shave your scrotum. Normal hygiene is sufficient. Bring previous ultrasound reports and records of relevant injuries, operations or treatment. Tell the doctor when your symptoms began and whether they are getting worse.

What happens during the examination?

After uncovering the scrotum, you usually lie on an examination couch. The doctor applies gel and gently moves a probe over the skin. In some situations, you may be asked to change position or briefly bear down. The scan requires no needle insertion or anaesthetic and uses no X-rays. Contact with the probe may cause discomfort if the area is tender.

Results and next steps

The report helps determine whether you need a urology consultation, further tests or monitoring. Ultrasound cannot always establish the exact type of a lesion. It also does not replace a full fertility assessment, including semen analysis when indicated.

Testicular ultrasound in Gdańsk – appointments

Examinations are performed by Dr Ewa Kołyszko.

Book through the Tartaczna 2 Medical Centre reception team. Call +48 58 719 10 25 or email kontakt@tartaczna2.pl.