Steps before performing scrotal sonography

Steps before performing scrotal sonography

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Steps before performing scrotal ultrasound
To ensure an accurate and comfortable scrotal ultrasound examination, the following steps should be followed:

1. Patient Preparation

      Explain the Procedure: Inform the patient about the purpose of the scan, the process, and reassure them regarding privacy and comfort.
Obtain Consent: Verbal or written consent should be taken, especially if it is a sensitive examination.
Clothing: The patient should remove clothing from the lower abdomen and groin area while keeping a drape for modesty.

    2. Patient Positioning

          Supine Position: The patient lies on their back with legs slightly apart.
    Scrotal Support: A towel can be placed under the scrotum to provide support and improve visualization.
    Privacy and Comfort: Use a sheet or gown to maintain dignity during the procedure.

      3. Equipment Preparation

      Transducer Selection:       
             High-frequency linear probe (7–15 MHz) for optimal resolution.
            Curvilinear probe (3–5 MHz) may be used in special cases (e.g., large scrotal masses).
        Machine Settings:       
               Optimize gain and depth for clear visualization.
               Use color Doppler to assess blood flow. 

          4. Scanning Protocol Review

                Both testes must be examined to compare echogenicity, size, and blood flow. 
                Evaluate the epididymis, spermatic cord, and scrotal wall. 
                Use Doppler imaging to check for vascular abnormalities [e.g. Torsion, varicocele].

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