Hot Tips - Testicular Ultrasound for Varicocele

Author: Gulfcoast Ultrasound Institute

A varicocele is an abnormality we find more commonly on the patient's left side. During your scrotal evaluation, while scanning if you see and recognize some ecta-tic vasculature that could represent a varicocele, there's a few things to do. Step 1, is to document the size, the diameter of the structure in 2-D. So here looking at this vessel, I'm gonna freeze the screen, and take a measurement seeing that it is greater than 2 mm. Step 2, is to place color on and the normal response when I ask the patient to valsalva or bear down is gonna be for us to not see increased flow. The valve should shut, and there should be no re-flux.

When I ask this patient to bear down, relax. You can see the response and the filling of that vessel. Again bear down. Relax.

That's consistent with a varicocele. You wanna document this, in both a still image measurement wise and a video clip. One more time, bear down, and relax.

Hot Tips - Testicular Ultrasound for Varicocele

Hot Tips - Testicular Ultrasound for Varicocele

A varicocele is an abnormality we find more commonly on the patient's left side. During your scrotal evaluation, while scanning if you see and recognize some ecta-tic vasculature…

By: Gulfcoast Ultrasound Institute