What is the role of ultrasonography in the workup of a hydrocele?

Updated: Oct 28, 2020
  • Author: Jacob C Parke, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Ultrasonography provides excellent detail of the testicular parenchyma. Spermatoceles can be clearly distinguished from hydroceles on sonograms. If a testicular tumor is a diagnostic consideration, ultrasonography is an excellent screening study.

In addition, testicular atrophy suggesting chronic torsion and a reactive hydrocele can be seen on sonograms. Failure to clearly delineate testicular anatomy with palpation indicates the need for further diagnostic imaging such as ultrasonography.

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