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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Pain In Testicle. Scrotal Ultrasound Normal. Ultrasound Reliable?

hi doctor my question is a had a scrotal ultrasound , i have had pain in left testicle for over a year, yesterday i had a scrotal ultrasound and told i was normal, how reliable is an ultrasound? and what should i do to find out, i get my care thru the veterans hospital and im not sure they really want to investigate , please advise
Mon, 18 Feb 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

Ultrasound is and always will be sketchy test and its accuracy depends of the doctors skills and ultrasound unit. That is why it is very hard to tell from this place if your ultrasound is reliable or not.
Testicle pain can be caused by its inflammation, varicocele (visible in Doppler ultrasound), inguinal hernia, testicle tumors, epididymis. Ultrasound wont rule all this conditions out. I suggest you to have urine analysis performed, blood work (WBC should be elevated with inflammation), CRP, groin ultrasound and testicle Doppler ultrasound if it was not performed.

Hope this will help.
Regards.
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Had Pain In Testicle. Scrotal Ultrasound Normal. Ultrasound Reliable?

Hello! Thank you for the query. Ultrasound is and always will be sketchy test and its accuracy depends of the doctors skills and ultrasound unit. That is why it is very hard to tell from this place if your ultrasound is reliable or not. Testicle pain can be caused by its inflammation, varicocele (visible in Doppler ultrasound), inguinal hernia, testicle tumors, epididymis. Ultrasound wont rule all this conditions out. I suggest you to have urine analysis performed, blood work (WBC should be elevated with inflammation), CRP, groin ultrasound and testicle Doppler ultrasound if it was not performed. Hope this will help. Regards.