Scrotum

 

Urology guideline for scrotal masses is available here

• Solid mass arising from the body of the testes
  -> Urgent USS. If malignancy confirmed test serum α-FP, βhCG & LDH and refer 2ww

• Scrotal masses not arising from the body of the testes
  Where diagnosis is uncertain -> routine USS

• Varicocoele
  Refer for renal USS to exclude renal mass

• Paediatric undescended testes
  Do not require ultrasound confirmation and can be referred to the surgeons as per the guidelines here

• Haematospermia
  Does not require investigation with USS unless associated scrotal mass

• Pain
  Acute onset requires urgent referral to urology to exclude torsion
  USS is rarely helpful in cases of chronic pain in the absence of a palpable scrotal mass

 

Date reviewed                     18/02/2022

Next review due                  18/02/2023

Sifter name                          Dr Rebecca Hopkins