Ultrasound of the testicles, abdomen, and prostate gland

What is a testicular, abdominal, and prostate ultrasound

This is a safe, painless imaging test using ultrasound waves. During a single visit the doctor assesses the testicles and scrotum, abdominal organs (including the liver, bile ducts, pancreas, spleen, kidneys, aorta), and the prostate gland. The test does not use radiation and can be repeated.

Who is it for

• for people with pain, swelling, or a palpable lump in the scrotum,
• for abdominal complaints: pain, bloating, nausea, increased abdominal girth,
• for urinary symptoms: frequent urination, difficulty starting, weak stream, nocturia,
• for follow-up after previous conditions (e.g., kidney stones, inflammations),
• for prevention – especially men over 40 or with a family history of prostate/testicular disease.

How to prepare

• Abdomen: arrive fasting (no food for at least 6 hours). You may drink small amounts of water. Avoid gas-producing foods the day before.
• Prostate (transabdominal): arrive with a moderately full bladder – drink 0.5–1 L of water about one hour before and do not urinate.
• Testes: no special preparation; maintain hygiene.
• Bring previous results (e.g., ultrasound, PSA, X-ray/CT/MRI) and a list of your medicines.

What the exam looks like

Gel is applied to the skin and the doctor moves the probe while viewing images in real time. The testes are assessed mainly lying down; straining may be used to evaluate varicocele. The abdomen is scanned in several planes. The prostate is assessed through the abdominal wall with a filled bladder; post-void residual urine can be measured. The visit usually takes 20–40 minutes and is painless.

When you get results and how to interpret them

• You receive a written report immediately after the test (often with images).
• The report includes measurements and any abnormalities. It is diagnostic information – your treating physician decides on treatment.
• If anything is unclear, the doctor may recommend further tests (e.g., PSA, lab work, MRI) or a urology consult.

Additional information

• Ultrasound is safe and can be performed in acute symptoms as well.
• Image quality may be limited by excess bowel gas and an empty bladder (which hinders prostate assessment).
• With sudden severe testicular pain, redness, or fever, seek urgent care – time matters.
• You can return to daily activities immediately after the test.