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Scrotal Ultrasound

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Practical Urological Ultrasound

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

The scrotum is separated into right and left hemiscrotal compartments by a septum called the median raphe. The normal scrotal wall thickness varies between 2 and 8 mm. The scrotal wall contains the following structures: rugated skin, superficial fascia, dartos muscle, external spermatic fascia, cremasteric fascia, and internal spermatic fascia. These layers are indistinguishable on a normal clinical exam. The tunica vaginalis consists of parietal and visceral layers normally separated by 2–3 mL of straw-colored fluid often referred to as a physiologic hydrocele. On ultrasound this fluid is often seen as a thin anechoic rim around the head of the epididymis [1]. The parietal and visceral layers join at the posterolateral aspect of the testis where the tunica attaches to the scrotal wall [2].

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Authors and Affiliations

  1. Department of Urology, Fox Chase Cancer Center, Temple University Hospital, Elkins Park, PA, USA

    Rao S. Mandalapu MD

  2. Department of Urology, Winchester Hospital, Tufts University School of Medicine, Stoneham, MA, USA

    Peter N. Tiffany MD

  3. Hofstra North Shore LIJ School of Medicine, The Arthur Smith Institute for Urology, New Hyde Park, NY, USA

    Bruce R. Gilbert MD, PhD

Authors
  1. Rao S. Mandalapu MD
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  2. Peter N. Tiffany MD
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  3. Bruce R. Gilbert MD, PhD
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Corresponding author

Correspondence to Bruce R. Gilbert MD, PhD .

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Editors and Affiliations

  1. , Department of Urology, Texas Health Presbyterian Dallas, 8210 Walnut Hill Lane Suite 014, Dallas, 75231, Texas, USA

    Pat F. Fulgham

  2. , The Arthur Smith Institute For Urology, Hofstra North Shore LIJ, 450 Lakeville Road Suite M41, New Hyde Park, 11042, New York, USA

    Bruce R. Gilbert

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Mandalapu, R.S., Tiffany, P.N., Gilbert, B.R. (2013). Scrotal Ultrasound. In: Fulgham, P., Gilbert, B. (eds) Practical Urological Ultrasound. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-59745-351-6_6

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  • DOI: https://doi.org/10.1007/978-1-59745-351-6_6

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