Scrotal examination

The examination of the scrotum can be performed by a specialist, mainly including scrotal imaging and cremaster reflex. People can also self-test to help detect certain diseases early. In the case of scrotal trauma, ultrasound examination can help to correctly determine the scrotal hematoma and determine whether the testicle is damaged; help to determine the indications for surgical exploration, such as testicular rupture and foreign body retention. Basic Information Specialist classification: male examination inspection classification: ultrasound Applicable gender: whether the male is fasting: fasting Tips: Pay attention to the cleanliness of the scrotum before inspection. The mood is stable, and the previous meal should be fasted. Normal value 1. There is no obvious radioactive development of the scrotum. 2. When the cremaster reflex is normal, the ipsilateral testicle is immediately lifted. 3, testis, epididymis, spermatic cord is normal. Clinical significance Abnormal result 1, scrotal imaging can be used to diagnose the cause of scrotal pain, scrotal trauma, lumps and so on. 2. The cremaster reflex is a normal shallow reflex. If the bilateral cremaster reflex is weakened or disappeared, it suggests that there is lumbar spinal cord injury, which can also be seen in the elderly. Attenuation or disappearance of one side of the cremaster can be seen in pyramidal lesions, and can also be used in the diagnosis of certain surgical conditions (such as oblique hernia, varicocele, etc.). People who need to be examined: patients with scrotal pain, lumbar spinal cord injury, and pyramidal tract lesions. Precautions Taboo before inspection: 1. Pay attention to the clean and clean scrotum. 2, scrotal imaging examination before a meal should be fasted (such as morning or afternoon check for breakfast or Chinese fasting): (do not eat high-oil foods, including milk, eggs, fritters) and all fermented food (such as soy products , milk, pasta, etc.), eat less oily food for dinner the day before the morning check; 3, scrotal imaging examination has a banned meal requirements: in addition to banned meals, should also fasting cakes, fruits, candy, cigarettes and other foods. Requirements for inspection: 1, due to emotional stress can affect the results of cremaster reflex, so patients should not be too nervous when doing cremaster reflex examination to prevent errors in the results. 2, the doctor to check the scrotum is to pay attention to tell your doctor the truth, so that the doctor can correctly diagnose and treat. Inspection process Scrotum inspection techniques: When the scrotum is examined, the patient takes a standing position or a supine position, and the legs are slightly separated. The examiner places the thumb of both hands in front of the scrotum, and the rest of the fingers are placed behind the scrotum. Each side of the scrotum is examined with both hands and palpated for comparison. Pay attention to the appearance of the scrotum, testis, epididymis, spermatic cord and patient feeling. Testosterone reflex: The examiner used a cotton swab to gently stroke the skin above the inside of the thigh of the male patient from the bottom up. Normally, the ipsilateral testicles are immediately lifted. If there is no such reaction or the reaction is slow, the cremaster reflex is weakened or disappeared. Care should be taken to distinguish it from the scrotal contraction. The cremaster reflex is not accompanied by scrotal contraction. When touching the skin of the patient's scrotum, it causes the scrotal peristaltic contraction and is a scrotal reflex. Not suitable for the crowd Inappropriate people: patients with severe scrotal injury. Adverse reactions and risks Nothing.