Private Testicular & Scrotal Ultrasound
Private Testicular Ultrasound Scan – £125
Rapid Assessment of Testicular Lumps, Swelling & Discomfort
The Blackheath Clinic provides private testicular and scrotal ultrasound scans for men requiring investigation of a testicular lump, scrotal swelling, persistent discomfort or another change affecting the testicle or scrotum.
Ultrasound provides detailed imaging of the testes and surrounding scrotal structures and is an important investigation when a new testicular lump or abnormality has been identified.
It can help distinguish abnormalities arising within the testicle from those affecting surrounding structures and can identify many common causes of scrotal lumps and swelling.
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No GP referral required -
Experienced diagnostic sonographers -
Doctor-led clinic -
Rapid appointments available -
Formal diagnostic report
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Private Testicular & Scrotal Ultrasound
£125
What Is a Testicular Ultrasound?
A testicular ultrasound—also known as a scrotal ultrasound—is a non-invasive diagnostic examination of the testes and surrounding structures within the scrotum.
Ultrasound uses high-frequency sound waves to create detailed real-time images and does not use ionising radiation.
The examination can assess the internal appearance of each testicle as well as structures surrounding the testes, including the epididymis. Doppler ultrasound may also be used where appropriate to assess blood flow.
A testicular ultrasound can be particularly useful when investigating a lump, swelling, change in size or persistent discomfort.
Why Might I Need a Testicular Ultrasound?
A testicular and scrotal ultrasound may be appropriate if you have:
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A testicular lump -
A lump within the scrotum -
Testicular swelling -
Scrotal swelling -
Persistent testicular discomfort -
A change in the size or shape of a testicle
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A feeling of heaviness within the scrotum -
A suspected cyst -
A suspected hydrocele -
A suspected varicocele -
A previously identified testicular or scrotal abnormality requiring follow-up -
An abnormality identified during a medical examination
A new lump or persistent change within a testicle should be medically assessed promptly, even if it is painless.
Testicular Lump Ultrasound
I Have Found a Lump in My Testicle – Should I Have an Ultrasound?
A new testicular lump should always be taken seriously and appropriately investigated.
Many lumps within the scrotum are caused by benign conditions. However, it is important to determine whether a lump arises within the testicle itself or from one of the surrounding structures.
Ultrasound is an important investigation for a testicular lump because it can provide detailed information about the location, size and ultrasound characteristics of an abnormality.
If the ultrasound identifies an abnormality requiring further investigation, prompt GP or specialist urological assessment can be arranged.
What Can a Testicular Ultrasound Detect?
Depending on the symptoms and findings, testicular and scrotal ultrasound can help identify or assess:
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Testicular masses or abnormalities -
Epididymal cysts -
Hydroceles -
Varicoceles -
Other scrotal cysts
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Inflammatory changes -
Changes affecting the epididymis -
Fluid surrounding the testicle -
Certain causes of testicular or scrotal swelling -
Other abnormalities visible on ultrasound
Ultrasound can also provide information about blood flow within the testes when Doppler assessment is clinically appropriate.
Not every cause of testicular pain or scrotal symptoms can be diagnosed by ultrasound, and further clinical or specialist assessment may sometimes be required.
Can Ultrasound Detect Testicular Cancer?
Ultrasound is an important investigation when assessing a testicular lump or abnormality and can identify suspicious abnormalities within the testicle.
However, an ultrasound scan alone should not be considered a complete test for testicular cancer.
If a suspicious intratesticular abnormality is identified, urgent specialist urological assessment and additional investigations will be required.
A new testicular lump should therefore be investigated promptly, even if it is painless.
I think this wording strikes the right balance: it directly answers what will inevitably be a major patient question without advertising the scan as a cancer-screening product.
Ultrasound
Our Ultrasound
Epididymal Cysts
Ultrasound for a Lump Near the Testicle
An epididymal cyst is a fluid-filled swelling arising from the epididymis, a structure located adjacent to the testicle.
Patients may notice a smooth lump above or behind the testicle and understandably worry that the lump is arising from the testicle itself.
Ultrasound can help establish the location of the lump and determine whether its appearance is consistent with a cyst or whether further assessment is required.
Hydrocele
Ultrasound for Scrotal Swelling
A hydrocele is a collection of fluid around the testicle and can cause enlargement or swelling of one side of the scrotum.
It may be painless or associated with a feeling of heaviness or discomfort.
Ultrasound can demonstrate fluid surrounding the testicle while also allowing the testicle itself to be examined.
Depending on the size, symptoms and findings, further urological assessment may be appropriate.
Varicocele
Ultrasound for a Suspected Varicocele
A varicocele is an enlargement of veins within the scrotum.
Some men notice a swelling or unusual sensation within the scrotum, while others experience a dragging sensation or discomfort.
Varicoceles can also be relevant in the investigation of male fertility in appropriate circumstances.
Ultrasound, including Doppler assessment where appropriate, can help evaluate the veins and blood flow within the scrotum.
If fertility is the primary concern, further assessment such as semen analysis and fertility evaluation may also be appropriate.
This gives us a useful natural internal link into your fertility service without muddying the purpose of this page.
Testicular Pain
Can Ultrasound Investigate Testicular Pain?
Ultrasound can be useful in investigating persistent or unexplained testicular or scrotal discomfort, particularly where there is swelling, a palpable abnormality or other clinical concern.
However, testicular pain has a number of possible causes and ultrasound does not identify every cause.
Importantly, sudden or severe testicular pain requires urgent medical assessment rather than waiting for a routine private ultrasound appointment.
Sudden Testicular Pain
When Should I Seek Urgent Medical Attention?
Sudden severe testicular pain can sometimes be caused by testicular torsion, in which the blood supply to the testicle becomes compromised.
This is a medical emergency and requires urgent assessment.
You should seek urgent medical attention rather than booking a routine ultrasound appointment if you develop:
Do not delay emergency assessment in order to arrange a routine private ultrasound.
This is particularly important to have prominently on this page.
Testicular Swelling
A swollen testicle or enlarged scrotum can have several possible causes.
Ultrasound can assess the testicle and surrounding structures and may identify abnormalities such as a hydrocele, cyst, varicocele, inflammatory change or testicular lesion.
The significance of the finding depends on its ultrasound appearance and the clinical history.
Where necessary, further GP or urological assessment can be arranged.
Can Testicular Ultrasound Help With Fertility Assessment?
Testicular ultrasound is not routinely required for every fertility assessment, but it can be useful where there is a testicular abnormality, swelling, suspected varicocele or other relevant clinical finding.
For men whose primary concern is fertility, semen analysis is generally a more appropriate starting investigation.
The Blackheath Clinic also provides dedicated male fertility and semen analysis services, and further assessment can be arranged where appropriate.
Our Patient Review

I was understandably very worried and was able to book an appointment within just a couple of hours. From the moment we met him, Dr Mac Sweeney was kind, reassuring, professional and genuinely caring. He took the time to listen, explained everything clearly, and made us feel that my husband was in very safe hands.
What impressed me most was that his care did not stop when we left the consultation. He followed up on several occasions to check on my husband's progress, prescribed more medicine and even went out of his way to provide a letter for our insurance company, which was incredibly helpful.
In a world where good service can sometimes feel hard to find, Dr Mac Sweeney demonstrated a level of compassion and personal attention that was truly exceptional. The fee was also very reasonable, especially given the time, care and support we received.
I would wholeheartedly recommend Dr Mac Sweeney to anyone needing medical assistance and will always be grateful for the kindness he showed to both of us. If I lived in London I would most certainly subscribe to his membership scheme so he could deal with all my family's medical needs.


The clinic has a friendly and relaxed atmosphere, with a fresh, calming scent that immediately creates a welcoming environment. Everything was explained clearly and professionally, making the whole experience completely stress-free.
I particularly appreciated the expert advice and felt comfortable throughout. I would highly recommend The Blackheath Clinic to anyone looking for a professional, patient-focused service.


As I entered the tastefully curated space, I encountered one of the rarest of things: a polite, smiling and genuinely welcoming receptionist. In fact, she was so warm and courteous that I briefly wondered whether I had wandered into an upmarket spa by mistake.
Then I met Dr Sweeney. He was charming, courteous, friendly and thoroughly professional, with the kind of bedside manner that reminds you what general practice can be at its best: attentive, humane and quietly confident. He came across as someone who takes real pride in his work and genuinely cares for his patients.
The whole experience felt like stepping back into a time when patients were warmly received and doctors truly doctored. As I was leaving, Dr Sweeney mentioned that he was off on a home visit. A GP doing a home visit in 2026? I was so astonished I nearly needed examining all over again.
Join this practice quickly before word gets out and the list fills up. This is care delivered by people who genuinely care, and that feels all too rare these days

I had lip filler and RRS Long Lasting skin boosters, and she took the time to explain everything clearly, answer all my questions, and ensure I felt confident about the treatments. Her attention to detail and gentle approach really stood out, and I couldn’t be happier with the results.
Dr Micha Plugaru truly combines expertise with a warm, personal touch. I would highly recommend her to anyone considering aesthetic treatments — you’re in the safest and most caring hands.
What Happens During a Testicular Ultrasound?
Your sonographer will ask about your symptoms and the reason for the examination.
You will be asked to lie on an examination couch and expose the scrotal area while maintaining privacy and dignity.
Ultrasound gel is applied to the skin and a small ultrasound probe is moved gently across the scrotum.
Both testes and relevant surrounding structures can be examined and compared. Doppler ultrasound may also be used where appropriate to assess blood flow.
The examination is non-invasive and generally well tolerated, although an already tender area may be temporarily uncomfortable when examined.
How Long Does a Testicular Ultrasound Take?
A testicular and scrotal ultrasound will usually take approximately 20–30 minutes, although this can vary depending on the symptoms and findings.
Do I Need to Prepare for a Testicular Ultrasound?
No Special Preparation Required
There is generally no special preparation required for a testicular or scrotal ultrasound.
You can eat and drink normally and take your usual medication unless advised otherwise.
If you have previous ultrasound reports, urology correspondence or other relevant investigation results, please bring these with you where available.
Your Ultrasound Report
What Happens After My Scan?
A formal diagnostic ultrasound report will be prepared following your examination.
Depending on the findings, you may be advised that:
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No further investigation is required -
Clinical monitoring is appropriate -
GP assessment is recommended -
Urological assessment is appropriate
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Repeat ultrasound is required -
Additional investigations are recommended -
Urgent specialist assessment is required
Because The Blackheath Clinic is a doctor-led medical clinic, we can assist with private GP assessment, appropriate blood or laboratory testing and onward urology referral where required.
That integrated pathway is particularly valuable for this service. A patient with an abnormal result does not simply leave with a report and have to work out what to do next.
Do I Need a GP Referral?
No Referral Required
In most cases, patients can book a private testicular and scrotal ultrasound directly without a GP referral.
If your GP or another healthcare professional has already examined you or recommended an ultrasound, please bring any relevant referral letter, previous imaging or investigation results where available.
Patients with sudden severe testicular pain should seek urgent medical assessment rather than booking a routine ultrasound.
Why Choose The Blackheath Clinic?
The Blackheath Clinic provides private testicular ultrasound within a professional, doctor-led medical clinic.
Rapid appointments available
Experienced diagnostic sonographers
Modern ultrasound equipment
Formal diagnostic report
Private GP assessment available
Blood and laboratory testing available
Urology referral where appropriate
Male fertility assessment available
If your scan identifies an abnormality requiring further assessment, we can help arrange the appropriate next steps.
How Much Does a Private Testicular Ultrasound Cost?
Testicular & Scrotal Ultrasound – £125
A private testicular and scrotal ultrasound at The Blackheath Clinic costs £125, including the ultrasound examination and formal diagnostic report.
Private Testicular & Scrotal Ultrasound – £125
No GP referral required
Common Questions
Frequently Asked Questions
Yes. In most cases, you can book a private testicular and scrotal ultrasound directly without a GP referral.
Yes. Ultrasound is an important investigation for a testicular lump and can help establish whether an abnormality arises within the testicle or from surrounding scrotal structures.
No. There are several benign causes of lumps within the scrotum. However, a new lump within the testicle requires prompt assessment because it is important to exclude a more serious cause.
Ultrasound can identify abnormalities within the testicle and features that may be suspicious, but it does not by itself provide the complete diagnosis. Suspicious findings require prompt specialist urological assessment and additional investigation.
Ultrasound can identify fluid surrounding the testicle and may demonstrate appearances consistent with a hydrocele.
Yes. Ultrasound and Doppler assessment can help identify and assess a varicocele where clinically appropriate.
Ultrasound can often demonstrate a cystic abnormality arising from the epididymis and distinguish its location from a lump within the testicle itself.
Persistent or unexplained testicular discomfort may be suitable for ultrasound. Sudden or severe testicular pain requires urgent medical assessment because testicular torsion must be considered.
The scan is non-invasive and generally well tolerated. There may be some temporary discomfort if the testicle or surrounding area is already painful or tender.
No. Testicular ultrasound generally requires no special preparation.
Most examinations take approximately 20–30 minutes.
Book Today
Book a Private Testicular & Scrotal Ultrasound
Rapid Assessment of Testicular Lumps, Swelling & Persistent Discomfort
If you have discovered a testicular lump, scrotal swelling, change in the size or feel of a testicle, or persistent testicular discomfort, The Blackheath Clinic provides rapid access to private diagnostic ultrasound.
Private Testicular & Scrotal Ultrasound – £125
Blackheath Village, London SE3 · Contact us today to arrange your appointment.