Color Doppler ultrasound of the normal testis

Color Doppler ultrasound with point spectral analysis was performed on 30 testes of 15 asymptomatic volunteers. Intratesticular arteries and testicular capsular arteries were imaged in all 30 cases. Waveforms from these vessels were similar and consistently showed a low-impedance pattern with high levels of diastolic flow. This reflects the low vascular resistance of the testis. Supratesticular arteries were also identified in all 30 cases. In addition to the low-impedance-type waveforms from the testicular artery, waveforms obtained in the supratesticular region also originated from the deferential and/or cremasteric arteries. This resulted in some waveforms with high-impedance patterns, reflecting the high vascular resistance of the epididymis and peritesticular tissues. We believe that color Doppler ultrasound is capable of reliably showing the normal testicular arterial anatomy by imaging intraarterial blood flow. Knowledge of the normal color Doppler appearance and waveform characteristics of the testicular artery should aid in diagnosing scrotal conditions that alter blood flow.