15th September 2020

A 33-year-old man presents to his GP with a scrotal swelling

A 33-year-old man presents to his GP with a scrotal swelling. He noticed the swelling a few days ago and cannot recall any events which may have caused this. There has been no pain or other associated symptoms, and he feels well in himself. 

On examination, there is a soft scrotal mass which transilluminates, and the testes are not palpable. 

Which investigation should be performed? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.