53. Congenital malformations and inflammatory lesions of the testis and epididymis, male infertility Flashcards
53-1. congenital malformation of testis, epididymis
types of congenital malformation (6)
anorchia monorchia polyorchia ectopic testis fusio testis cryptorchidism : failure of testicle to descend
53-1. congenital malformation of testis, epididymis
complication of cryptorchidism (3)
testicular atrophy
infertility
increased risk of seminoma
53-1. inflammation of testis, epididymis
types of inflammation of testis and epodidymis
orchitis
epididymitis
epididymo-orchitis
53-1. inflammation of testis, epididymis
etiology of epididymitis
ascending UTI by gonorrhea, syphilis, tuberculosis
53-1. inflammation of testis, epididymis
clinical manifestation of epididymitis (3)
testicular pain
red, warm, swollen scrotum
infiltration of neutrophil
53-1. inflammation of testis, epididymis
etiology of orchitis
ascending UTI
STD
53-1. inflammation of testis, epididymis
clinical manifestation of orchitis (3)
ejaculation of blood
hematuria
pain, swelling testis
53-1. inflammation of testis, epididymis
types of specific orchitis
mumps orchitis
granulomatous orchitis
53-1. inflammation of testis, epididymis
clinical manifestations of syphilis orchitis (5)
edematous, congested testis progression to - tubuler necrosis - atrophy - fibrosis - sterility
53-1. inflammation of testis, epididymis
etiology of granulomatous orchitis (2)
infection of syphilis
infection of tuberculosis
53-1. inflammation of testis, epididymis
clinical manifestation of granulomatous orchitis
granuloma formation with caseous necrosis
53-2. male infertility
types of male infertility
pre-testicular infertility
testicular infertility
post-testicular infertility
53-2. male infertility
etiology of pre-testicular infertility (4)
impede adequate support of testes
- hypogonadism
- drug, alcohol, smoking
- strenous riding
- absence of gonadotropins
53-2. male infertility
etiology of testicular infertility (7)
low quality/quantity of semen
- age
- genetic defect on Y chromosome
- cryptorchidism
- trauma
- hydrocele
- testicular cancer
- idiopathic oligospermia
53-2. male infertility
etiology of post-testicular infertility (6)
problem of genital tract
- vas deferens obstruction
- lack of vas deferens
- retrograde ejaculation
- ejaculatory duct obstruction
- hypospadias
- impotence