9. Miscellaneous Male Flashcards
Calcified Vas Deferens
You can see Calcified Vas Deferens in
Bad Diabetics
Midline MAle Pelvic Cysts
Prostatic Utricle
Mullerian Duct cyst
Ejaculatory Duct cyst
Lateral MAle Pelvic Cysts
Seminal vesicle
Diverticulosis of the ampulla of vas deferens
Congenital Seminal Vesicle cyst associations
POLYCYSTIC KIDNEY DISEASE
Renal Agenesis
Vas deferens agenesis
Ectopic ureter Insertion
Seminal Vesicle Cyst
“unilateral cyst that is lateral to the prostate”
Acquired Seminal Vesicle cyst associations
Obstruction often from prostatic hypertrophy, or chronic
Classic history is prior prostate surgery
Prostatic Utricle Cyst
“a focal out-pouching from the prostatic urethra.”
remnant of the Mullerian duct
Prostatic Utricle Cyst
This represents a focal dilation in the prostatic urethra
Most common associated condition of PRostatic Utricle cyst - which makes sense given the relationship with the urethra.
Hypospadias
This represents a failed regression of the caudal ends of the Mullerian ducts (male equivalent of the vagina / cervix).
Mullerian Duct Cyst
Does not communicate with the urethra and does not have the same associations as utricle cyst.
Midline Pelvic Cyst + Pear Shaped + No extension above the baase of the prostate + communicates with the urethra + Opacify on RUG =
Utricle Cyst
Miline Pelvic Cyst + Tear Drop + Extends ABOVE the base of the prostate + No urethral comminucation = No RUG opacification =
Mullerian Cyst
What structures are twisted in testicular torsion?
Testis and spermatic cord in serosal space = ischemia
Normal
Abdnormal: Loss of diastolic Flow
Abnormal: Reversal of Diastolic Flow
Abnormal: Monophasic
Testicular torsion has 3 possible patterns:
- Classic Absence of Arterial
- High resistance arterial flow (with decreased or reversed diastolic flow)
- Monophasic arterial waveform (Loss of the normal dicrotic notch)
Fuckery: We are talking about testicular artery wave forms here. The normal cremasteric artery will not have diastolic flow (think about that thing as the artery to a muscle) - it’s normally high resistance.
an abnormal high attachment of the tunical vaginalis
“bell-clapper deformity”
If torsion demonstrates decreased flow, it is useful to have an idea about what can demonstrate increased flow (decreased R.I. or increased diastolic flow)
Two thinks worth thinking
- Epididymo-orchitis - painful
- Detorsion - pain free
most common cause of acute onset scrotal pain in adults
Epididymitis
mostly epididymal head
Most common loacation of epididymitis
Tail
Classic appearnace of Testicular TB
Multiple small dark (hypoechoic) nodules in enlarged testis
Disrupted tunica albuginea
heterogenous testicle
poorly defined testicular outlin
Testicular rupture
Intact tunica albuginea
linear hypoechoic band across the parenchyma of the testicle
well defined testicular outline.
TEsticular fracature
