Diseases of Prostate, Testes, Penis

Question 1

Cryptorchidism

Answer 1

Congenital failure of one or both testes to descend

Atrophy and hyaline replacement result if not surgically corrected before age 2 (Surgery is currently indicated with >1yr)

Significant increase in germ cell tumors (spec. seminoma)

Question 2

Causes of testicular atrophy

Answer 2

Cryptorchidism, inflammation (e.g. mumps- orchitis), malnutrition, hypopituitarism, hormone therapy

Question 3

Causes of male infertility

Answer 3

Cryptorchidism, Kartagener (loss of dyenin- immotile cilia), anorchia, absent vas deferent, Klinefelter, torsion, infarction, varicocele (generally on left side- could be due to occlusion in left renal vein)