Diseases of the testicle and erectile dysfunction Flashcards
what is the lymphatic drainage of the testicles?
retroperitoneal lymph nodes (para-aortic and interaortocaval)
extratesticular masses are _________ (benign / malignant)
benign
what is the bell clapper deformity?
inappropriately high fixatino of tunica vaginalis to testes
what pathogens are responsible for epididymitis in younger men?
STDs - chlamydia, gonoccocal
what pathogens are responsible for epididymitis in older men?
bacterial GU infection (enteric gram negatives)
what is fournier’s gangrene?
fasciitis of scrotum, groin, perineum
fournier’s gangrene is normally seen in what populations?
- immunocompromised
- diabetics
what is seen on PE with fournier’s gangrene?
- crepitus on palpation
- necrotic black or ecchymotic patches
- “dishwater drainage”
what is done for congenital or infant hydrocele, if it persists?
- inguinal exploration to close patent processus vaginalis and correct possible coexisting inguinal hernia
is a spermatocele painful or painless?
painless
definition: varicocele
abnormal dilation of veins in the pampiniform plexus of spermatic cord due to elevated venous pressure and/or incompetent valves
what is the leading cause of infertility in men?
varicocele
what test should be used for any testicular abnormality?
US
what are the tumor markers for testicular cancer? when do you obtain these?
- AFP
- BHCG
- LDH
- OBTAIN PRIOR TO TREATMENT
what is the surgical treatment for testicular cancer?
radical orchiectomy with INGUINAL APPROACH
