Inguino-scrotal Swellings

Question 1

What is embryology, clinical picture and treatment of Indirect inguinal hernia?

Answer 1

Embryology: Patent processes vaginalis

Clinical picture:
-Inguinal swelling may reach scrotum
-doesn’t illuminate

Treatment:
-Herniotomy via inguinal incision the next few days

Question 2

What is embryology, clinical picture and treatment of hydrocele?

Answer 2

-Embryology: fluid in tunica vaginalis
-Clinical picture: Scrotal swelling, illuminate
-Treatment: Ligation of processes vaginalis by inguinal incision at age of 1-2 years

Question 3

What is embryology, clinical picture and treatment of Retractile testis?

Answer 3

-Embryology: Exaggerated cremasteric reflux
-Clinical picture: Testis present in scrotum as in bath and elevate in another time
-Treatment: follow up every 6 months

Question 4

What is embryology, clinical picture and treatment of Ectopic testis?

Answer 4

-Embryology: Gubernaculum
-Clinical picture: In superficial inguinal pouch or root of penis
-Treatment: orchiopexy at 6 month

Question 5

What is embryology, clinical picture and treatment of Undescended testis ?

Answer 5

-Embryology: Gubernaculum
-Clinical picture:
Abdominal
High scrotum
External and internal inguinal ring
Inguinal canal
-Treatment: orchiopexy at 6 month

Question 6

What is the clinical picture and treatment of torsion testis?

Answer 6

-clinical picture: sudden severe scrotal pain, the torsion one is higher than the other one
-treatment: urgent exploration on testis and de-twist and orchiopexy

Question 7

What is the clinical picture and treatment of Indirect inguinal hernia?

Answer 7

-clinical picture: sudden onset scrotal pain with black spot above the testis.
-treatment: explore and removal as may be doubt with torsion testis