lumps in groin Flashcards
state some causes of lumps in the groin and scrotum?
inguinoscrotal hernia epididymal cyst varicocele sperm granuloma epididymitis hydrocele tumour orchitis haematocele
where do epididymal cysts usually occur?
lie above or behind testis
what is a varicocele?
dilated veins of pampiniform plexus
what would a varicocele feel like in the stroctum?
bag of worms
can varicocele affect fertility ?
yes
- can cause oligospermia
what side does primary varicocele happen on?
left side
what surgery can be done for varicocele ?
testicular vein clipping
what is a sperm granuloma ?
painful lump of extravascular sperm after vasectomy
what is a complication of vasectomy?
sperm granuloma
within what membrane is hydrocele held?
tunica vaginalis
what investigation can be done for hydrocele ?
US
- to exclude tumour
state some causes of secondary hydrocele?
tumour
infection
trauma
what are the two surgeries for hydrocele ?
lords repair
Jaboulays repair
do all hydrocele require surgery?n
no
- some resolve spontaneously
what does lords repair consist of ?
plication of the sac
what does jayboulays repair consist of ?
eversion of the sac
what is a disadvantage of aspirating hydroceles?
they reoccur
state three causes of epididymo-orchitis
STI -chlamydia, gonorrhoea
ascending UTI
mumps
what is the presentation of epididymo-orchitis ?
Sudden onset tender swelling
Dysuria
Sweats, fever
what bloods should be done for epididymo-orchitis ?
FBC and CRP
what investigations should be done for epididymo-orchitis ?
Blood: FBC, CRP
Urine: dip, MC+S (fist catch may be best)
Urethral swab and STI screen
US
what is a complication of epididymo-orchitis?
infertility
what antibiotics should be given for epididymo-orchtiis ?
Abx: doxycycline
