Lumps in the scrotum

Question 1

Epididymal cyst

Answer 1

can get above it,
seperate from the testis,
filled with clear milk fluid

Question 2

Primary Hydrocele

Answer 2

Fluid in the tunica vaginalis.
Due to a patent procesus vaginalis - more common and larger.
Can aspirate or resolves in 1st year of life.
Surgical plication of prcoesus vaginalis.

Question 3

Secondary Hydrocele

Answer 3

Due to tumour, trauma, or infection.

Question 4

Epididymal orchitis

Answer 4

Inflammation of the epididymus or testis.

Caused by Chlamydia, N. gonnorrhoea, E.coli

Sudden onset, tender swelling of the testicle,
Dysuria, sweats and fever,

First catch urine sample needed - testing
STI screen

Treatment - doxycycline if chlamydia/E.coli. Ceftriaxone if gonorrhoea.

Question 5

Varicocele

Answer 5

Incompetent valves in veins leads to back flow in the pampiniform plexus.
Dilation of veins - feels like a bag of worms.
Left side affected more.

Question 6

Haematocele

Answer 6

Trauma induced bleeding in scrotum

Question 7

Questions to ask

Answer 7

Can you get above it?
Is it cystic or solid?
Is it part of the testis or seperate?
Does the swelling transluminate? hydrocele?
Cough impulse? hernia?