MSRA: Scrotum and Testes

Question 1

What are the features of a hydrocoele?

Answer 1

Painless
Diffuse scrotal swelling
Transillumination
Cannot get above if communicating

Question 2

What is the management of a hydrocoele in a child?

Answer 2

Congenital tend to spontaneously resolve

Surgical repair if persists after two years of age

Question 3

Varicoceles more common occur on which side?

Answer 3

Left side

Question 4

What are the features of an epidydimal cyst?

Answer 4

Painless
Separate from the body of the testes
Found posteriorly

Question 5

What is the presentation of testicular torsion?

Answer 5

Acute scrotal pain, may be in the groin and lower abdomen

Nausea and vomiting

Question 6

What is the management of testicular torsion?

Answer 6

Surgical exploration

Bilateral fixation

Question 7

What is the first line investigation for priaprism?

Answer 7

Cavernosal blood gas

Question 8

What is the empirical management of epididymo-orchitis?

Answer 8

1g IM Ceftriaxone
Doxycycline for 10-14 days

Question 9

What is the management of a hydrocoele in an adult?

Answer 9

If testis cannot be palpated, refer for urgent ultrasound scan