Non Malignant Scrotal Disease

Question 1

Epidydimal cysts

Features

Answer 1

Develops in adulthood
Clearly or milky fluid
Lies above and behind the testes
Transluminal

Question 2

Epedydimal cyst investigation and treatment

Answer 2

Scrotal ultrasound

Remove if symptomatic

Question 3

What is a Hydrocele? Who does it affect

Answer 3

Fluid within the tunica vaginalis
Younger
No pain, non tender swelling

Question 4

What is a primary hydrocele associated with?

Answer 4

Associated with a patent processus vaginalis that normally resolves in the 1st year

Question 5

What is a secondary hydrocele associated with?

Answer 5

Tumour, trauma, infection

Question 6

What is the investigation and treatment for a hydrocele?

Answer 6

Ultrasound

Aspiration

Surgery if it doesn’t resolve (usually does so by itself) - placating the tunica vaginalis

Question 7

What is a varicocele

Answer 7

Dilated veins in the pampiniform plexus (varicose veins)

Left side more commonly affected

Question 8

How does a varicocele present

Answer 8

Descended scrotal blood vessels that feel like a bag of worms
Patient may experience a dull ache

Question 9

Investigation for varicocele

Answer 9

Venography

Question 10

Treatment for varicocele

Answer 10

Surgery - ligate gonadal veins

Question 11

What is a haematocele, how would you treat?

Answer 11

Blood in the tunica vaginalis

Surgery