SCROTAL ABNORMALITIES-OTHER

Question 1

Malignancy is often painless or painful

Answer 1

painless

Question 2

what two conditions must be differentiated from a tumor

Answer 2

A tense hydrocele or firm spermatocele

Question 3

dilation of the pampiniform plexus of spermatic veins and is generally left sided

Answer 3

Varicocele

Question 4

Signs and symptoms of a varicocele

Answer 4

1) Usually asymptomatic mass; some patients have mild pain.**
2) Mass is separate from testis;
3) Feels like “bag of worms,” especially in upright position.**
4) Size increased by Valsalva maneuver.
5) Right-sided varicocele should raise suspicion for inferior vena cava and intraabdominal pathology.
6) Sudden left-sided varicocele should raise suspicion for left renal vein obstruction, or renal tumor.

Question 5

collection of peritoneal fluid between the parietal and visceral layers around the testes and spermatic cord.**

Answer 5

Hydrocele**

Question 6

Signs and symptoms of a Hydrocele

Answer 6

1) Gradually enlarging painless cystic mass that transilluminates**
2) May indicate tumor

Question 7

fluid filled cyst at the head of the epididymis that may contain nonviable sperm**

Answer 7

Spermatocele**

Question 8

Signs and symptoms of a Spermatocele

Answer 8

1) Painless**
2) Palpated as distinct from the testis
3) Typically transilluminates as cystic in nature

Question 9

Imaging for any of the covered abnormalities under the other category

Answer 9

Ultrasound is diagnostic imaging of choice for scrotal and testicular abnormalities

Question 10

Follow up for any of the covered abnormalities under the other category

Answer 10

Patients with newly diagnosed testicular enlargement or mass lesions should be urgently referred to an Urologist.