Scrotal Lumps Flashcards
1
Q
What is a hydrocele and how might it present?
A
fluid within the tunica vaginalis
- Non painful, soft fluctuant swelling
- Often possible to ‘get above it’ on examination
- On examination testis is tender and pain not eased by elevation
- Urgent surgery is indicated, the contra lateral testis should also be fixed
2
Q
What is a varicocele?
A
- Dilated testicular veins of pampinoform plexus
- Typically occur on left (because testicular vein drains into renal vein)
- May be presenting feature of renal cell carcinoma
- Affected testis may be smaller and bilateral varicoceles may affect fertility
3
Q
What organism is commonly responsible for Acute epididymo-orchitis ?
A
Chlamydia trachomatis and Neisseria gonorrhoeae
4
Q
How can epididymo-orchitis commonly present?
A
acute pain and swelling after urological intervention e.g cytoscopy
5
Q
What viral infection is Orchitis a/w?
A
Mumps
6
Q
Features of inguinoscrotal hernia
A
- If inguinoscrotal swelling; cannot ‘get above it’ on examination
- Cough impulse may be present
- May be reducible
7
Q
Features of testicular tumours
A
- Often discrete testicular nodule (may have associated hydrocele)
- Symptoms of metastatic disease may be present
- USS scrotum and serum AFP and β HCG required
