Scrotal Masses Flashcards
What are the different types of acquired secondary hydrocele a?
- Testicular Torsion
- Acute epididymitis
- scrotal trauma
- testicular tumour
Give 3 clinical features of a hydrocele?
- Painless swelling
- transilluminates
- You can feel the pubic tubercle
What are the hydrocelectomy procedures called?
Lords procedure and Jaboulay procedure
What is the differential diagnosis of a hydrocele?
Epididymal Cyst or Spermatocele
Epididymal cyst occur in which part in relation to the Testis
•posterior or superior
Which side do varicoceles occur?
Left
Define oligospermia
Decreased sperm count
Asthenospermia
Decreased motility
Varicolecele Definition:
The dilatation of the pampiniform plexus of the spermatic cord
What is the nutcracker effect?
When the Aorta or the Superior Mesenteric Artery occlude the Left Renal Vein
Define anoxia
Extreme form of hypoxia
Name two acute painful scrotum
Epididymitis
Testicular torsion
What is Prehns sign
You lift the testicle and if the pain is relieved then it is definitely Epididymitis
What two organisms cause Epididymitis?
Nesseria gonorhea and Chlamydyia
Orchitis
Infection of testicles themselves
Bell clapper deformity
Is when the tunica vaginalis joins the spermatic cord higher than usual and leads to the testis being able to rotate
Name two clinical signs of testicular torsion
- Nausea and Vomiting
- Acute pain
- swelling after an hour of pain
- abdominal pain
Mx for Testicular Torsion:
Manual Retorsion
Surgery
If testis dead then remove +prosthesis
