Scrotal Swelling

Question 1

What is Testicular Torsion

Answer 1

The testes twist in a way that compromises the blood flow, it is a surgical emergency

Question 2

Predisposing factors to testicular torsion?

Answer 2

Straining on sexual activity, sudden cremasteric muscular contraction

Question 3

Clinical features of torsion

Answer 3

Tender testes, sudden agonizing pain,

Question 4

Investigation for Torsion?

Answer 4

Doppler US as it confirms the absence of blood supply to the torsion’d testis.

Question 5

What is Varicocele

Answer 5

Testes vein congestion

Question 6

Varicocele presentation

Answer 6

Bag of worms texture, affected ballsack hangs lower, cough impulse

Question 7

Varicocele grading

Answer 7

Grade 1 being not palpable, 2 being palpable, 3 being very visible.

Question 8

Varicocele treatment of choice

Answer 8

Surgical ligation of the testicular veins

Question 9

What’s the downside of the Varicocele treatment?

Answer 9

Could recur after surgery

Question 10

What’s the common differential diagnosis of testicular pathologies

Answer 10

Epididymo-orchitis

Question 11

Clinical features of Hydrocele

Answer 11

Trans Illuminating swelling

Question 12

Hydrocele treatment of the sac is thin-walled?

Answer 12

Lords Plication.

Question 13

Eversion of the sac in Hydrocele is also a surgical option, what is it called?

Answer 13

Jaboulay’s procedure

Question 14

What is Epiddymo-orchitis

Answer 14

Epididymis inflammation

Question 15

Epididymo-orchitis causes

Answer 15

STD, UTI.

Question 16

Epidymo-orchitis investigation

Answer 16

US and urine urethral swab

Question 17

Epididymo-orchitis treatment

Answer 17

Antibiotics and avoid unprotected sex