Testicular Lumps

Question 1

What is a Epididymal cyst

Answer 1

Fluid filled, feels slightly separate to the rest of the testis, is pea sized. Can sit at the top of the testis (Hydatid of Morgagni)

Question 2

What is a Varicocele?

What maybe associated with its presentation?

Answer 2

1/ Swelling of the veins above the testis (can be bilateral, in 85% of cases occurs on the L side - the L spermatic vein drains into the l renal vein)

associated with infertility
in older men: ?Renal tumor blocking the spermatic vein

Question 3

What is a Hydrocele?

Answer 3

painless enlargement of the scrotum, may require drainage if getting large/heavy/pain

Question 4

1/ Teratomas occur in which age group?

2/ seminomas occur in which age group?
Ref: BMJ on examination

Answer 4

1/ 20-30yr olds

2/ 30-50yr olds