Testicular problems Flashcards
Most useful investigation
US
Varicoele - definition
Varicose veins of the testis
Young man wakes up in the middle of the night with extreme sudden onset testicular pain. What is the diagnosis?
Torsion of spermatic cord
Torsion of spermatic cord - who gets it ?
Adolescents
Torsion of spermatic cord - investigation
US
Torsion of spermatic cord - management
Fixation with non absorbable sutures
Must also fix the unaffected side
Torsion of spermatic cord - management if testis is necrotic
Remove it
Blue dot sign on testis indicates what diagnosis?
Torsion of appendix testis
Epididymo orchitis - definition
Inflammation of the epididymis and/or testis
Epididymo-orchitis - cause
Infection
Epididymo-orchitis - management
Analgesia
Ofloxacin for 14 days (this is a quinolone)
Paraphimosis
tight foreskin
- often happens after the foreskin has been retracted nd is not replaced in its natural position
Priapism
Prolonged erection for over 4 hours in the absence of sexual stimulation
Low flow priapism
Venous
Ischaemic
Vascular stasis in the penis and decreased venous outflow
Low flow priapism - investigations
aspirate blood
- dark, low O2, high CO2
US
