testis Flashcards
what happens in testicular torsion
spermatic cord rotates within the tunica vaginalis, compromises blood supply as tunica albuginae cannot expand
PC of testicular torsion
sudden onset unilateral pain!!, N+V, swollen and high lie of the testicle, negative prehn sign, negative cremasteric reflex
Mx of torsion
bilateral orchidopexy
RF of torsion
cryptorchidism, FHX, bell clapper
how does a sorted hydatid or morgagni present (embryological remnant-appendage of testis)
similar symptoms, blue dot sign
features of a hydrocele (fluid within the tunica vaginalis)
Painless, transilluminates.
causes of hydrocele
trauma, infection, malignancy
Ix for hydrocele
US to look for underlying cause
which side does varicocele (dilation of pampiniform plexus) occur
L (drainage via plexus –> testicular vein –> left renal vein –> IVC)
how does varicocele present
lump/dragging sensation
does epididymal cyst (smooth, fluctuate nodule above testis) need Tx?
no
what allows for inguinal hernia
patent ductus vaginalis
how would a testicular cancer lump feel different
irregular and hard
are epididymal cysts attached or separate to the testis
separate
afferent branch of cremasteric reflex
femoral branch of the genitofemoral nerve
