The Male Pelvis Flashcards
What is an appendix vas?
The testicular appendage located between the body and tail of the epididymis
Bell clapper deformity
The condition in which the patient lacks the normal posterior fixation of the testis and epididymis to the scrotal wall
Blue dot appearance
The appearance of a torsed testicular appendage that can be observed as a blue dot just under the skins surface
What muscle raises the testicles?
Cremaster
What tube connects the epididymis to the seminal vessels?
Vas deferens
What structure stores sperm?
Epididymis
Where are hydroceles usually found?
Between the two layers of the tunica vaginalis
Klinefelter syndrome:
A condition where a male has an extra X chromosome; characteristic features include small testicles, infertility, gynecomastia, long legs and abnormally low intelligence
What structure separates the scrotum into 2 compartments?
Median raphe
What’s the most common location for prostate cancer?
Peripheral zone
Network of tubules that carry sperm from the seminiferous tubules to the epididymis?
Rete testis
What structure is responsible for spermatogenesis?
Seminiferous tubules
What’s the most common malignant neoplasm of the testicle?
Seminoma
Most common site for BPH?
Transitional zone
Innermost layer of the scrotum?
Tunica albuguinea
Double layer serous coatings on the testis?
Tunica vaginalis
Verumontanum
Area within the prostatic urethra at which the ejaculatory ducts meet the urethra
Are testicles endocrine or exocrine glands:
Both
Chronic testicular torsion is torsion for longer than
10days
What’s the most common cause of acute pain in a prepubescent male?
Torsion of an appendix testicle
Most common cause of (correctable) infertility?
Varicocele
Primary vs secondary varicoles
Primary is on the left
Secondary is on the right and is associated with hydronephrosis, hepatomegaly or a neoplasm
What’s the most common cause of acute testicular pain in adults?
Epididymitis
What’s the most common cause of epididymitis in younger men?
Chlamydia
Why may someone get a testicular abscess?
Usually if they leave epididymoorchitis untreated
What does a testicular abscess appear as sonographically?
A complex intratesticular mass that has no internal flow centrally, but increased flow around it’s margins
Most of the testicular malignancies are ______ _____ in origin.
Germ cell
What are the 2 lab values that are helpful in differentiating malignant vs benign testicular masses?
AFP
hCG (usually seen 60% of the time with malignancies)
What age range do we typically see seminomas?
30-50yrs of age
What are the symptoms of prostate cancer?
Elevated PSA, enlarged prostate, blood in urine/semen, back/pelvic/hip/thigh pain, impotence, and decrease in the amount of ejaculated fluid
Most common cancer found in men?
Prostate
What’s the most common sonographic appearance of a seminoma?
Hypoechoic
no calcifications
