25. Scrotal Mass

Question 1

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Question 2

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Question 3

Outline a diagnostic approach to a scrotal mass?

Answer 3

A cautious but wise maxim is to consider any acutely swollen and tender scrotum as testicular torsion until proven otherwise. As this condition rapidly progresses to irreversible testicular ischaemia, it must be treated as an emergency.

Question 4

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Question 5

Are you aware of any risk factors for testicular tumour?

Answer 5

The single biggest risk factor is a history of undescended or maldescended testes. As many as 10% of patients will give a history of orchidoplexy (surgical placement of the testis within the scrotum).

Question 6

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Question 8

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Question 9

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Question 10

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Question 11

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Question 12

Why is radical orchidectomy performed via an inguinal incision rather than a scrotal incision?

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Question 13

Does orchidopexy reduce the cancer risk of previusly undescended testes?

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Question 14

What are the most common types of testicular tumours?

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Question 15

Are varicoceles more common on the left or right? Why is this?

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Question 16

What might you consider if a left-sided varicocele appears suddenly in a previously normal scrotum?

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Question 17

Which pathogens are most likely to cause epididymo-orchitis in patients under 35yrs and those over 35yrs??

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Question 18

Which pathogen might you consider in a boy who presented to his GP with a swelling adjacent to the angle of his jaw 8 days ago, and now presents with a swollen testis?

Answer 18

Question 19

What is idiopathic scrotal oedema?

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