7. Epididymal Cysts and spermatocele

Question 1

Epididymal Cysts

Answer 1

1. Note
2. ETIOLOGY
3. PATHOLOGY
4. CLINICAL PICTURE
5. Differential Diagnosis
6. TREATMENT

Question 2

Note about Epididymal Cysts

Answer 2

They are multiple cysts not just one cyst

Question 3

ETIOLOGY of Epididymal Cysts

Answer 3

1 Obscure etiology

2. They are degenerative cysts of the vestigial embryonal remnants (Remnant of mesonephric tubules)

Question 4

Remnant of mesonephric tubules in ETIOLOGY of Epididymal Cysts

Answer 4

1. Paradidymis.

2. Appendix of the epididymis

Question 5

PATHOLOGY of Epididymal Cysts

Answer 5

1. They are multi-locular

2. Filled with crystal clear fluid

Question 6

CLINICAL PICTURE of Epididymal Cysts

Answer 6

1. Symptoms

2. Examination

Question 7

Symptoms in CLINICAL PICTURE of Epididymal Cysts

Answer 7

Painless swelling of the scrotum.

Question 8

Examination in CLINICAL PICTURE of Epididymal Cysts

Answer 8

Swelling with the following criteria :

1. Site
2. Size
3. Shape
4. Edge
5. Surface
6. Consistency
7. Special character

Question 9

Site of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

Answer 9

Purely scrotal lying just above and behind the testis

Question 10

Size of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

Answer 10

variable

Question 11

Shape of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

Answer 11

Globular

Question 12

Edge of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

Answer 12

Well defined

Question 13

Surface of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

Answer 13

1. Multi-locular

2. Feel like a tiny bunch of grapes

Question 14

Consistency of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

Answer 14

Tense cystic.

Question 15

Special character of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

Answer 15

1. Brilliantly translucent with numerous septae &
   tessellated
2. Giving the Chinese lantern appearance.

Question 16

Meaning of tessellated in Special character of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

Answer 16

repeated use of a single shape, without gaps or overlapping.

Question 17

Chinese lantern appearance in Special character of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

Answer 17

1. Meaning

2. Pathogenesis

Question 18

Meaning of Chinese lantern appearance in Special character of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

Answer 18

Mesba7 el seny we feeh ketabat

Question 19

Pathogenesis of Chinese lantern appearance in Special character of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

Answer 19

Due to numerous septa

Question 20

Differential Diagnosis of Epididymal Cysts

Answer 20

1. Spermatocele.
2. Encysted hydrocele of the cord
3. Vaginal hydrocele

Question 21

The main difference between Epididymal Cysts and Encysted hydrocele of the cord in Differential Diagnosis of Epididymal Cysts

Answer 21

There is NO gap between the swelling & the testis in case of Epididymal Cysts

Question 22

The main difference between Epididymal Cysts and Vaginal hydrocele in Differential Diagnosis of Epididymal Cysts

Answer 22

The testis is palpable in case of Epididymal Cysts

Question 23

TREATMENT of Epididymal Cysts

Answer 23

Management of

1. Most epididymal cysts
2. Epididymal cysts causing discomfort

Question 24

Management of most epididymal cysts in TREATMENT of Epididymal Cysts

Answer 24

Deserve no treatment

Question 25

Management of epididymal cysts causing discomfort in TREATMENT of Epididymal Cysts

Answer 25

Excision after Warning of the patient

Question 26

Warning of the patient in Management of epididymal cysts causing discomfort in TREATMENT of Epididymal Cysts

Answer 26

The patient must be warned that excision may interfere with the export of sperms from the testes on the affected side.

Question 27

Spermatocele

Answer 27

1. ETIOLOGY 2. PATHOLOGY 3. CLINICAL PICTURE 4. TREATMENT

Question 28

ETIOLOGY of Spermatocele

Answer 28

It is a retention cyst derived from the tubules of the vasa efferentia

Question 29

PATHOLOGY of Spermatocele

Answer 29

1. It is uni-locular | 2. Contains spermatozoa which make the fluid resembles barley water in appearance

Question 30

Meaning of barley water in appearance in PATHOLOGY of Spermatocele

Answer 30

Make it dimly transulent

Question 31

CLINICAL PICTURE of Spermatocele

Answer 31

1. Symptoms | 2. Examination

Question 32

Symptoms in CLINICAL PICTURE of Spermatocele

Answer 32

1. a painless small scrotal swelling or 2. Sometimes very large & the patient thinks that he has a third testis

Question 33

Examination in CLINICAL PICTURE of Spermatocele

Answer 33

As epididymal cyst but : 1. It is dimly translucent 2. It is uni-locular.

Question 34

TREATMENT of Spermatocele

Answer 34

Management of 1. Small spermatocele 2. Large spermatocele causing discomfort

Question 35

Management of Small spermatocele in TREATMENT of Spermatocele

Answer 35

Can be ignored.

Question 36

Management of Large spermatocele in TREATMENT of Spermatocele

Answer 36

Excision after Warning of the patient

Question 37

Warning of the patient in Management of Large spermatocele in TREATMENT of Spermatocele

Answer 37

The patient must be warned that excision may interfere with the export of sperms from the testes on the affected side.