Scrotal Masses

Question 1

What are the different types of acquired secondary hydrocele a?

Answer 1

• Testicular Torsion
• Acute epididymitis
• scrotal trauma
• testicular tumour

Question 2

Give 3 clinical features of a hydrocele?

Answer 2

• Painless swelling
• transilluminates
• You can feel the pubic tubercle

Question 3

What are the hydrocelectomy procedures called?

Answer 3

Lords procedure and Jaboulay procedure

Question 4

What is the differential diagnosis of a hydrocele?

Answer 4

Epididymal Cyst or Spermatocele

Question 5

Epididymal cyst occur in which part in relation to the Testis

Answer 5

•posterior or superior

Question 6

Which side do varicoceles occur?

Answer 6

Left

Question 7

Define oligospermia

Answer 7

Decreased sperm count

Question 8

Asthenospermia

Answer 8

Decreased motility

Question 9

Varicolecele Definition:

Answer 9

The dilatation of the pampiniform plexus of the spermatic cord

Question 10

What is the nutcracker effect?

Answer 10

When the Aorta or the Superior Mesenteric Artery occlude the Left Renal Vein

Question 11

Define anoxia

Answer 11

Extreme form of hypoxia

Question 12

Name two acute painful scrotum

Answer 12

Epididymitis

Testicular torsion

Question 13

What is Prehns sign

Answer 13

You lift the testicle and if the pain is relieved then it is definitely Epididymitis

Question 14

What two organisms cause Epididymitis?

Answer 14

Nesseria gonorhea and Chlamydyia

Question 15

Orchitis

Answer 15

Infection of testicles themselves

Question 16

Bell clapper deformity

Answer 16

Is when the tunica vaginalis joins the spermatic cord higher than usual and leads to the testis being able to rotate

Question 17

Name two clinical signs of testicular torsion

Answer 17

• Nausea and Vomiting
• Acute pain
• swelling after an hour of pain
• abdominal pain

Question 18

Mx for Testicular Torsion:

Answer 18

Manual Retorsion
Surgery
If testis dead then remove +prosthesis