9. Miscellaneous Male

Question 1

Answer 1

Calcified Vas Deferens

Question 2

You can see Calcified Vas Deferens in

Answer 2

Bad Diabetics

Question 3

Midline MAle Pelvic Cysts

Answer 3

Prostatic Utricle
Mullerian Duct cyst
Ejaculatory Duct cyst

Question 4

Lateral MAle Pelvic Cysts

Answer 4

Seminal vesicle
Diverticulosis of the ampulla of vas deferens

Question 5

Congenital Seminal Vesicle cyst associations

Answer 5

POLYCYSTIC KIDNEY DISEASE
Renal Agenesis
Vas deferens agenesis
Ectopic ureter Insertion

Question 5

Answer 5

Seminal Vesicle Cyst

“unilateral cyst that is lateral to the prostate”

Question 6

Acquired Seminal Vesicle cyst associations

Answer 6

Obstruction often from prostatic hypertrophy, or chronic

Classic history is prior prostate surgery

Question 7

Answer 7

Prostatic Utricle Cyst

“a focal out-pouching from the prostatic urethra.”

Question 8

remnant of the Mullerian duct

Answer 8

Prostatic Utricle Cyst

This represents a focal dilation in the prostatic urethra

Question 9

Most common associated condition of PRostatic Utricle cyst - which makes sense given the relationship with the urethra.

Answer 9

Hypospadias

Question 10

This represents a failed regression of the caudal ends of the Mullerian ducts (male equivalent of the vagina / cervix).

Answer 10

Mullerian Duct Cyst

Does not communicate with the urethra and does not have the same associations as utricle cyst.

Question 11

Midline Pelvic Cyst + Pear Shaped + No extension above the baase of the prostate + communicates with the urethra + Opacify on RUG =

Answer 11

Utricle Cyst

Question 12

Miline Pelvic Cyst + Tear Drop + Extends ABOVE the base of the prostate + No urethral comminucation = No RUG opacification =

Answer 12

Mullerian Cyst

Question 13

What structures are twisted in testicular torsion?

Answer 13

Testis and spermatic cord in serosal space = ischemia

Question 14

Answer 14

Normal

Question 15

Answer 15

Abdnormal: Loss of diastolic Flow

Question 16

Answer 16

Abnormal: Reversal of Diastolic Flow

Question 17

Answer 17

Abnormal: Monophasic

Question 18

Testicular torsion has 3 possible patterns:

Answer 18

1. Classic Absence of Arterial
2. High resistance arterial flow (with decreased or reversed diastolic flow)
3. Monophasic arterial waveform (Loss of the normal dicrotic notch)

Fuckery: We are talking about testicular artery wave forms here. The normal cremasteric artery will not have diastolic flow (think about that thing as the artery to a muscle) - it’s normally high resistance.

Question 19

an abnormal high attachment of the tunical vaginalis

Answer 19

“bell-clapper deformity”

Question 20

If torsion demonstrates decreased flow, it is useful to have an idea about what can demonstrate increased flow (decreased R.I. or increased diastolic flow)

Two thinks worth thinking

Answer 20

1. Epididymo-orchitis - painful
2. Detorsion - pain free

Question 21

most common cause of acute onset scrotal pain in adults

Answer 21

Epididymitis

mostly epididymal head

Question 22

Most common loacation of epididymitis

Answer 22

Tail

Question 23

Classic appearnace of Testicular TB

Answer 23

Multiple small dark (hypoechoic) nodules in enlarged testis

Question 24

Disrupted tunica albuginea
heterogenous testicle
poorly defined testicular outlin

Answer 24

Testicular rupture

Question 25

Intact tunica albuginea
linear hypoechoic band across the parenchyma of the testicle
well defined testicular outline.

Answer 25

TEsticular fracature