Flashcards in lumps in groin Deck (23)
state some causes of lumps in the groin and scrotum?
where do epididymal cysts usually occur?
lie above or behind testis
what is a varicocele?
dilated veins of pampiniform plexus
what would a varicocele feel like in the stroctum?
bag of worms
can varicocele affect fertility ?
- can cause oligospermia
what side does primary varicocele happen on?
what surgery can be done for varicocele ?
testicular vein clipping
what is a sperm granuloma ?
painful lump of extravascular sperm after vasectomy
what is a complication of vasectomy?
within what membrane is hydrocele held?
what investigation can be done for hydrocele ?
- to exclude tumour
state some causes of secondary hydrocele?
what are the two surgeries for hydrocele ?
do all hydrocele require surgery?n
- some resolve spontaneously
what does lords repair consist of ?
plication of the sac
what does jayboulays repair consist of ?
eversion of the sac
what is a disadvantage of aspirating hydroceles?
state three causes of epididymo-orchitis
STI -chlamydia, gonorrhoea
what is the presentation of epididymo-orchitis ?
Sudden onset tender swelling
what bloods should be done for epididymo-orchitis ?
FBC and CRP
what investigations should be done for epididymo-orchitis ?
Blood: FBC, CRP
Urine: dip, MC+S (fist catch may be best)
Urethral swab and STI screen
what is a complication of epididymo-orchitis?