Pathology of scrotum and foreskin Flashcards Preview

Urogenital system > Pathology of scrotum and foreskin > Flashcards

Flashcards in Pathology of scrotum and foreskin Deck (19):
1

Hydrocele

Accumulation of fluid within the tunica vaginalis
• Congenital hydrocele - peritoneal cavity descends into the scrotum so fluid from abdomen builds up
• Acquired hydrocele - fluid accumulates within the tunica vaginalis as a result of trauma or infection

2

Characteristics of a hydrocele

• Attached to the testes
• Transilluminate
• Able to feel above the lump

3

Management of hydrocele

Aspiration

4

Varicocele

• Dilation of veins called the pampiniform plexus
• Usually on left side
•Feels like bag of worms

5

Characteristic of varicocele

Disappears on lying down
Seperate from testes

6

Epididymal cyst

swelling felt in scrotum filled with fluid
• caused by obstruction of epididymal duct

7

Spermatocele

Cyst but contains sperm

8

Characteristic of epididymal cyst/Spermatocele

• Transilluminant
• Painless
• Seperate from testes

9

Epididymitis/orchitis

• Infection of testes and epididymis
• Infection from chlamydia
• Pain during urination
• If spread to testes, orchitis

10

Characteristic of epididmytis/orchitis

• Tender
• Painful swelling like torsion but a more gradual onset

11

Inguinal hernia

• COUGH IMPULSE
• NON transilluminable
• Unable to feel above it

12

Acute testicular torsion

• Testes rotates and occludes its own blood supply
• Acute onset of testicular pain, vomitting and abdominal pain
• Doppler ultrasound for diagnosis

13

Torsion of appendix of testes

• testicular appendix is remnant of mullerian duct
• Mimics testicular torsion but stakes are not that high at all

14

Testicular tumor characteristic

• Inflammation, swelling, tenderness
• Acute onset of the symptoms differentiates it from epididmytis which has gradual onset

15

Testicular tumor pathophys

• Increased risk of testicular cancer in undescended testes
• Germ cell tumors mostly

16

IF TESTES IS SEPERATE FROM LUMP

1. Epididymal cyst - transilluminates
2. Varicocele - disappears when patient lies down

17

IF TESTES IS ATTATCHED TO LUMP

1. Hydrocele - no cough impulse, transilluminates
2. Tumor

18

CANT FEEL ABOVE IT

1. Hydrocele of chord - transillunates
2. Indirect inguinal hernia - has a cough impulse and does not transilluminate

19

Clincial presentation of testicular cancer

1. Soild, painless lump
2. May have painful swollen testes
3. History of trauma
4. Back pain/bone pain from metastasis