testicle disorders Flashcards
(31 cards)
most solid testicular masses are____, whereas most extratesticular masses are____
malignant; benign
testicular torsion is when testes undergo_____ on the _____within the _____
when testes undergo medial rotation on the spermatic cord withing the tunica vaginalis
testicular torsion is most common in what age grp?
adolescents
what is the the bell clapper deformity?
inappropriatey high fixation of tunica vaginalis
what does bell clapper deformity predispose someone to?
torsion
how to tx testicular torsion
urgent surgery
when is orchectomy done?
when the vascular supply has already died to that teste
what is orchiopexy?
testicular fixation to overlying fascia
when to perform contralateral orchioplexy?
when predisposing bell clapper deformity present
how to tx blue dot sign
resolves with antiinflammatories
in younger men, ___are likely cause of infectious epidydmitis, and in older men, it is____
STDs; bacterial GU infxn
what should you do to confirm blood flow in epididymitis?
scrotal U/S
fasciitis of scrotum, groin, perineum
fourniers gangrene
fourniers gangrene is seen in what type of patients?
immunocompromised; diabetics
diffuse enlargement of scrotum, thickening of wall, necrotic black patches, crepitus on palpation
fourniers gangrene
fluid collection b/w parietal & visceral layers of the tunica vaginalis surrounding the testicle
hydrocele
peritoneal fluid passes freely b/w peritoneal cavity and scrotum thru patent processus vaginalis
congenital or infant hydroceles
tx of congenital or infant hydroceles
high ligation of the hernial sac
tx of acquired or adult hydrocele
surgical drainage
what type of hernia: loops of bowel in the scrotum
inguinal hernia
painless cystic mass with spermatozoa in it
spermatocele
abnormal dilation of veins in pampiniform plexus of the spermatic cord due to elevated venous pressure or incompetent valves
varicocele
most common cause of male infertility
varicocele
varicocele is most common on left or right side?
left side
