Testicular Disorders Flashcards
(21 cards)
What is the status of testicular tumors vs extratesticular tumors?
ET: Benign
TestL Malignant
What is the name of the deformity that pre-disposes someone to Test Torsion?
Bell Clapper Deformity
What is the most sensitive test for testicular torsion?
Lack of cremasteric reflex
also US with doppler
What is the Tx of Test torsion?
Surgically Untwist testicle and anchor to the correct location
What is the cause of Epididymitis?
STDs in younger men
Bacterial GU infection in older men
What is the Tx of Epididymitis?
Scrotal support
What is Fournier’s Gangrene?
Fsciitis of Scrotum, groin and perineum
Imm compromised or diabetic pts
What is the Clinical Presentation of Fournier’s gangrene?
Diffuse enlargement, erythema of scrotal wall, necrotic, or ecchymotic patches
High rate of sepsis
What is the Tx of Fournier’s gangrene?
Broad spec Abtx covering aerobic and anaerobic organisms
Repeated surgical drainage
What is a hydrocele?
Fluid collection between parietal and visceral layers of the tunica vaginalis
Painless and transiluminates
What is a sign of Congenital or infant hydrocele?
Fluctuates throughout the day
Tx by high ligation of the hernia sack
How is Adult or acquired Hydrocele treated?
Only if painful
Incision in scrotum. take out hydrocele and close up
WHat is the sign of a spermatocele?
A double testicle sign from having a fluid buildup behind the testicle
What is a varicocele?
Abnormal dilation of veins with bad valves and can cause infertility. More common on the left side
What can happen in trauma to the testicle?
Rupture of the tunica albuginea in blunt trauma
Causes a hematocele
What are the consequences of Cryptorchidism?
Infertility
Testicular Cancer
Hernia
Torsion
What is the local presentation of Testicuar cancer?
Painless mass, swellng, firm, heavy. Pain from bleed or infarct
What is the US finding of testicle on ultrasound?
Heterogeneous appearance
What are the tumor markers of a testicular tumor?
AFP, BhCG, LDH
Obtain prior to Tx
Resolves after orchiectomy
What is the Tx of a testicular tumor?
Radical orchiectomy by inguinal approach.
Where does testicular cancer mets to?
Retroperitoneal nodes
