urethra, penis and scrotum part 1 Flashcards Preview

Renal and Urological Conditions > urethra, penis and scrotum part 1 > Flashcards

Flashcards in urethra, penis and scrotum part 1 Deck (42)
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1

what is an epididymal cyst ?

An epididymal cyst, is a collection of spermatic fluid within the epididymis.

2

how may an epididymal cyst present ?

Not associated with tumours,
May present as a painless scrotal swelling.

3

How would you manage an epididymal cyst ?

Excision if significant symptoms but may re-occur

4

What is a varicocele ?

varicosities of the pampiniform plexus (i.e. spermatic vein), most commonly occurring on the left side and poor flow is more common.

5

what are the s/s of varicoceles ?

- May be asymptomatic or feel like a bag of worms on palpation when standing
Comes as a dragging sensation and ache.

6

What is the management of varicoceles with regards to the Ff:
- conservative
- surgical (2)

Conservative: scrotal support
Surgical:
1. Radiological embolisation of left vein
2. Ligation/Division of testicular veins

7

What are 2 most common causes of a Urethral Stricture ?

1. Most have an iatrogenic cause
2.traumatic catheter insertion or long-term catheterisation

8

what is a hydrocele ?

A hydrocele is a collection of fluid within the tunica vaginalis which normally sits anterior to the testis.

9

What are the congenital causes of urethral stricture

Meatal and bulbar stricture

10

State 2 trauma causes of a urethral stricture

.Straddle injury and pelvic fracture.

11

state infective cause of urethral strictures

Gonococcal/non-gonococcal urethritis,

12

State 2 other causes of urethral strictures not mentioned

Balanitis xerotica obliterans and invasive tumours.

13

Describe the presentation of urethral stricture

Obstructive voiding and filling symptoms:
Filling: increase in frequency, urgency and nocturia
Voiding: urinary retention, poor intermittent stream, hesitancy and straining

14

To differentiate between scrotal swellings:,
if you can get above it, what is it.

Tumour, hydrocele, spermatocele

15

To differentiate between scrotal swellings:,
if you cannot get above it, what is it.

hernia

16

To differentiate between scrotal swellings:
If its one lump or two, what is it ?

spermatocele and hernia

17

To differentiate between scrotal swellings:
if its not one lump or two ?

Tumour and hydrocele

18

To differentiate between scrotal swellings:
If its transilluminable, What is it?

hydrocele

19

To differentiate between scrotal swellings:
if its not transilluminable, What is it?

tumour, spermatocele and hernia

20

What is phimosis ?

Phimosis is narrowing of the pre-pupital orifice.

21

state the 2 causes of phimosis ?

1. congenital, chronic balanitis and 2.traumatic forcible retraction of the foreskin.

22

How does phimosis present in children ?

In children, it can present as poor urine stream and ballooning of foreskin.

23

How does phimosis present in Adults?

In adults, it can present with inability to retract foreskin and pain during intercourse.

23

what is paraphimosis ?

Paraphimosis is the inability to pull the foreskin forward and as a result it is trapped behind the glans.

24

what is paraphimosis associated with ?

Associated with not replacing the foreskin following urethral catheterisation or sexual intercourse.

25

What are the symptoms associated with para-phimosis ?

pain, swelling of the glans, and flaccidity proximal.

27

what is the mnemonic and the causes of a hydrocele ? 😭

TIT; tumour, infection and trauma

28

how may a hydrocele present ? 😭

It may present as a scrotal swelling with or without pain

29

what age group is TT more common in ?

Is most common in adolescents; 12-18 years old

30

what are the 2 main symptoms ?

1.Sudden, intense pain in the testes radiating to the lower abdominal pain (T10)
2.May be associated Nausea and vomiting,