Urological Condition Overview Flashcards
1
Q
Hydrocoele
- pathophysiology
- presentation
- diagnosis
- management
A
Accumulation of fluid in tunica vaginalis
- communicating - common in newborn males
- non communicating - excess fluid prod within tunica vaginalis
Presentation
- soft, non tender swelling confined to scrotum
- transillumates
- difficult to palpate testes
Diagnosis - clinical but can use US if in doubt
Management
- infants - surgical repair if no resolution in 2 years
- adults - conservative
2
Q
Epididymal cysts
- pathophysiology
- presentation
- associated conditions
- diagnosis
- management
A
Most common fluid filled benign swelling
Associated with PKD, CF, von HippelLindau
Separate from body of testicle
Diagnosis confirmed with US
Management - supportive
-surgical removal for larger, symptomatic cysts
3
Q
Varicocoele
- pathophysiology
- presentation
- diagnosis
- management
A
Abnormal enlargement of testicular veins
Normally aymptomatic but can cause infertility
More common on left
Bag of worms on standing
Infertility
Diagnosis - Doppler studies
Management - conservative
-surgery if causing pain
