SCROTOLOGY - PowerPoint PPT Presentation
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Title:
SCROTOLOGY
Description:
LUMPS Testicular cancer Epididymal cyst Orchitis/epididymitis Hydrocele Varicocele Hernia Microcalcification of testes Skin/subcutaneous scrotal lesions Post ... – PowerPoint PPT presentation
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Title: SCROTOLOGY
1
SCROTOLOGY
2
LUMPS
- Testicular cancer
- Epididymal cyst
- Orchitis/epididymitis
- Hydrocele
- Varicocele
- Hernia
- Microcalcification of testes
- Skin/subcutaneous scrotal lesions
- Post vasectomy granuloma
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- Testicular Cancer
- Painless (not always) discrete hard irregular
swelling - Confined to or replacing testis
- Germ cell, act quickly
- GP can order AFP, bHCG whilst referring
- Ultrasound
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- Epididymal cysts
- Cystic lump separate from testis
- Benign (reassure avoid operation)
- Epididymitis / orchitis
- Acute painful swelling, very tender, scrotum hot
- UTI associated with Bladder Outflow Obstruction
- STDs (Chlamydia)
- Mumps (2-3 infertility rate)
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Acute Epididymo - Orchitis
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Testicular Tumour
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- Varicocele A bag of worms
- Benign condition, rarely associated with renal
tumour - May be associated with infertility
- Management depends on symptomatology
- Conservative Embolisation Surgery
- Recurrence rate high
- Monitor in young boys as may affect test. growth
- Hydrocele Avocado shaped swelling
- Swelling of hemi scrotum, testicle may be
impalpable (caution) - Transilluminates, generally painless, you can get
above it - Ultrasound to confirm normal testis
- Testicular torsion If Suspected, dont
procrastinate - Emergency exploration within 4 hours
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LUMPS
- Hernia
- Microcalcification of testes
- Follow up sometimes needed
- Skin/subcutaneous scrotal lesions
- Post vasectomy granuloma
- 10-15 chronic pain after vasectomy
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