Disorders and Anomalies of Scrotal Contents Flashcards Preview

Nelson: Urologic Disorders > Disorders and Anomalies of Scrotal Contents > Flashcards

Flashcards in Disorders and Anomalies of Scrotal Contents Deck (36):
1

Cryptorchidism

Undescended testis

2

MC disorder of sexual differentiation in boys

Cryptorchidism

3

Testicular descent occurs when

7-8m AOG

4

___% of premature male infants have undescended testis

30%

5

Majority of undescended testes descend spontaneously when

During the first 3 months of life

6

If the testis has not descended by ___ it will remain undescended

4 months

7

T/F Risk of germ cell malignancy in an undescended testis is 2-4x higher than in the general population

T

8

T/F Risk of germ cell malignancy in bilateral undescended testes is higher than with a unilateral undescended testis

T

9

MC tumor developing in an undescended testis in an adolescent or adult

Seminoma (65%)

10

T/F Contralateral testicular hypertrophy is 100% diagnostic that a testis is absent

F, not 100% but is a soft sign

11

Congenital undescended testis should be treated surgically not later than

9-15 mos of age

12

Hormonal treatment is INFREQUENTLY used for undescended testis but what hormone may stimulate testicular descent

HCG, stimulates Leydig cell production of testosterone or LHRH

13

Torsion is the MCC of testicular pain in boys of what age

22 yrs and older

14

Torsion is uncommon in what age group

Before 10y/o

15

Torsion is caused by

Redundant tunica vaginalis resulting in inadequate fixation of the testis (bell clapper deformity)

16

Within ___ hours, absent of blood flow to the testis, irreversible loss of spermatogenesis can occur

4-6

17

Testicular torsion can be differentiated from incarcerated since ___ is absent with torsion

Swelling in the inguinal area

18

T/F Cremasteric reflex is nearly always absent with torsion

T

19

T/F Manual detorsion may be attempted with testicular torsion

T, if pain duration is <4-6 hours

20

Treatment for testicular torsion

Prompt surgical exploration and detorsion

21

If the testis is explored within ___, up to 90% of the gonads survivce

6 hours of torsion

22

T/F Fertility is reduced in men with a history of spermatic cord torsion in adolescence, irrespective of whether detorsion or orchiectomy is performed

T

23

MCC of testicular pain in boys 2-10y/o

Torsion of appendix testis (rare in adolescents

24

Varicocele is a congenital condition in which there is an abnormal dilation of the

Pampiniform plexus

25

MC and virtually the only surgically correctable cause of subfertility in men

Varicocele

26

Varicocele that might indicate an abdominal or retroperitoneal mass

Boy <10 OR located on the right

27

T/F Varicocele is typically a PAINLESS paratesticular mass

T

28

Described as a bag of worms

Varicocele

29

Grades of varicocele

Examined with the boy standing: Gr 1 palpable only with valsalva, Gr 2 palpable without valsalva but is not visible on inspection, Gr 3 visible with inspection

30

Gole of varicocelectomy

Maximize chances of fertility

31

Hydrocele is accumulation of fluid in the

Tunica vaginalis

32

T/F in most cases, varicocele is noncommunicating

T, procesus was obliterated during development

33

T/F Fluid of hydrocele disappears spontaneously by what age

1y/o

34

If there is a persistently patent processus, how does the hydrocele present as

Becomes progressively larger during the day and small in the morning

35

Long-term risk of a communicating hydrocele

Development of an inguinal hernia

36

Confirms the fluid-filled nature of the hydrocele

Transillumination of the scrotum