[의학과][비뇨기과] Scrotal Pain

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[의학과][비뇨기과] Scrotal Pain에 대한 자료입니다.
목차
1.Acute scrotal pain
2.Chronic scrotal pain
3.Testicular torsion
4.Sign and Symptom
5.Hydrocoele
6.Varicocoele
7.Testicular tumor
8.Epididymitis
9.Etiology and predisposing factors
10.Other causes
본문내용
Result of excessive fluid in tunica vaginalis
Congenital / acquired
Primary : absence of disease in testis. Tends to be large and tense. Common in young boys.
Secondary : testicular pathology - tumour, infection, and torsion
Soft non tender and cystic swelling in scrotum which transilluminates.
Testis lies within fluid collection and is not palpable
Conservative Tx. Scrotal support. Refer if symptomatic or children > 1 yr. needle aspiration, surgery


Varicose veins in the pampiniform plexus of the spermatic cord and scrotum.
Affects 15 - 20% of males.
Rare after 40yrs.
Asymptomatic found for infertility in 40 % males.
Pelvic mass compressing venous drainage of testicle
Dull ache at the end of the day or following exercise
Dragging or feeling of heaviness
Surgical intervention only if painful, infertile or testicular atrophy
Most common cancer in men ages 20 – 40
Most growths in scrotum are benign.
However take seriously painless lump in scrotum or in testicle or unexplained pain in one testis.
Presence of hydrocele
Mass is hard and does not transilluminate
Predisposing factor is hx of undescended testis
Urgent referral under 2 wk rule - tumour markers LDH, AFP and HCG
NICE GUIDELINES - Swelling or mass in body of testis. Consider urgent USS in men with scrotal mass that does not transilluminate and when body of testis cant be distinguished