free-downloads CSEVideos


Spot Diagnosis - Scrotal Mass

Discussion in 'Spot Diagnosis' started by neo_star, Jan 28, 2013.

  1. neo_star

    neo_star Moderator

    Joined:
    Nov 4, 2012
    Messages:
    775
    Likes Received:
    184
    Trophy Points:
    1,545
    Practicing medicine in:
    India

    -
    -
    Mr X presented with infertility & examination revealed a painless scrotal mass.

    the surgeons graciously allowed a photo op during surgery ....


    mass attachesd to testis.jpg

    Can you identify what the mass represents ?
     

    Add Reply

  2. Roholamin

    Roholamin Active member

    Joined:
    Jan 25, 2013
    Messages:
    12
    Likes Received:
    3
    Trophy Points:
    35
    Practicing medicine in:
    Iran
    Spermatocele (Epididymal Cyst)
     

    neo_star likes this.
  3. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

    Joined:
    Jul 28, 2012
    Messages:
    839
    Likes Received:
    38
    Trophy Points:
    1,245
    Gender:
    Male
    Practicing medicine in:
    Czech Republic
  4. neo_star

    neo_star Moderator

    Joined:
    Nov 4, 2012
    Messages:
    775
    Likes Received:
    184
    Trophy Points:
    1,545
    Practicing medicine in:
    India
    Answer: Spermatocele

    Spermatocele (/spɜrˈmætəsiːl[SUP]/[/SUP]) is a retentioncyst of a tubule of the rete testis or the head of the epididymis distended with barely watery fluid that contains spermatozoa. Spermatoceles are the most common cystic condition encountered within the scrotum.They vary in size from several millimeters to many centimeters. Spermatoceles are generally not painful. However, some men may experience discomfort from larger spermatoceles. They are harmless.

    Aetiology



    1. Spermatoceles can originate as diverticulum from the tubules found in the head of the epididymis. Sperm formation gradually causes the diverticulum to increase in size, causing a spermatocele. They are due to continuity between the epididymis and tunica vaginalis.
    2. They are also believed to result from epididymitis or physical trauma. Scarring, of any part of the epididymis, can cause it to become obstructed and may form a spermatocele. It can also result from vasectomy.

    Diagnosis


    Spermatoceles can be discovered as incidental scrotal masses found on physical examination by a physician. They may also be discovered by self-inspection of the scrotum and testicles.
    Finding a painless, cystic mass at the head of the epididymis, that transilluminates and can be clearly differentiated from the testicle, is generally sufficient. If uncertainty exists, ultrasonography of the scrotum can confirm if it is spermatocele.

    If an individual finds what they suspect to be a spermatocele, they are advised to consult a urologist.

    Treatment


    Small cysts are best left alone, as are larger cysts that are an asymptomatic condition. Only when the cysts are causing discomfort and are enlarging in size, or the patient wants the spermatocele removed, should a spermatocelectomy be considered. Pain may persist even after removal.

    Spermatocelectomy can be performed on an outpatient basis, with the use of local or general anesthesia.
    A spermatocelectomy will not improve fertility.

    (Y)
     

Share This Page

<