Benign Benign Fibroadenoma or nonacute scrotal masses are represented by hydroceles, varicoceles, and spermatoceles. Key components to evaluation are physical exam and scrotal ultrasound. Hydroceles represent extra fluid in the tunica vaginalis Tunica vaginalis Testicles: Anatomy, leading to a swollen scrotum Scrotum A cutaneous pouch of skin containing the testicles and spermatic cords. Testicles: Anatomy. Varicoceles have a dilatation of the pampiniform venous plexus, giving the “bag of worms” appearance on exam. Spermatoceles present as an epididymal cyst, commonly arising from the head of the epididymis Epididymis The convoluted cordlike structure attached to the posterior of the testis. Epididymis consists of the head (caput), the body (corpus), and the tail (cauda). A network of ducts leaving the testis joins into a common epididymal tubule proper which provides the transport, storage, and maturation of spermatozoa. Testicles: Anatomy. Hydroceles, varicoceles, and spermatoceles are usually asymptomatic and do not require treatment unless they are causing pain Pain An unpleasant sensation induced by noxious stimuli which are detected by nerve endings of nociceptive neurons. Pain: Types and Pathways or other complications.
Last updated: 24 Feb, 2021
Varicocele is the dilatation of the pampiniform venous plexus, which is connected to the internal spermatic or gonadal vein.
Imaging (scrotal ultrasound):
Hydrocele is a collection of peritoneal fluid in the tunica vaginalis Tunica vaginalis Testicles: Anatomy surrounding the testes Testes Gonadal Hormones. If bloody, the condition is referred to as hematocele.
Multifactorial, consisting of anatomic and fluid factors:
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