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Scrotal Mass, Congenital- & Acquired Hydrocele and Spermatocele

by Carlo Raj, MD
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    Here, we’ll take a look at the scrotum. Up until now, we’ve looked penile pathology. I’ve walked you through varicocele and also looked at testicular torsion. And each one of those points are incredibly important, make sure you know clinical presentation and also management for every single board. Scrotal masses, well it depends on what the consistency of the mass is, okay? For example, if you find that the scrotal mass can be either transilluminating or you can have scrotal mass that might be solid and that to you should mean testicular tumors. So now, with that said, what is the most common enlargement of your scrotum? Varicocele. Which side of the testis? Or which side of the scrotum? Left side. Let’s take a look at congenital hydrocele. Here, common cause of transillumninating. Would you tell me as to what the illumination was with varicocele? It didn’t. It did not transilluminate. Varicocele. Why? Because in the veins, we have thick blood. It does not transilluminate. If it’s fluid, yes it will. Congenital hydrocele, common cause of transilluminating scrotal swelling in infants. What happened here? It’s due to the obliteration of the processus vaginalis. Remember please your patient is a boy. Boy, boy. Genotypic and phenotypic. Acquired hydrocele: How did the patient acquire the hydrocele? Scrotal fluid collection usually secondary to infection, maybe perhaps trauma. And if it’s bloody, you would call this hematocele. Spermatocele: What is this? It’s paratesticular fluctuant nodular cyst formed by the obstruction of the rete testis or the epididymal passage, exactly as the name implies. I want you to picture now. Close your eyes and think about the Sertoli cells, and they all form at the apical membrane, what lumen is this? Surrounding cells, Sertoli. What’s the lumen that it produces or creates? The seminiferous tubule,...

    About the Lecture

    The lecture Scrotal Mass, Congenital- & Acquired Hydrocele and Spermatocele by Carlo Raj, MD is from the course Male Reproductive System Diseases.


    Included Quiz Questions

    1. Varicocele
    2. Hydrocele
    3. Hematocele
    4. Spermatocele
    5. Testicular tumor
    1. Spermatocele
    2. Hydrocele
    3. Hematocele
    4. Varicocele
    5. Spermatic cord congestion
    1. Hematocele is a bloody spermatocele as a result of trauma.
    2. Congenital hydrocele is the result of patent processus vaginalis.
    3. Acquired hydrocele might be caused by infections.
    4. Acquired hydrocele might be caused by trauma.
    5. Spermatocele might be caused by obstruction of rete testis.

    Author of lecture Scrotal Mass, Congenital- & Acquired Hydrocele and Spermatocele

     Carlo Raj, MD

    Carlo Raj, MD


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