James Ppt Testeicular

8/6/2019 James Ppt Testeicular

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MALE REPRODUCTIVESYSTEM DISORDER


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Testicular and

Scrotal Disorder


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1. Testicular Torsion

This is a painful condition caused by the twisting

of the spermatic cord, which causes a loss ofblood flow to the testicle. Testicular tissue cannot

survive without blood flow. Torsion is the most

common cause of testicle loss in adolescentmales.

Cause Trauma

bell clapper deformity


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Testicular Torsion Symptoms

excruciating one-sided testicular pain

sudden swelling

abdominal pain

Fever

Exams and Tests

urinalysis and blood count

Doppler ultrasound


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Testicular Torsion Treatment

Morphine

surgery(untwisted by hand)

Orchiectomy

orchiopexy


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2. Orchitis

Inflammation of the testis

Causes

Viral infection (mumps)

Sexually Transmitted Disease (C

hlamydia andgonorrhea)


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Symptoms

ejaculation of blood

hematuria

severe pain

visible swelling and reddened scrotal skin

Tender testicles

Treatment

Bed rest, scrotal support, local heat pressure

oral antibiotic

NSAIDs (ibuprofen and naproxen)


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3. Epididymitis

inflammation of the epididymitis

Cause

STDs (chlamydia and gonorrhea) UTI (E. coli)

genito-urinary surgery

Trauma


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Symptoms

testicular pain

Swelling of the affected part of scrotum

Reddened scrotum

Fever

Treatments

antibiotics NSAIDs

Bed rest


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4. Hydrocele

is accumulation of fluids around a testicle and

tunica vaginalis

Causes

Opening between peritonium and tunica vaginalis

stimulate increased production of serous fluid(e.g., tumor, inflammation, trauma)

decreases the resorption of this fluid (e.g.,inguinal surgery)


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Symptoms

Painless enlargement of the scrotum

history of frequency, urgency, and dysuriaassociated with bacteriuria and of painful scrotal

swelling suggests an inflammatory cause

Treatment

needle aspiration, aspiration with injection of a

sclerosing agent, and surgical excision.


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5. Hematocele

is a collection of blood in the tunica vaginalis

Causes

Direct trauma in the testicles

result of bleeding into a hydrocele


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Signs and Symptoms

swelling in the scrotum

scrotum appears bruised and there is localized

pain to that area of the scrotum.

Treatment Oral analgesics

Same in the treatment of hydrocele maybe ~,~


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6. Spermatocele

small collection of sperm that collects on the

surface of the testicle, forming a cyst


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Treatment

Does not require intervention unless it is

uncomfortable to the patient or is growing toolarge

No specific medical therapy is indicated for

treatment of a simple spermatocele Oral analgesics may be prescribed for

symptomatic relief

Sclerotherapy- tetracycline, talc powder, fibringlue, phenol

Spermatocelectomy


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7. Varicocele

is an abnormal enlargement of the vein that is in

the scrotum draining the testicles

Cause

renal cell carcinoma (a.k.a.

hypernephroma) retroperitoneal fibrosis or adhesions

due to compression of the venous drainage of the

testicle


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Signs and symptoms

Pain

Fertility Problems

Testicular Atrophy

Feeling of heaviness in the testicle(s)

Visible or palpable (able to be felt) enlarged vein,likened to feeling a bag of worms


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Treatment

Varicocelectomy

varicocele

embolization embolization


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8. Undescended Testes (cryptorchidism)

is the absence of one or both testes from the

scrotumusually represents failure of the testis tomove, or "descend" during fetal development from

an abdominal position, through the inguinal canal,

into the ipsilateral scrotum,


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Causes

Severely premature infants can be born before

descent of testes A small percentage of cases of isolated

cryptorchidism are familial

exposure to regular alcohol (female) Rare iatrogenic


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Reporter:

James Christian C. Cristobal

Date post:	07-Apr-2018
Category:	Documents
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James Ppt Testeicular

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