TestisUrethra Infection epididymus

Infections

      Chronic urinary tract, infection, particularly prostatitis and seminal vesiculitis lead to the spread of bacteria via the vas into the epididymis and the testis. Orchitis may also result from viral infection in association with mumps.

Infections of epididymis

      Acute symptoms of acute infection do occur but more cases present as incompletly resolved chronic infection.

      The common form of chronic epididymitis is tubercular. It begins as a painless nodule in the epididymis and spreads to the whole epididymis which becomes hard. A secondary hydrocle may develop if not treated the infection may spread and cause tubercular cystitis

8.2.1 TREATMENT

      Anti-tubercular therapy is required if no response is seen epididectomy is required.

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement visit www.otmanage.blogspot.com

www.surginstruatlas.blogspot.com           www.drmmkapur.blogspot.com

Now also available on android &smart phones same internet address.

Testis Urethra cyst of epididymus

Disorders of Epididymis

8.1 Cyst

      These are cysts formed due to obstruction of the tubules of the epididymis, these cysts are situated above and behind the testis. They may contain clear fluid or fluid containing sperms (spermatacle). The fluid will be opalescent. They are tranillunumant

8.1.1 TREATMENT

      Usually conservative. Operative removal may be followed by recurrence. Epididectomy may be required. The other differentiating features are depicted above

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement visit www.otmanage.blogspot.com

www.surginstruatlas.blogspot.com           www.drmmkapur.blogspot.com

Now also available on android &smart phones same internet address.

Testis & Urethra traum testis

7. Trauma

      Blunt external trauma may result in testicular haemorrhage and infection. Torsion of the spermatic cord may also occur as a result of external trauma compromising the blood supply. Surgical exploration or early surgical repair can prevent subsequent infection, atrophy and loss of testicular function.

8. Disorders of Epididymis

8.1 Cyst

      These are cysts formed due to obstruction of the tubules of the epididymis, these cysts are situated above and behind the testis. They may contain clear fluid or fluid containing sperms (spermatacle). The fluid will be opalescent. They are tranillunumant

8.1.1 TREATMENT

      Usually conservative. Operative removal may be followed by recurrence. Epididectomy may be required. The other differentiating features are depicted in 

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement visit www.otmanage.blogspot.com

www.surginstruatlas.blogspot.com           www.drmmkapur.blogspot.com

Now also available on android &smart phones same internet address.

Testis & Urethra Hydroele

A hydrocele can result through either increased production or decreased resorbtion of fluid, in most cases it is usually idiopathic.

*     Hydrocele is also frequently secondary to results of Epididymoorchitis or trauma.

      The other differentiating features are depicted in  This swelling of scrotum results from excess fluid accumulating in the two layers of tunica vaginatis. The fluid is straw coloured. It contains water, proteins, electrocytes and cholesterol.

CONGENITAL HYDROCELE

      The tunica vaginatis communicates at the inguinal canal with the peritoneal cavity and contains fluid. It may reduce on lying down and pressure applied to the scrotum.

INFANTILE HYDROCELE

      This is a fluid filled sac that can be felt upto the inguinal region but does not communicate with the pertoneal cavity. It is not reducable

6.1 Treatment

      Aspiration is the simplest treatment and allows palpation of testis. It refills and is thus a incomplete treatment

6.2 Jaboulays Operation

      The sac is dissected free of the skin and dartos incised fluid drained. The redundant sac excised and the cut margin sutured. Haematoma can occur if haemostatis is less than prefect.

Lord’s Operation

      The sac is opened and drained through a renal incision and the sac is plicated Fig 27.7.

Fig 27.7

HYDROCELECTOMY (JOUBLEY'S)

OBJECTIVE

In cases of:

-        Hydrocle

-        Excision of a portion of the tunica vaginatis testis with evacuation of fluid contained

STEPS

-        A scrotal approach is employed

-        The hydrocele fluid is aspirated through a small incision or with a needle and syringe

-        Excessive sac wall is excised or may be wrapped around and sutured behind the epididymis

-        If a hernia is present it is repaired

-        The incision is closed

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement visit www.otmanage.blogspot.com

www.surginstruatlas.blogspot.com           www.drmmkapur.blogspot.com

Now also available on android &smart phones same internet address.