Varicocele definition
Dilated veins in scrotum - ask pt ot lie down then stand up
Why do you do a renal USS for varicocele?
Testicular vein inserts into renal vein, so important to screen kidney for kidney cancer
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Spermatocele - soft mobile cyst in relation to testes
Hydrocele treatment
Surgery then drain
Causes of swelling in testes
Epididymitis
Orchitis
Treatment for infections
Clarith
Erythomycin
Testicular cancer
Under 45s (teratoma) or over 65s (lymphoma)
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Seminomatous
or Non seminomatous
Tuumour markers
AFP
HCG
LDH
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CXR for lung mets
CT abdo for lymph nodes
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Counselling sperm banking
Inguinal orchidectomy
Prosthesis
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Through inguinal canal in order to prevent spread via
para aortic lymph nodes