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American Family Physician Feb 1998Family physicians often must evaluate patients with testicular pain or masses. The incidental finding of a scrotal mass may also require evaluation. Patients may seek... (Review)
Review
Family physicians often must evaluate patients with testicular pain or masses. The incidental finding of a scrotal mass may also require evaluation. Patients may seek evaluation of a scrotal mass as an incidental finding. An accurate history combined with a complete examination of the male external genitalia will help indicate a preliminary diagnosis and proper treatment. Family physicians must keep in mind the emergency or "must not miss" diagnoses associated with testicular masses, including testicular torsion, epididymitis, acute orchitis, strangulated hernia and testicular cancer. Referral to a urologist should be made immediately if one of these diagnoses is suspected. Benign causes of scrotal masses, including hydrocele, varicocele and spermatocele, may be diagnosed and managed easily in the primary care office.
Topics: Diagnosis, Differential; Epididymitis; Genital Diseases, Male; Hernia, Inguinal; Humans; Male; Orchitis; Spermatic Cord Torsion; Spermatocele; Testicular Diseases; Testicular Hydrocele; Testicular Neoplasms; Varicocele
PubMed: 9490992
DOI: No ID Found -
Urology May 1998High resolution ultrasound has increased our awareness of benign testicular cysts that appear to arise from the intratesticular sperm conduit system of the...
High resolution ultrasound has increased our awareness of benign testicular cysts that appear to arise from the intratesticular sperm conduit system of the intratesticular ducts of the mediastinum and rete testis. The location of these benign cysts in the area of the mediastinum and rete testis and the absence of signs of a germ cell tumor may permit testicle preservation. These benign cysts may contain sperm. We present a case of a benign sperm-containing cyst with visible communication to the rete testis, designated an intratesticular spermatocele and managed with testicle preservation.
Topics: Adult; Humans; Male; Spermatocele; Testis
PubMed: 9610575
DOI: 10.1016/s0090-4295(98)00087-9 -
International Journal of Surgery Case... 2018Giant spermatocele,testis and spermatic cord as content of sac in an indirect hernia is extremely rare. These are congenital in.nature.
INTRODUCTION
Giant spermatocele,testis and spermatic cord as content of sac in an indirect hernia is extremely rare. These are congenital in.nature.
CASE REPORT
A 61 year old male was diagnosed as a case of giant spermatocele.Exploration documented giant spermatocele and an indirect inguinal hernia of complete type with the testicle, cord and spermatocele as a content of herrnia sac Excision of spermatocele with placement of cord outside sac was done.This is a first kind of case report with new type of hernia reported with cord as content.
CONCLUSION
Giant spermatocele is to be excised.Testis and spermatic cord inside hernia sac have to be made extrasacal to prevent recurrence.
PubMed: 30567053
DOI: 10.1016/j.ijscr.2018.11.031 -
Annals of Surgery Oct 1920
PubMed: 17864356
DOI: 10.1097/00000658-192010000-00009 -
Diagnostic and Interventional Radiology... Mar 2011The use of high-frequency ultrasound is increasing for the treatment of cystic, vascular, and solid non-neoplastic intratesticular masses. Cystic lesions examined... (Comparative Study)
Comparative Study Review
The use of high-frequency ultrasound is increasing for the treatment of cystic, vascular, and solid non-neoplastic intratesticular masses. Cystic lesions examined include simple testicular cysts, tunica albuginea cysts, epidermoid cysts, tubular ectasia of rete testis, and intratesticular abscesses. Vascular lesions examined include intratesticular varicocele and intratesticular arteriovenous malformations. Solid lesions examined include fibrous pseudotumor of the testis, focal or segmental testicular infarct, fibrosis of the testis, testicular hematoma, congenital testicular adrenal rests, tuberculoma, and sarcoidosis. Gray-scale and color-flow Doppler sonography facilitate the visualization of the benign characteristics of the lesions. Magnetic resonance imaging can also help as a problem-solving modality in some cases.
Topics: Adult; Aged; Biopsy, Needle; Diagnosis, Differential; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Rete Testis; Risk Assessment; Sensitivity and Specificity; Spermatocele; Testicular Diseases; Testicular Neoplasms; Ultrasonography, Doppler, Color; Varicocele
PubMed: 20677130
DOI: 10.4261/1305-3825.DIR.3116-09.0 -
Hinyokika Kiyo. Acta Urologica Japonica Aug 1963
Topics: Adolescent; Appendix; Child; Cysts; Diagnosis, Differential; Embryology; Epididymis; Geriatrics; Humans; Infant; Infant, Newborn; Male; Spermatocele; Testis
PubMed: 14051176
DOI: No ID Found -
Ultrasound International Open Nov 2015Ultrasonography(US) of the scrotum has been demonstrated to be useful in the diagnosis of fluid in the scrotal sac. Grayscale US characterizes the lesions as testicular... (Review)
Review
Ultrasonography(US) of the scrotum has been demonstrated to be useful in the diagnosis of fluid in the scrotal sac. Grayscale US characterizes the lesions as testicular or extratesticular and, with color Doppler, power Doppler and pulse Doppler, any perfusion can also be assessed. Cystic or encapsulated fluid collections are relatively common benign lesions that usually present as palpable testicular lumps. Most cysts arise in the epidydimis, but all anatomical structures of the scrotum can be the site of their origin. US may suggest a specific diagnosis for a wide variety of intrascrotal cystic and fluid lesions and appropriately guide therapeutic options. The paper reviews the current knowledge of ultrasound in conditions with fluid in the testis and scrotum. The review presents the applications of ultrasonography in the diagnosis of hydrocele, testicular cysts, epididymal cysts, spermatoceles, tubular ectasia, hernia and hematoceles. The aim of this paper is to provide a pictorial review of the common and uncommon presentation of fluid within the scrotal spaces.
PubMed: 27689151
DOI: 10.1055/s-0035-1555919 -
Fertility and Sterility Oct 1994Searching for answers to "Where are we going?" 10 predictions for the coming decade follow: 1. Recombinant agents. 2. Preimplantation genetic diagnosis and gene therapy....
Searching for answers to "Where are we going?" 10 predictions for the coming decade follow: 1. Recombinant agents. 2. Preimplantation genetic diagnosis and gene therapy. 3. Advances in basic science research. 4. Disappearance of gynecologic surgery for infertility. 5. Development of artificial organs: tubes, womb, and spermatoceles. 6. Investigation of male factors: identification of specific defects in spermatogenesis and functions of the epididymis. 7. Central nervous system manipulation through drugs. 8. Computer systems to diagnose and treat infertility. 9. Ethical issues will be resolved and managed more readily. 10. The electronic journal. I have speculated broadly and humbly apologize for my myopia, which will be far more evident with the inevitable arrival of many other important advances in the coming decade.
Topics: Artificial Organs; Electronics; Embryonic Development; Ethics, Medical; Female; Genetic Therapy; Humans; Infertility, Female; Infertility, Male; Male; Periodicals as Topic; Pregnancy; Prenatal Diagnosis; Recombinant Proteins; Reproductive Techniques; Research
PubMed: 7926073
DOI: No ID Found -
Urology Case Reports Nov 2022Spermatocele is a common cause of benign scrotal swelling that mostly arises from the head of the epididymis. It is a fluid-filled swelling containing spermatozoa....
Spermatocele is a common cause of benign scrotal swelling that mostly arises from the head of the epididymis. It is a fluid-filled swelling containing spermatozoa. Torsion of a spermatocele is a very rare encounter for a urologist. It is poorly described in the English literature and there are only seven cases reported so far. There is no specific clinical feature suggesting spermatocele torsion and the diagnosis is often made during an emergency scrotal exploration. We report the eighth case of torsed spermatocele in a young adult diagnosed during emergency scrotal exploration for a suspected testicular torsion.
PubMed: 35959225
DOI: 10.1016/j.eucr.2022.102172 -
Clinical Medicine Insights. Case Reports 2022We report a case of a post-aspiration giant unilocular spermatocele in a young man. A 27-year-old man sought medical advice for a huge right scrotal swelling. The...
We report a case of a post-aspiration giant unilocular spermatocele in a young man. A 27-year-old man sought medical advice for a huge right scrotal swelling. The swelling first appeared following scrotal trauma and was aspirated. Shortly after, it reappeared and persisted for several years with a sense of heaviness, infrequent periods of right scrotal pain, and cosmetic concerns. Ultrasonography of the scrotum revealed a huge fluid cyst pushing the testis antero-inferiorly in the right hemi-scrotum. Scrotal exploration suggested the spermatocele nature of the cyst that emerged from the head of the epididymis. The cyst was excised, and its fluid content and wall underwent pathological examination for confirmation.
PubMed: 35591974
DOI: 10.1177/11795476221097218