Scrotal Mass Differential Diagnosis

scrotal mass emedicine

 Scrotal Mass Differential Diagnosis

The scrotal mass is really a lump or swelling which might be felt from the scrotum (scrotal sac).

Benign scrotal mass which can be:

# Hematokel

# Hydrocele

# Varicocele

# Spermatokel.

CAUSE

Source of occurance of an mass from the scrotum varies and may even be something benign or malignant.

The reason for the organization of scrotal masses might be:

- Inflammation or infection (eg, epididymitis)

- Injuries towards scrotum

- Herniation (inguinal hernia)

- Tumor.

Incidence and risk factors varies, with regards to the cause.

SYMPTOMS

Normally, the mass in the scrotum increase the risk for following symptoms:

# Lump / swelling inside scrotum, with or pain free

# Can take place infertility

# Enlarged scrotum.

Hematokel

Hematokel may be the accumulation of blood have a tendency to occurs after scrotal injury.

Only when a number of, usually re-absorbed blood, when many, unnecessary surgery to get rid of them.

Scrotal Mass Differential Diagnosis

scrotal mass more condition symptoms

Hydrocele

Hydrocele can be an accumulation of fluid from the membrane that encloses the testes, that causes swelling in a single testicle soft.

Hydrocele is often a congenital or acquired later on; may attack either sides on the scrotum.

Hydrocele is usually seen in newborns.

Hydrocele occurs caused by failure of closure with the channel where testicular descent on the abdomen to the scrotum. Peritoneal fluid flow from the open channel and trapped inside the scrotum so swollen scrotum.

Normally, hydrocele will disappear independently in just a couple of months after the baby is born.

Hydrocele can also occur on account of:

- Inflammation or problems for the testis and epididymis

- Fluid or blood blockage within the spermatic cord.

Hydrocele sometimes regarding inguinal hernia. If the number of fluid collected capricious, then your likely culprit may be the inguinal hernia.

scrotal cyst

Varicocele

A varicocele can be a blue veins inside the scrotum.

Varicocele occurs because of abnormalities from the valves in the veins on the spermatic cord. This valve disorder inhibits the the circulation of blood to ensure that blood flows back and venous dilation.

Continuing development of varicocele usually progresses slowly and may be asymptomatic.

More established in men aged 15-25 years or so.

Varicocele would be the reason for infertility in 39% of patients with infertility.

Varicocele who appeared suddenly in the elderly might be caused by kidney tumor which includes the vena renalis and results in disruption of the flow of blood through the spermatic vein.

Varicocele is generally formed inside left scrotum, the mass is often felt / looked real anybody standing and disappear in the event the patient leans as a result of venous blood flow is reduced.

scrotal mass more tests diagnosis

Spermatokel

Spermatokel is often a mass inside the scrotum that resembles a cyst, which contains fluid and dead sperm cells.

Should the size is large and intrusive, can be performed surgery to lift it.

Diagnosis

Diagnosis is based on symptoms and physical examination.

Physical examination showed full of inside the scrotum are:

- Unilateral (only present in one testicle)

- Soft

- Sleek, winding or irregular shape

- Fluctuating, demarcated or solid.

Other tests which may be done are:

# Scrotal ultrasound

# Biopsy.

The existence of a hydrocele can be known using a flashlight shining for the scrotum. Scrotum filled up with clear fluid are going to be translucent (transillumination).

Mass palpable varicocele as meandering down the spermatic cord.

TREATMENT

Hematokel, hydrocele and spermatokel usually benign and ought to be treated.

Sometimes need surgery to clear out the blood, fluid or cells that die.

Hydrocele usually harmless and treatment solutions are usually only done if patients are already disturbed or feel uncomfortable or if hidrokelnya extent that threatens the blood circulation for the testicles.

Treatment range from aspiration (suction fluid) by using a needle or surgery. But when done aspiration, possibly is going to be repeated hydrocele and infection may appear.

After the aspiration, is usually injected sclerotic substances (eg, tetracycline, sodium tetra decyl sulfate or urea) to plug / seal the opening inside scrotal sac so your liquid will not be buried again.

Hydrocele related to inguinal hernias must be corrected with surgery immediately.

Varicocele can be treated conservatively using a buffer scrotum. If the pain persists, occurs infertility or testicular shrinkage occurs, then a ligation (binding).