scholarly journals Incidental Testicular Pathologies in Patients With Idiopathic Hydrocele Testis: Is Preoperative Scrotal Ultrasound Justified?

2020 ◽  
Vol 40 (5) ◽  
pp. 2861-2864
Author(s):  
MONA KAFKA ◽  
KILIAN STROHHACKER ◽  
FRIEDRICH AIGNER ◽  
FABIAN STEINKOHL ◽  
WOLFGANG HORNINGER ◽  
...  
Keyword(s):  
Scrotal Ultrasound ◽  
Hydrocele Testis

Testicular Involvement is a Hallmark of Apo A-I Leu75Pro Mutation Amyloidosis

2020 ◽  
Vol 105 (12) ◽  
pp. e4758-e4766
Author(s):  
Andrea Delbarba ◽  
Paolo Facondo ◽  
Simona Fisogni ◽  
Claudia Izzi ◽  
Filippo Maffezzoni ◽  
...  
Keyword(s):  
Follicle Stimulating Hormone ◽  
Organ Damage ◽  
University Hospital ◽  
Reproductive Hormone ◽  
Testicular Dysfunction ◽  
Amyloid Deposits ◽  
Scrotal Ultrasound ◽  
Almost All ◽  
The University ◽  
Male Subjects

Abstract Context Apo A-I Leu75Pro is a rare hereditary form of amyloidosis that mainly involves the kidney, the liver, and the testis. Objective To define the characteristics of organ damage and testis impairment in the largest cohort collected to date of men with Apo A-I Leu75Pro amyloidosis. Design, Setting, and Patients Retrospective study from a prospectively collected database of 129 male subjects >18 years with Apo A-I Leu75Pro amyloidosis from a reference center at the University Hospital of Brescia, Italy. Main outcome measures We evaluated liver and renal function, scrotal ultrasound, reproductive hormone levels, testis biopsy, hypogonadal symptoms, and fertility. Results Progressive involvement of testis, kidney, and liver was observed in 96/129 (74.4%) cases. Testis impairment was found in 88/129 patients (68.2%), liver in 59 (45.7%) and renal in 50 (38.8%). Testis damage was often the first manifestation of the disease and the only dysfunction in 30% of younger patients (<38 years). Testicular involvement was characterized mainly by primary (73/88 patients, 83.0%) and subclinical (8/88, 9.1%) hypogonadism. Almost all (85/88, 96.6%) also had high follicle-stimulating hormone, suggesting a primary global damage of endocrine and spermatogenic functions, and 30% of them did not conceive. Macroorchidism was found in 53/88 (60.2%) patients, especially in men <54 years (30/33, 90.9%). Apo A-I amyloid deposits were found in Sertoli cells, germinal epithelium, and vessel walls. Conclusion In men with Apo A-I Leu75Pro amyloidosis, testicular involvement is the hallmark of the disease, characterized by global primary testicular dysfunction and macroorchidism due to amyloid deposits.

scholarly journals Meconium periorchitis: A case report and literature review

2013 ◽  
Vol 7 (7-8) ◽  
pp. 495 ◽  
Author(s):  
Ammar Hameed Alanbuki ◽  
Ashwith Bandi ◽  
Nick Blackford
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Rare Disease ◽  
Relevant Literature ◽  
Plain Film ◽  
Meconium Peritonitis ◽  
Histological Features ◽  
Abdominal Plain Film ◽  
Scrotal Ultrasound

Meconium periorchitis (MPO) is an uncommon entity associated with healed meconium peritonitis. The typical presentation is a soft hydrocele at birth which becomes harder in weeks as the meconium calcifies. A lack of awareness of this rare disease may lead to unnecessary surgery of scrotal masses. It can resolve spontaneously without compromising the testicle. Scrotal ultrasound is the mainstay of imaging and abdominal plain film is less sensitive but can help in the diagnosis. We report a case of a meconium periorchitis and discuss its radiological and histological features. We also review the relevant literature.

scholarly journals Capillary hemangioma of the scrotum mimicking an epididymal tumor: Case report

2014 ◽  
Vol 86 (4) ◽  
pp. 395 ◽  
Author(s):  
Antonio Vavallo ◽  
Francesco Lafranceschina ◽  
Giuseppe Lucarelli ◽  
Carlo Bettocchi ◽  
Pasquale Ditonno ◽  
...  
Keyword(s):  
Blood Flow ◽  
Case Report ◽  
Color Doppler ◽  
Capillary Hemangioma ◽  
Scrotal Mass ◽  
Scrotal Ultrasound ◽  
Pathological Evaluation

We report a case of capillary hemangioma of the scrotum. A 52-year-old male presented with a left scrotum swelling that had arisen suddenly two months before. Scrotal ultrasound revealed a dishomogeneous mass in the left scrotum. The mass demonstrated blood flow in the color Doppler mode. Scrotal mass excision was performed. Pathological evaluation revealed a capillary hemangioma.

scholarly journals The Tunica vaginalis testis metastasis as the first clinical manifestation of pancreatic adenocarcinoma: a case report and and literature review

2020 ◽  
Author(s):  
yongrui zhang ◽  
kaimin guo ◽  
dongkai ma ◽  
baoshan gao ◽  
wei an ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Lung Metastases ◽  
Imaging Modality ◽  
Testicular Tumor ◽  
Metastatic Carcinoma ◽  
High Ligation ◽  
Tunica Vaginalis ◽  
Tunica Vaginalis Testis ◽  
Pancreas Tumor ◽  
Scrotal Ultrasound

Abstract Background: Metastases from pancreas or ampullary malignancies are common, but spread to the testicle and paratesticular tissue is exceedingly rare. To our knowledge, few than 30 cases have been previously reported in the literature. More rarely, it is to be found with tunica vaginalis testis metastasis without involvement of testicle and epididymis. Case presentation: A 65-year-male with complaints of left painless scrotal swellings for over 1 week was referred to the Department of Urology . Scrotal ultrasound demonstrated a left sided hydrocele with paratesticular masses.The chest computed tomography showed lung metastases and left enlarged supraclavicular lymph node. The preoperative diagnosis was left testicular tumor with lung metastasis.Then, a left radical orchidectomy was performed with high ligation of the spermatic cord and postoperative histopathology showed that it was suggestive of metastatic tumors. Abdominal computed tomography revealed the presence of a tumor in the tail of the pancreas. Tumor markers cancer antigen CA 19-9 were elevated almost 6-fold levels. The outcome of this patient was unsatisfactory and died 3 months later. Conclusions: This case highlighted that metastatic carcinoma from the pancreas must be considered in the differential diagnosis of scrotal enlargement. Older patient age is suggestive of a secondary testicular tumor. In addition, careful clinical and radiological examination has become the imaging modality.

scholarly journals Effects of COVID-19 on testicular function

2021 ◽  
Vol 5 (1) ◽  
pp. 01-05
Author(s):  
Nasser Mikhail
Keyword(s):  
Case Reports ◽  
Semen Parameters ◽  
Testicular Function ◽  
Gonadal Function ◽  
Scrotal Pain ◽  
Testicular Dysfunction ◽  
Scrotal Ultrasound ◽  
Pubmed Search ◽  
Almost All ◽  
The Impact

Background: The impact of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome-coronavirus 2 (SARS-Cov-2) on testicular function is unclear. Objective: To clarify the effects of COVID-19 on male gonadal function. Methods: Pubmed search up to February 24, 2021. Search terms included COVID-19, testicles, testosterone, spermatogenesis, hypogonadism. Case reports, retrospective, prospective and autopsy studies are included. Results: Prevalence of patients hospitalized with COVID-19 having scrotal pain varies from 0-19%. Orchitis and/or epididymitis were demonstrated by scrotal ultrasound (US) in approximately 22-42% of men with COVID-19 admitted to the hospital and can be frequently asymptomatic. Circulating testosterone levels are reduced in men admitted with COVID-19 with concomitant elevation of luteinizing hormone (LH) suggesting testicular dysfunction. Men affected with COVID-19 exhibit abnormal semen parameters. Most, but not all, studies failed to detect SARS-CoV-2 in semen. Autopsy studies showed extensive damage of testicular tissues of men who died from severe COVID-19. Conclusion: COVID-19 negatively affects almost all aspects of male gonadal function. Physicians should evaluate testicular function during and after recovery from COVID-19 to preserve normal fertility.

scholarly journals Fate of the Testis following Epididymitis: A Clinical and Ultrasound Study

1986 ◽  
Vol 79 (9) ◽  
pp. 515-519 ◽  
Author(s):  
K M Desai ◽  
J C Gingell ◽  
J M Haworth
Keyword(s):  
Adverse Outcome ◽  
Urinary Infection ◽  
Aggressive Approach ◽  
Ultrasound Study ◽  
Scrotal Ultrasound ◽  
Prognostic Implications ◽  
Acute Epididymitis ◽  
Severe Degree ◽  
Hospital Inpatients ◽  
Ultrasound Features

The progress of 33 men suffering from acute epididymitis, the majority of whom were treated as hospital inpatients, was prospectively monitored in order to determine the incidence of complications, and to assess the prognostic implications of clinical and scrotal ultrasound features found at initial presentation. Serious testicular complications resulting in frank infarction, suppurative necrosis and late atrophy developed in 39%. Three factors were shown to have significant discriminant value in predicting an adverse outcome: severe degree of inflammation with induration of the spermatic cord; the presence of a coexistent bacterial urinary infection; and a uniformly reduced testicular echo pattern on the affected side as visualized on ultrasound. A more aggressive approach in addition to medical measures appears to be indicated in these patients. The rationale of early surgical decompression by epididymotomy and spermatic fasciotomy is discussed. Scrotal ultrasound should be considered as a routine investigation in the management of epididymitis.

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