Male and Genitourinary Disorders (General diagnosis section)

What is variocele?

Tortuous dilation of the spermatic veins; “bag of worms” feeling upon palpation that diminishes from standing to supine

What is spermatocele?

A fluid filled mass in the epididymis; it is a painless, moveable, pea sized lump located superior and posterior to the testicle; it transilluminates light because it is fluid filled

What is hydrocele?

Excess accumulations of water in the testicle; it feels swollen, painless, heavy, and tight; the ability to palpate above the mass distinguishes it from a scrotal hernia; it transilluminates

What is epididymitis?

Usually a consequence of an STD; the scrotum is enlarged and tender but tenderness may be relieved somewhat by raising the testicle

What is testicular cancer?

Most common form of cancer in males age 20-34; painless nodule appears on or in the testicle; most common type is seminoa; does not transilluminate light

What is benign prostatic hyperplasia?

Enlarged, non tender, firm, smooth, with loss of median sulcus

What is prostatitis?

Boggy, soft, enlarged, and tender; urinary problems such as increased urgency

What is prostatic carcinoma?

Posterior lobe is hard, nodular, painless, and enlarged; most common place to metastasize is to the lumbar spine via Batson’s plexus