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Testicular Disease (Testicular Torsion (Symptoms (Sudden onset of pain,…
Testicular Disease
Testicular Torsion
As a result the location of testicular torsion needs to be done very quickly once the cardinal symptoms present. If the problem is recognize in under 6 hours there is a 90-100% survival rate and if under 24 hours there will be a 0-10% salvage rate.
Epidemiology: it is a common urological emergency that happens in adolescent boys and young men. Typically happens in neonates or in post pubescent boys. Affecting the ages of 11-30 generally the most
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Cause: generally a congenital abnormality in which the testis is no longer attached to the scrotum allowing it to move and in turn means that it can be twisted around the spermatic cord
Definition: this is a disease that occurs when the spermatic cord in the testes becomes twisted this occludes the testicular blood vessels and can cause the testicles to undergo ischemia or infarction. Leading to the loss of the testis
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Testicular Tumours
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Diagnosis
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Serum tumor markers: look out for alpha fetoprotein , or in NSGCT look out for a raise in alpha fetoprotein or BHCG.
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Epidemiology
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This is the most common malignancy that affect men aged 15-44. 10% of cases happen due to undescended testes (even after correctional surgery)