HTHSCI 2F03 Lecture Notes - Lecture 14: Orchiectomy, Avascular Necrosis, Debridement
26 Dec 2020
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Commoner in prems: incidence up to 30% Testes remain in abdomen (retroperitoneal) until 7mo. Gubernaculum connects inferior pole of testis to scrotum. Testis descends through inguinal canal to scrotum c an out-pouching of peritoneum: processus vaginalis. Testicle often found at external inguinal ring. Found anywhere along normal path of descent. Usually in sup. inguinal pouch (ant. to external oblique aponeurosis) 10x risk of malignancy (remains after surgery) Assoc. c hernias (90%) or urinary tract abnormalities. Testicle brought through a hole made in the dartos muscle to lie in a subcutaneous pouch. Hcg may be tried if testis is in inguinal canal. Usually 2o to some exertion or minor trauma. Occurs because testicle doesn"t have a large bare area to attach to scrotal wall. Free-hanging clapper bell testicle can twist on its mesentery. Sudden onset severe pain in one testis. May have lower abdominal pain (testis supplied by t10) May be hx of previous testicular pain or torsion.
