General measures Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (max. 25 g alcohol per day). Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition using electrical impedance analysis. BMI ≥ 25 → participation in a medically supervised weight loss program. Falling below the BMI lower limit … Male Libido Disorders: Therapy
General measures Informing parents of a possible risk of testicular degeneration and impaired fertility (fertility). Education of the adolescent with the onset of puberty, but no later than the age of fifteen, about the history of undescended testis. Instructions for monthly self-examination – see at: www.testicularcheck.
Skin and subcutaneous (L00-L99). Epidermal cyst* (epidermal cyst) – bulging elastic skin nodule resulting from retention of horny and sebaceous masses, of various genesis (traumatic, inflammatory, naevoid). Cardiovascular system (I00-I99). Elephantiasis* – irreversible thickening/hardening of the skin with massive fluid retention. Congestive heart failure or decompensated heart failure* (heart failure). Thrombosis of the inferior vena … Testicular Swelling: Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing): skin and mucous membranes. Inspection and palpation (palpation) of abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, guarding tension?, hernial orifices?, renal bearing knocking pain?) [abdominal mass?]; exclusion of supraclavicular … Testicular Swelling: Examination
2nd order laboratory parameters – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification Small blood count Inflammatory parameters – CRP (C-reactive protein). Urine status (rapid test for: pH, leukocytes, nitrite, protein, blood), sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics for sensitivity … Testicular Swelling: Test and Diagnosis
Obligatory medical device diagnostics. Scrotal sonography (ultrasound examination of the scrotal organs/testis and epididymis and their vascular supply) using Doppler sonography (special ultrasound examination measuring the flow velocity of blood in the vessels (arteries and veins)) [if testicular torsion is suspected, see under medical device diagnostics/testicular torsion] Optional medical device diagnostics – depending on the … Testicular Swelling: Diagnostic Tests
The following symptoms and complaints may occur together with testicular swelling: Leading symptom Testicular swelling Associated symptoms Pressure sensitivity Pain Enlarged lymph nodes in the groin region Caveat (Attention)! If acute swelling of the testicles occurs with or without pain in the scrotum, often radiating to the groin, an immediate presentation to theUrologist is urgent! … Testicular Swelling: Symptoms, Complaints, Signs
Testicular torsion – colloquially called testicular torsion – (synonyms: epididymal torsion; testicular torsion; epididymal torsion; spermatic cord torsion; testicular torsion; torsion of the ductus deferens; torsion of the funiculus spermaticus; ICD-10-GM N44.0: testicular torsion) is an acute reduced blood supply to the testis caused by the sudden rotation of the testis about its vascular pedicle. … Testicular Torsion: Causes and Treatment
Medical history (history of illness) represents an important component in the diagnosis of testicular torsion (testicular torsion). Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). Do you have any pain? If yes, when does the pain occur? Did the pain come on suddenly?* Where is the pain localized? (Testicle, groin?) How long … Testicular Torsion: Medical History
Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Incarcerated hernia – incarcerated soft tissue hernia. Neoplasms – tumor diseases (C00-D48) Testicular tumor, unspecified Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99). Epididymitis (inflammation of the epididymis). Hydatid torsion – twisting of testicular/epididymal appendages. Orchitis (inflammation of the testis) Scrotal edema – accumulation of … Testicular Torsion: Or something else? Differential Diagnosis
