ITEMS IN AFP WITH KEYWORD:
Urologic Disorders, Testicular
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Men with symptoms of testicular cancer should receive a complete history and physical examination. Scrotal ultrasonography is the preferred initial imaging study. If a solid intratesticular mass is discovered, orchiectomy is both diagnostic and therapeutic. Postorchiectomy treatment options include active surveillance, chemotherapy, retroperitoneal lymph node dissection, and radiation therapy.
Epididymitis is a common presentation in the outpatient setting that can affect adults and children. The condition causes unilateral swollen, tender epididymis, with an anatomically normal testis. Learn about common causes in specific patient groups, as well as treatment options.
Find out the characteristics of the different causes of scrotal masses.
Testicular torsion is a twisting of the spermatic cord and its contents and is a surgical emergency affecting 3.8 per 100,000 males younger than 18 years annually. It accounts for 10% to 15% of acute scrotal disease in children, and results in an orchiectomy rate of 42% in boys undergoing surgery fo...
Aug 15, 2011 Issue
Screening for Testicular Cancer: Reaffirmation Recommendation Statement [U.S. Preventive Services Task Force]
The U.S. Preventive Services Task Force (USPSTF) recommends against screening for testicular cancer in adolescent or adult males.
Case study: A 17-year-old male presents to your office for a college entrance physical examination. He learned about testicular cancer in health class, and asks you about screening. He has no history of cryptorchidism and no physical symptoms.
Hematospermia can be a distressing symptom for patients, but most cases are effectively managed by a primary care physician. Although the condition is usually benign, significant underlying pathology must be excluded by history, physical examination, laboratory evaluation, and, in select cases, othe...
Epididymitis and orchitis are commonly seen in the outpatient setting. Men between 14 and 35 years of age are most often affected, and Chlamydia trachomatis and Neisseria gonorrhoeae are the most common pathogens in this age group. In other age groups, coliform bacteria are the primary pathogens. Me...
Scrotal masses can represent a wide range of medical issues, from benign congenital conditions to life-threatening malignancies and acute surgical emergencies. Having a clear understanding of scrotal anatomy allows the examiner to accurately identify most lesions. Benign lesions such as hydroceles a...