What is the testicular appendage?

Boys should pay more attention to reproductive hygiene and health in their daily lives. If they have any discomfort, they should seek medical treatment in time to avoid serious diseases or complications. In particular, they should pay attention to the health of the testicular appendages. However, many people do not know what the testicular appendages are. This is a small round body located above the testicles. If you touch it carefully, you will feel that it is a bit like the size of a mung bean. It is also a very important part.

The testicular appendages are the remnants of the upper end of the Mullerian duct. Located above the testis, they are oval bodies with pedicles, often attached to the white membrane of the testis, and are smaller than a mung bean. The appendages of the epididymis are the remnants of the Mullerian duct.

Testicular appendage torsion is more common in children. The appendages of the epididymis are the remnants of the medullary duct.

Diagnosis

History of testicular appendage torsion

The onset is generally mild, gradually getting worse over a day or two; however, there are also cases where the pain is severe and the onset is acute.

Testicular appendage torsion symptoms

Symptoms include sudden pain in the scrotum. It is usually dull pain, but can also be cramping pain. The degree of pain varies. The pain radiates to the lower abdomen. It may be accompanied by systemic symptoms such as nausea and vomiting.

Testicular appendage torsion physical examination

A mass may be found above the testicle, with mild tenderness. A small amount of reactive hydrocele may be found. If necrosis occurs, the effusion may be blue in color when tested with transillumination, and the adnexa may be palpated above the testicle. The position of the testicle and spermatic cord is normal.

Testicular appendage torsion diagnosis

The diseases that need to be distinguished from testicular appendage torsion are roughly the same as testicular torsion, and the following points should be paid attention to.

Testicular appendage twist Testicular twist

There is often a history of vigorous exercise and scrotal injury, accompanied by severe nausea, vomiting, and severe scrotal pain. During examination, the testicles may move upward, and moving the testicles may aggravate the pain. Doppler ultrasound examination shows no blood in the testicles.

Acute epididymitis with torsion of the testicular appendages

It is an acute inflammation of the epididymis. The disease is rapid and may be accompanied by severe systemic symptoms, such as fever and elevated white blood cell count. During examination, the scrotum is obviously enlarged and the skin is red. The epididymis is obviously enlarged and the boundary with the testicle is unclear. It is painful to touch. Generally, the patient can be asked about the history of unclean sexual intercourse and the history of transurethral instrument monitoring.

Testicular appendage rotation therapy

(1) Symptoms can be relieved by supporting the scrotum, resting in bed, and taking oral non-hormonal anti-inflammatory drugs.

(2) When a clear diagnosis cannot be made, spermatic cord torsion should be excluded and surgical exploration should be performed if necessary.