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Lets Talk About Health Matters: Men’s Health And The Scrotum

#Allin4health #health4all #minding your wellbeing #healthawarenes By Dr TW Ngwenya Changamire Men’s health matters. This week we will be talking about common disorders that affect the scrotum. Testes are a sexual reproductive organ in man. Testes are situated behind the penis and they are located within a pouch of skin known as the scrotum. The scrotum hangs outside the body and it is responsible for ensuring that temperature around the testes is regulated. When the weather is cold, the scrotum retracts towards the body. This maintains a warm environment within the scrotum. When it gets hot, the skin of the scrotum loosens and relaxes and dangles away from the body. This allows the scrotum to cool down. Within the scrotum, we find the testicle, epididymis and spermatic cord. Sperm are produced within the testicle. The testicle also produces hormones that are important for sexual reproductive function.

#Allin4health #health4all #minding your wellbeing #healthawarenes

By Dr TW Ngwenya Changamire

Men’s health matters. This week we will be talking about common disorders that affect the scrotum. Testes are a sexual reproductive organ in man.

Testes are situated behind the penis and they are located within a pouch of skin known as the scrotum.

The scrotum hangs outside the body and it is responsible for ensuring that temperature around the testes is regulated. When the weather is cold, the scrotum retracts towards the body.

This maintains a warm environment within the scrotum. When it gets hot, the skin of the scrotum loosens and relaxes and dangles away from the body.

This allows the scrotum to cool down. Within the scrotum, we find the testicle, epididymis and spermatic cord.

Sperm are produced within the testicle. The testicle also produces hormones that are important for sexual reproductive function. The main hormone produced is testosterone.

Testosterone promotes healthy sperm production, facial hair, and body hair production, maintains muscle strength, body mass and bone density, and erectile function, and determines sex drive just to mention a few.

 

 

Once the sperm is produced it is stored in the epididymis.

This is a tightly coiled tube that stores sperm to maturity. The spermatic cord contains a tube that transports ejaculate material, the spermatic cord also contains blood vessels to supply to the testes and surrounding tissues, it contains nerves and lymphatic vessels.

Disorders from testes may arise from any of the organs listed above. The structures within the scrotum are tightly packed so it is difficult to ascertain where the disorder may be arising from without proper history taking, examination, and investigation by a medical practitioner.

It is important for one to get a medical evaluation promptly because some testicular disorders may affect fertility.
One of the most common disorders affecting the scrotum is Inguinal hernia. An inguinal hernia is when a small loop of the bowel descends into the scrotum.

This occurs because there is a weak point in the abdominal wall that permits abdominal contents to pass through.

When fluid from the abdominal cavity descends into the scrotum this is called a hydrocele. These conditions lead to non-painful swelling of the scrotum, on the affected side resulting in a feeling if heaviness in your scrotum.

Varicocele is swelling of the veins in your scrotum.

 

 

This is a chronic condition and may give a dull aching pain which is positional. This means that the pain may go away in certain positions mainly when lying down. When you touch and press between your fingers it may feel like a bag of worms.

Although this condition is chronic and may never need treatment, it may cause shrinking of the testes and may sometimes cause infertility.

A spermatocele is a collection of fluid in the epididymis. This usually gives discomfort. Pain only develops when the cysts continues to grow. Large and painful cysts may need to be done by surgery.

Testicular torsion occurs when there is twisting of the spermatic cord. This twisting cuts off blood supply to the testicle. This is an urgent condition.

If the cord is not untwisted and repositioned quickly this will result in tissue death of the scrotum, which leads to infertility.

Testicular torsion is an emergency. It presents frequently in children, adolescents and young adults. It presents as sudden onset pain, which gradually increases in intensity, nausea and vomiting, abdominal pain, frequent urination and swelling of the testicles.

 

 

This requires urgent presentation to an emergency department. Surgery is required within 12 hours of onset of symptoms.

Infection and inflammation of the testes is referred to as orchitis. This is often caused by a sexually transmitted infection. Other infections that cause orchitis include viral mumps and TB.

Epididymitis is an infection of the epididymis. This is also in most cases caused by sexually transmitted infections like chlamydia and gonorrhea.

Symptoms include scrotal pain, swelling, urethral discharge in some cases blood-stained discharge, fever, and pain during urination.

Testicular cancer is the most common cancer diagnosed in men between the ages of 15 and 44. Symptoms may mimic those of orchitis.

The pain however is a dull ache associated with a palpable mass that lasts a long time. May be associated with skin discoloration or the development of a rash around the scrotum and a chronic discharge from the penis.

Self-examination remains the most important step in the prevention of disease.

Scrotal health includes monthly scrotal or testicular examinations, and regular baths to ensure genital areas remain clean and clear from fungal infections. Avoid wearing tight clothes as this will allow for temperature regulation of the testes and lastly observe safe sex practices.

Contact All In 4 Health – Dr TW Ngwenya Changamire – for General Medical Consultation, Health Screening, Medical Check-up, Health Education and Promotion. The Glen Marais Shopping Centre, 57 Veld Street, Glen Marais, Kempton park 1619

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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See News Differently
Facebook: Zimbabwe Digital News
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