HYDROCELE
Defined as a collection of fluid within the tunica vaginalis of the testis.
Premature - 44%
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Full term ? 4-5%Disturbed Balance between produced and absorbed fluid
Heaviness, fullness, dragging sensation , cosmetic problem, radiating pain
to back
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Pathophysiology
Excessive production of fluid within sac
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Defective absorption of fluidInterference with lymphatic drainage
Connection with peritoneal cavity via patent processus vaginalis
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Imbalance between the fluid secretion and absorption of the tunica vaginalis
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DIFFERENTIAL DIAGNOSIS: SCROTAL CYSTIC MASSES
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Indirect inguinal herniaEpididymis cyst
Hydrocele
Varicocele
Spermatocele
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PyocoeleHematocele
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DIFFERENTIATIONPalpate cord above YES
NO
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mass
Transillumination
YES
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NO
Fluctuate
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YESNO
Fluid thrill
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YES
NO
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DIFFERENTIATIONTestis palpable
NO
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YES
Cough impulse
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NOYES
Reducible
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NO
YES
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Bowl soundsNO
YES
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TREATMENT
Communicating
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Tying off the patent processus vaginalis
Primary
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HydrocelectomyAspiration + injection of sclerosing agent
Secondary
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