Download MBBS Urology Presentations 9 Hydrocele Lecture Notes

Download MBBS (Bachelor of Medicine, Bachelor of Surgery) 1st Year, 2nd Year, 3rd Year and Final year Urology 9 Hydrocele PPT-Powerpoint Presentations and lecture notes

HYDROCELE




HYDROCELE

Defined as a collection of fluid within the tunica vaginalis of the testis.
Premature - 44%
Full term ? 4-5%
Disturbed Balance between produced and absorbed fluid
Heaviness, fullness, dragging sensation , cosmetic problem, radiating pain

to back

Pathophysiology

Excessive production of fluid within sac

Defective absorption of fluid

Interference with lymphatic drainage

Connection with peritoneal cavity via patent processus vaginalis


Imbalance between the fluid secretion and absorption of the tunica vaginalis




















DIFFERENTIAL DIAGNOSIS: SCROTAL CYSTIC MASSES

Indirect inguinal hernia
Epididymis cyst
Hydrocele
Varicocele
Spermatocele
Pyocoele
Hematocele


















DIFFERENTIATION

Palpate cord above YES

NO

mass
Transillumination

YES

NO

Fluctuate

YES

NO

Fluid thrill

YES

NO

DIFFERENTIATION

Testis palpable

NO

YES

Cough impulse

NO

YES

Reducible

NO

YES

Bowl sounds

NO

YES


TREATMENT

Communicating

Tying off the patent processus vaginalis

Primary

Hydrocelectomy
Aspiration + injection of sclerosing agent

Secondary

Treat underlying pathology