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