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This post was last modified on 08 April 2022


HYDROCELE



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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 fluid

Interference 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 hernia
Epididymis cyst
Hydrocele
Varicocele
Spermatocele

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Pyocoele
Hematocele



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DIFFERENTIATION

Palpate cord above YES

NO

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mass
Transillumination

YES

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NO

Fluctuate

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YES

NO

Fluid thrill

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YES

NO

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DIFFERENTIATION

Testis palpable

NO

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YES

Cough impulse

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NO

YES

Reducible

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NO

YES

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Bowl sounds

NO

YES

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TREATMENT

Communicating

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Tying off the patent processus vaginalis

Primary

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Hydrocelectomy
Aspiration + injection of sclerosing agent

Secondary

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Treat underlying pathology




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