What is a Hydrocele?
A hydrocele is a collection of fluid inside the scrotum. The scrotum holds the testicles. Hydroceles can occur in one or both sides of the scrotum and usually grow slowly. They are common in newborns. They also occur in children and adults. There are 2 kinds of hydroceles:
Simple hydrocele: A simple hydrocele can form at any age. This kind of hydrocele does not get bigger or smaller.
Communicating hydrocele: A communicating hydrocele can form at any age but is more common in infants and children. This kind of hydrocele gets bigger and smaller. Size changes are caused by fluid flowing through a tube from the abdomen into the scrotum. This occurs when the tube does not close as it should. The hydrocele may grow larger when you are active. It may shrink when you are at rest. A hydrocele may occur with a hernia. A hernia is when part of the intestine goes through a hole in the lining of the abdomen.
Causes of Hydrocele
The cause of a hydrocele is an error in embryonic development that allows fluid to seep into the scrotal sac. Hydroceles are caused by the accumulation of fluid in the scrotum, surrounding one, or less often both, of the testes. In most cases, the condition is congenital or present at birth. Before birth, the testicles develop in the abdomen. A few weeks before the baby boy is born, they descend connected to a tube (called the process us virginal’s) to the scrotum. A hydrocele can develop before birth. Normally, the testicles descend from the developing baby’s abdominal cavity into the scrotum.
In adults it occurs due to trauma, inflammation or tumor which results in increased secretion of serous fluid by the scrotal lymphatics or venous system.
- Idiopathic or no known cause.
- Tuberculosis, dropsy, gonorrheal infection and obstruction of abdominal vein are other factors.
- Toxicity due to wrong dietary habits.
- In response to neighboring infections.
- Suppressive drugs.
- General wrong living.
- Lifting or straining too much.
- Knock or strain.
- If newly born infants have this problem, it disappears by itself gradually.
Symptoms of Hydrocele
The main symptom of hydrocele is painless, smooth and elastic enlargement of the scrotum. In some cases swelling is so much as to cause a great deal of inconvenience interfering greatly with walking. Consequently it may produce a great deal of pressure upon the testicles and the spermatic vessels causing a detrimental effect upon the generative system. The hydrocele is translucent. If a bright light is placed upon it in the dark the whole swelling lights up. If the swellings become painful, it usually denotes that it has become infected.
Treatment for Hydrocele
The treatment approach for your child’s hydrocele will depend on the type of hydrocele.
Non-communicating hydrocele: In many cases, non-communicating hydroceles will resolve over the first year of life. If your child is less than 1 year of age, the surgeon will often recommend observation of the hydrocele. If the hydrocele persists past the age of 1, surgical repair will be necessary.
Reactive hydroceles: If your son’s hydrocele is caused by infection or inflammation, antibiotics or anti-inflammatory medications will be used for treatment.
Communicating hydrocele: Communicating hydroceles will not resolve on their own and will require a surgical procedure to repair the hydrocele.
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Alternative Treatment for Hydrocele
The scrotal incision approach to hydroelectric might be an Alternative Treatment for Hydrocele in boys when traditional inguinal approach is unfeasible, associated with a low postoperative complication rate, short operation time, and short hospital stay.
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