Hydrocele / hydroceles is the excessive accumulation of fluid between the parietal and visceral layers of tunica vaginalis. Testicular hydrocele caused by a result of obstruction (blockage) that causes reduced lymphatic absorption. Hydrocele may also occur due to increased production of fluid by a membrane which is a relatively frequent phenomenon. Damage to the testicles often causes an increase in production resulting in hydrocele fluid. Infection or trauma to the epididymis, testicular carcinoma also can cause secondary hydrocele. In many cases absorption will occur spontaneously when a process that stimulates the production of excess fluid has been lost
Clinical symptoms of testicular hydrocele
Patients complain of a lump in the scrotum pouch that is not painful. On physical examination found a lump in the scrotum pouch with consistency kistus and on examination showed penerawangan trasiluminasi On an infected hydrocele or scrotal skin is very thick at times difficult to perform this examination, so it must be assisted with the investigation ULTRASONOGRAPHY. Hydrocele that occurs in newborns can be caused by: (1) the incomplete closure of processus vaginalis resulting in the flow of peritoneal fluid into the processus vaginalis (hydrocele communicans) or (2) incomplete lymphatic system in the area of the scrotum in doing hydrocele fluid reabsorption.
What is the cause of a secondary hydrocele testis in adults?
Secondary cause due to abnormalities found in the testes or epididymis that causes disruption of secretion or reabsorption of fluid systems in the pocket hydrocele.
Doing Diagnosis hydrocele
- In testicular hydrocele, hydrocele bag as if around the testes so that testicular can not be touched. At the anamnesis, the bag hydrocele does not change throughout the day.
- In funikulus hydrocele, hydrocele was in funikulus bag that is located in the cranial of the testis, so that on palpation of the testes can be touched and are beyond the pockets hydrocele. In anamnesis bag hydrocele fixed amount throughout the day.
- In hydrocele communicant relationship exists between the processus vaginalis with peritoneal cavity can be filled so that the processus vaginalis peritoneal fluid. In anamnesis, hydrocele bag magnitude can fickle is getting bigger at the time the child was crying. On palpation, hydrocele bag separate from the testis and can be inserted into the abdominal cavity.
Differential diagnosis Testicular hydrocele
Testicular hydrocele is a collection of fluid in the space between the membrane lining the tunica vaginalis. Hydrocele diagnosis is confirmed by tests diapanaskopi transluminasi or positive.
Therapy in testicular hydrocele?
In older age groups, hydrocele can be absorbed spontaneously when arising from overproduction of fluid as that found secondary to acute epididymitis in adult patients where hydrocele occurs because of an imbalance between production and resorbsinya hydrocele fluid can not disappear spontaneously. In these patients needle aspiration of hydrocele is not an adequate therapy for hydrocele will arise again. Appropriate and adequate therapy is surgery. Performed resection and removal of most of the parietal layer of tunica vaginalis that membrane bersekresi and space for the buildup is removed, thus preventing the recurrence hydrocele.
Complications of hydrocele testis
Chyle (Chylocele), blood (Haematocele) or pus (Pyocele) in lymph fluid and testicular atrophy.
Hydrocele Surgery Video
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