Hydrocele (hydrocele testicular membranes)

August 31, 2011

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Hydrocele   (Greek. «hydor» - liquid and «kele» - swelling), or dropsy   Shells testicles is a disease in which fluid builds up between the sheets of egg shells. Typically the volume of liquid to accumulate a few milliliters, but can reach up to 2, 5-3 liters. Dropsy of testicular membranes happens Congenital   and purchased . Congenital hydrocele occurs mainly in children, and acquired - in young men under the age of 30 years.

The main cause of the disease is a congenital cleft   processus vaginalis of peritoneum Through which fluid enters the peritoneum of   scrotum . Usually in the first year of a child's life process of the peritoneum heals, the fluid in the cavity of the shell eggs absorbed, following, what should be self-healing. If it does not, then it does not report forms (simple) congenital hydrocele, in no way connected with the abdominal cavity.

Acquired hydrocele is primary   or idiopathic   and secondary .

The main causes of primary hydrocele is an imbalance between the fluid, which is secreted and absorbed shell eggs.

Causes of secondary hydrocele act as an inflammatory disease of the testicle and its appendages, and various injuries of the scrotum and perineum, the violation of the outflow lymph   from the scrotum.

In acute inflammatory processes in the testis and epididymis ( epididymitis ), Or against other diseases, such as tuberculosis . gonorrhea May be reactive, "symptomatic" hydrocele, which takes place after the treatment of the underlying disease. Also, inflammation of the lining of the testicles may occur, and as a complication of treatment varicocele .

The symptoms of hydrocele

Most often acquired hydrocephalus occurs after injury. After several weeks in one of the halves may be painful scrotal swelling, which gradually increases, is broken limfoottok . This process may take several years, and then formed a chronic dropsy of testicular membranes.

In the chronic form of hydrocele is not manifested by pain. The main symptoms of hydrocele are the increase of the affected half of the scrotum, sometimes there may be pain and discomfort when walking. Fluid buildup is gradual, and is in the form of swelling pears base facing downwards. If the swelling gets into the inguinal canal, it takes the shape of an hourglass.

It feels smooth and dense edema, it can be painful on palpation. When hydrops becomes large, this may create difficulties in urinating   and intercourse . Acute pain the patient may experience complications arise when a hydrocele on the background of inflammatory diseases of the scrotum. More rare variant of the disease is hematocele , Resulting in serious injury, and represents a hemorrhage into the cavity of a hydrocele. Empyocele - piotsele   It occurs as a complication of inflammation of the epididymis, orchitis .

Diagnosis of hydrocele

Difficulties in the diagnosis of dropsy of testicular membranes generally does not arise. On palpation during the initial examination, the doctor discovers a little dense painful education, while egg and its appendages are not palpable. With diaphanoscope   scrotum is observed even raying of all education, but only if there are no complications in the form haematocele and piotsele. Diagnosis of hydrocele by ultrasound of the scrotum can accurately establish the diagnosis, because increased by half the scrotum visible accumulation of fluid. If acquired hydrocele is a complication of other diseases, such as testicular tumors , The ultrasound can accurately establish the reasons for its occurrence.

Treatment of hydrocele

The main method of treatment of dropsy of testicular membranes is surgical intervention . If a child older than 1 year of peritoneal processus vaginalis does not grow, the operation is conducted Ligation   this process. If edema is a consequence of other disease, the treatment is carried out first underlying disease.

For removing fluid from hydrocephalus prescribed puncture during which liquid is removed and introduced sclerosing agent . This operation is often accompanied by complications such as infection in the cavity hydrocele, or damage to shell eggs, which leads to hemorrhage and accumulation of blood in the cavity dropsy.

Treatment hydrocele performed radical methods. Mainly used 2 types of surgical interventions - Winkelmann operation   and operation Bergman Carried out under local anesthesia. When Bergman operation removes part of the inner layer of the shell eggs and sewed him rest. Operation Winkelmann is a dissection of one of the sheets on the front surface of the egg, reversing it inside out and stapled behind the testicle. After carrying out these operations, fluid accumulation occurs.

Complications of hydrocele

The main possible complications of hydrocele is the development and haematocele piotsele. It should be noted that the dropsy of testicular membranes negatively affects spermatogenesis And can lead to infertility .