After delivery or a little bit later tumidity in inguinal area or scrotal increase on one or both sides appear. Elastic pain-free "tumour" can be palpated. The general state is not disturbed. Thus the main symptom of pathology is dissymmetric scrotum and scrotum increase on one side by the evening.
Scrotal hydrocele is easy to diagnose. The most informative way is scrotal ultrasonic examination. It measures the volume of hydropic fluid and examines the testis and its parorchis.
If hydrocele is not tense, painless and doesn't cause an apparent cosmetic defect before a child is one year old, urologist surgeon may keep an eye on it, because within this time communication with abdominal cavity can stop in itself. If there is no positive improvement the only way out is surgical treatment.
Communicating (open) hydrocele with apparent alteration of its size is an indication for early surgical surgery. Communicating hydrocele amounts to hernia and should be quickly eliminated to avoid intestine entrapment. Reactive hydrocele disappears spontaneously and doesn't require special treatment. It is necessary to treat only for its cause.
The essence of surgical treatment is in elimination of vaginal tunic of a testis. The operation is performed under general anesthesia. With infants the cut is done in inguinal area. The overwhelming majority of hydroceles that remain at the age older than one year are communicating. And access to them through inguinal area allows to identify vaginal process and ligate it. The very tunic with fluid that surrounds the testis can not be extracted, because communication of pathologic cavity with peritoneum breaks.
Why does hydrocele appear?
What causes scrotal hydrocele development?
Manifestation and symptoms of scrotal hydrocele. Ways of treatment for scrotal hydrocele.
How does it look like?
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