Hydrocele, is a condition in which the bag becomes extremely swollen, with more fluid than normal collecting between the membranes surrounding the testicle. Normally, there is 0.5-1.0 ml of fluid in this range to ensure lubrication of the testicle. In hydrocele, this amount of fluid is 200-300 ml and sometimes even more.
DIAGNOSIS:
Diagnosis is very easy as the image and patient history are very typical. The scrotum appears unilaterally or bilaterally, extremely swollen and tense. It is filled with fluid. During the examination, a typical feeling of elasticity is felt when touched with a finger. When you look at the scrotum with a flashlight in a dark room, it turns pink. This simple examination, called the TRANSILLLUMINATIONsign, proves that there is fluid in this swelling and is TYPICALfor HYDROCELE.
Simple hydrocele
Simple hydrocele is a tense, oval-shaped hydrocele that is unilateral, does not grow or shrink, is painless, can reach very large sizes, and whose cause is unknown.
Secondary Symptomatic Hydrocele.
It usually occurs in adulthood as a result of inflammation or tumors in the testicles or related structures inside the bags. Chronic hydrocele may develop in 10-15% of testicular tumors. For this reason, in suspected cases, it should be checked whether there is any other accompanying disorder with scrotal ultrasonography.
The only treatment for hydrocele is surgery.
HYDROCELECTOMY
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Temporarily entering with a needle and draining the fluid inside (PERCUTANEOUS ASPIRATION) is a method that should not be used as it tends to recur in a short time and will cause adhesions in the future operation.
In the picture above, the scrotum is removed during the surgery. The hydrocele sac can be seen released and removed from the incision line. During the surgery, this sac is opened, the water is drained, and the leaves of the sac are turned upside down, stitched, and the testicle is placed in the scrotum.
SPERMATOCEL / EPIDIDYMA CYST
These are small, painless masses located on and behind the testicle. It is a cystic formation containing dead sperm.
A cystic structure occurs as a result of the accumulation of sperm. know the reason It doesn't come down. It does not cause pain. The patient notices a hardness or swelling inside the scrotum, separate from the testicle, on the upper back side of the testicle. Diagnosis is made by examination and ultrasound. If it does not reach large volumes, there is no need for treatment. If it grows too large, it is removed surgically.
SPERMATOSELECTOMY / EPIDIDYMAL CYST EXCISION
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