Hydrocele in Children
The accumulation of fluid around the testicles (ovaries) that does not cause pain is called hydrocele. It often occurs during birth when the fluid in the abdomen accumulates around the testicle.
There are two types of hydrocele:
* In the communicating type, the abdominal membrane surrounding the testicle continues to be in relationship with the abdominal cavity. Through the opening here, the fluid in the abdomen flows around the testicle.
* In non-communicating hydrocele, there is no relationship with the abdominal membrane. This type usually occurs at older ages.
How does hydrocele occur?
Testes (ovaries) normally form in the abdomen and then take their place in the sac called scrotum. This event is often completed before birth. During this process, they drag the peritoneum, also called the abdominal membrane, along with them. This connection usually closes before birth and the membrane becomes a closed membrane surrounding the testicle. However, if this connection remains open, as described above, a hydrocele occurs. Through this opening, the fluid in the abdomen can easily slide around the testicle and into the abdomen. This gives an idea about why the size of the hydrocele varies.
How is Hydrocele Diagnosed?
Diagnosis is made by history and physical examination. Parents occasionally report swelling in the scrotum. In communicating hydrocele, swelling decreases at night and increases during standing during the day. The child should be examined both standing and lying down.
How is hydrocele treated?
Hydroceles usually resolve spontaneously within the first 18 months. The connection closes over time and the accumulated fluid disappears. If hydrocele is still present in babies older than this age, surgical repair is required. Therefore, hydrocele patients should be followed.
Read: 0
