A fluid filled sac in the sctrotum, surrounding testicles is called hydrocele. The clear yellow colored fluid is accumulated between vesicular and parietal areas of the tunica vaginalis . This disease can be acute or chronic and can be unilateral or bilateral. Acute hydrocele is usually painful while chronic condition lacks pain but presents with sensation of discomfort. Acute hydrocele of spermathic cord can lead to testicular ischemia. It is can occur in both newborns and adults.
The disease effect 10 -60/1000 infants and 10/1000 adults. Exclusively a male disease but a hydrocele can be seen in a newborn baby girl at the canal of nuck of labia.
The most common hydrocele causes in infants are incomplete closer of processus vaginalis and lack of drainage of residual peritoneal fluid. In old age hydrocele is caused due to trauma, ischemia, infection, testicular tumor and increased intra abdominal pressure. Rarely can it be caused in cases of ipsilateral renal transplant and due to filariasis.
Hydrocele risk factors:
There are many risk factors which are associated with the development of this disease it includes premature and low-birth-weight infants, indirect inguinal hernia, primary testicular/intrascrotal pathology, trauma, surgery, increased intra-abdominal pressure, lymphatic obstruction, ventriculoperitoneal shunt, peritoneal dialysis, Ehlers-Danlos syndrome bladder exstrophy.
Mostly there are no hydrocele symptoms but it can sometimes cause pain, swelling, redness, and pressure at the base of penis.
Hydrocele diagnosis is done on the basis of scrotal examination, urine test and illumination test but only an ultrasound can confirm the diagnosis.
Hydrocele hearbal product is the best available hydrocele treatment. It causes drying up of the fluid and the symptoms are subsided with in no time. Needle aspiration can be done for the removal of the fluid but an invasive procedure might be unnecessary.
Hydrocele repair is surgery to accurate the swelling of the scrotum that occurs while you have a hydrocele. A hydrocele is the backup of fluid around a testicle. Kid boys a few times have a hydrocele at birth. Hydroceles also occur in older boys and men.
Fluid can also be expelled from a hydrocele with a needle. In several case, hydroceles that are suctioned frequently go back, and Hydrocele Surgery might then be necessary.
It is generally not a dangerous condition and do not lead to infertility but can cause infection, tumor or inguinal hernia.
Infants with indirect inguinal hernia causing hydrocele should be giving an exploratory on the other side to determine the need for ligation. Patent processus vagenalis on the contralateral side can be accessed through endoscopy which has an advantage of being less invasive.
For infants prevention of lymphatic obstruction and ligation of tunica vaginalis can minimize the risk of developing hydrocele while for adults minimizing the potential for trauma and preventive measures against the sexualy transmitted diseases can be helpful.