Doctor insights on:
Pathophysiology Of Hydrocele
Fluid in the scrotum: A hydrocele is a collection of fluid that accumulates between two layers of tissue called peritneum that surrounds the testis and spermatic cord. It results in swelling of the involved side of the scrotum and is sometimes painful. Causes vary from completely benign to more serious. It is thus very important that any new scrotal swelling be brought to your doctor's attention for further evaluation.See 3 more doctor answers
Yes: Any surgery is going ot have some degree of pain no matter what. The level of discomfort depends on several factors including the size of the hydroceles (big ones tend to hurt more), the technique used by the surgeon and the pain tolerance of the individual. Patricio gargollo, md pediatric urology, dallas texas.See 1 more doctor answer
Usually not: Will probably be present at birth. Most infant hydroceles resolve spontaneously during first year of life. May need treatment if they enlarge hugely or become tense, tender or red.See 1 more doctor answer
Bottle or Lord ops.: For adult hydroceles. Both operations are performed through the scrotum. Excess hydrocele sac is excised with bottle procedure and remaining sac is everted and sutured together behind the testis. Hydrocele is incised and rolled up & sutured on either side of testis with lord procedure. Infant & child hydroceles are corrected through the groin & patent communication, . If present, is divided.
No: Hydroeceles are benign swelling of the testicles. Treatment includes drainage with a needle or making an incision in the scrotum to drain the fluid directly. Unless there is abdominal pathology causing the pathology that needs to be addressed, laparoscopic treatment is not an option.See 2 more doctor answers
Symptoms?: Treatment of the most common type of hydrocele is necessary only for symptomatic complaints or for the rare situation of compromised integrity of the scrotal skin. Surgical excision is the most common treatment. Simple aspiration doesn't work. The fluid will just reaccumulate.See 2 more doctor answers
Usually not: Small hydroceles often require no surgery unless they bother the subject. Large hydroceles in very old or infirm subjects can be aspirated coincident with instillation of a sclerosant but usually recur. By ; large all adult hydroceles which need to be "fixed" require surgery for correction. Operation is reactively minor.
Scrotal enlargement: Scrotum bulges on side of hydrocele due the collection of fluid. Small hydroceles tend to be symptom free. Large hydroceles feel like a weight within thy scrotum. Can be slightly tender, especially if tense or resulting from trauma. Can cause unpleasant friction on thigh with walking or running. Severe pain ; an acute hydrocele can be due to epididymitis or testis torsion ; needs 2b seen asap.See 1 more doctor answer