Hydrocele
Hydrocele Surgery is Accumulation of fluid in between layers over testis leading to appearance of large swelling in scrotum obviously in males.
However Canal of nuck hydrocele , a rare entity seen in females.
Causes
A) Primary Hydrocele Surgery
- No Known cause But due to Excess Fluid production or decreased absorption
B) Secondary Hydrocele Surgery
- Infection Like Bacterial or tuberculosis
- Filariasis or Elephantiasis
- Tumor
- Hernia Hydrocele
- Secondary to Hernia Surgery, Varicocele Surgery, Post Renal Transplant
- Ascites, Trauma, Hematocele, Etc
Symptoms & Diagnosis
Painless Scrotal swelling In Testis area
Occasional Pain or Heaviness
Pain & fever if Secondary causes or Infection
Assessment of patient as per following
- History of Patient & Symptoms
- Physical examination & Ultrasound Duplex doppler inguinoscrotal region to support findings
Treatment
Moderate to Large Size Hydrocele will need some form of surgical treatment.
Very small sized Hydrocele patients can wait & watch.
Eversion of Hydrocele Sac(Jaboulay or Winkelmann’s)
Lords Plication
Western Snip, Stitich & Tug Sub Inguinal Technique (Saber’s Minimal Access Hydrocelectomy )
Excision & Oversewing ( Von Bergmann’s )
Sub-Dartos Pouch Technique or Scrotoplasty for Giant Hydrocele
- Pyocele
- Rupture
- Testicular Atrophy
- Fungal Infection over scrotal skin
- Fourniers gangrene
– Impaired Sex Life – large scrotal swelling & apparent small penis esp. In large hydrocele
– Infertility – Compartment syndrome, Testicular compression, Raised temperature of scrotum , as water prevents heat dissipation.
– Dyspareunia
– Erectile Dysfunction
– Social Stigma
Varicocele
Epididymal cyst
Testicular torsion
Testicular tumors
Large Inguinoscrotal hernia
Epidodymorchitis
- Pyocele
- Rupture
- Testicular Atrophy
- Fungal Infection
- Fourniers gangrene
Treatment of Infant Hydrocele in New born children ?
Incidence is upto 10 percent in new born infants
Conservative treatment & wait for atleast 18 months as many will regress with time unless coexisting inguinal hernia
If no regression , then herniotomy after 18 months may be advisable.
TESTIMONIALS
Opening Hours
Monday – Saturday
Morning09.00 AM – 12.00 PM
Evening04.00 PM – 07.00 PM
Get Appointment
You simply click on above number and book appointment with Dr. Chintan B Patel
