1 / 20

Hydrocele

Hydrocele. The testes “descend” and place the spermatic cord in a position just ventral (“in front of”) the ureter !!. Hydrocele. A hydrocele consists of a collection of fluid within tunica or processus vaginalis . It may occur within the spermatic cord.

zasha
Download Presentation

Hydrocele

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Hydrocele

  2. The testes “descend” and place the spermatic cord in a position just ventral (“in front of”) the ureter!!

  3. Hydrocele • A hydrocele consists of a collection of fluid within tunica or processusvaginalis. It may occur within the spermatic cord. • Hydrocele of tunica vaginalis is common in the newborn, as a result of late closure of the processusvaginalis, which is continuous with the peritoneum. Most of these fluid collection subside spontaneously during the first few weeks of life.

  4. Causes: secondary to local injury; acute nonspecific or tuberculousepididymitis, or orchitis. • Clinical findings: Young boys with hydrocele commonly have a history of a cystic mass which is small and soft in the morning but large and more tense at night. One can only conclude, in these instances, that a small communication exists in the processusvaginalis

  5. between the peritoneal cavity and the tunica vaginalis. Hernia or communicating hydrocele is therefore the proper diagnosis. Hydrocele is painless unless it is accompanied by acute epididymal infection. Patient may complain of its bulk or weight.

  6. Diagnosis made by finding a rounded cystic intrascrotal mass which is not tender unless underlying inflammatory disease is present. • Mass is transilluminate • If hydrocele is enclosed within the spermatic cord, a cystic fusiform swelling is noted in the groin or in the upper scrotum.

  7. treatment • Treatment unless complication are present, active therapy is not required. The indications for treatment are a very tense hydrocele which might embarrass circulation to the testicle or a large, bulk mass which is cosmetically unsightly and perhaps uncomfortable for the patient. • One aspiration of a hydrocele that is present during the first few months of life is often curative

  8. the parietal tunica vaginalis should be resected for chronic hydrocele which refill slowly, after repeated aspiration. Secondary infection may required incision and drainage. Hematocele should be treated by resection of the hydrocele sac.

  9. Surgical Treatment • 1 Lord’s Operation. • 2 Jaboulay’s Procedure • 3 Subtotal Excision

  10. Lord’s Procedure • Lord’s Procedure • A small incision is made b/w the lines of scrotal • blood vessels, well away from testis • Testis is allowed to prolapse through wound so that tunica is totally everted. • Fluid is drained by using catheter • A series of 10 -12 Catgut or Dexon sutures are woven radially from cut end of tunica to reflection of tunica • Wound is closed in layers.

  11. Jaboulay’s Procedure • It involves excision of sac ,with placement of testis in a pouchprepared by bkunt dissection in the facial planes of scrotum.

  12. Complications • 1- Rupture (traumatic or spntaneous) • 2- Hernia • 3-Transformation in to heamatocele • 4-Calcification (in long standing cases)

More Related