Hydroceles
A hydrocele is a fluid collection between the parietal
of &
and visceral layers tunica vaginalis of testis
usually confined to scrotum
.
classification .
I
↓
congenital Acquired
I
Direct communication ↓ ↓
with peritonical Primary secondary
cavity
. Gidopathic S
Inflamentory .
O acute
appendimorphic
② chronic
TB
③ Filariasis
Traumatic
Neoplastic
clinical difference &
* betw primary secondary .
Primary secondary
.
① Idiopathic ① underlying cause
② Bilateral ② unilateral
③ Test is not
palpable ③ Testis is palpable .
Intents ofHydrocele
* uid
·
amber colour Fluid
· contents -
water
6 % albumin
.
inorganic salts
on
long standing it
may have produce Cholesterol
· -
tyrosin
-
crystals
Fibrinogen
-
·
Fibrinogen imparts a
peculiar quality that the
fluid doesn't not clot on standing but forms clots
if 52 drops of blood complication
intreated >
- Hernia of hydrock sa
rupture >
- testicular atrophy
microfilaria
Hematocell
·
also contains .
pyocele
diagnostic Features -
Oswelling of scrotum
& ascends up
② not reducable
⑤ abres of visible &
palpable othing
④ cystic swelling
(swelling which contain fuid)
*
Variants
-
Ancestral Mydrock
O scrotum
showso
Bisac
Hydrocess
superficial
in -
Increased
⑤ hydrocek canal
secretion
in of and
atmentinaY
=
of underlying
reabsorption
E treatment cause
Decreased ① secondary
④ Primary - Jabolas
simple eversion of sac
eversion with
of
ligation
Blockage
lords
lymphatics
Direct communication with peritoneal cavity
.
* complications if left untreated
① Hernia of
hydrocele sac
② rupture -> testicular atrophy
③ Hematocele
① Pyocele
* Diagnostic Features
① swelling of scrotum & ascends up .
② Not reducible
③ cystic swelling
which contains Fluids
swelling .