Definition, Types, Causes, Risk factors and Symptoms, Diagnosis, management - Hydrocele | 12th Nursing : Chapter 2 : Medical Surgical and Applied Nursing Management Psychology of Human Diseases

Chapter: 12th Nursing : Chapter 2 : Medical Surgical and Applied Nursing Management Psychology of Human Diseases

Hydrocele

The testes, or testicles, are the two male reproductive glands that produce sperm and the male hormone testosterone.

Hydrocele

The testes, or testicles, are the two male reproductive glands that produce sperm and the male hormone testosterone. They are located in the scrotum, which is a pouch located behind the penis. Hydroceles can occur on either side of the scrotum or, in rarer cases, on both sides.

 

Definition

Hydrocele is a collection of excessive fluid in the tunica vaginal sac.

 

Types

               Vaginal Hydrocele occurs when hydrocele sac in patient only in the scrotum.

               Infantile Hydrocele The sac from the scrotum in patient upto the deep ingunial rings

               True congenital Hydrocele The scrotal sac communicates with peritoneal cavity.

               Hydrocele of canal of Nuck: It presents as a smelling in the inguinal region in female.


 

Risk factors

Injury or inflammation of the scrotum

Causes

               Excessive production of fluid within the sac

               Defective absorption of fluid

               Defective lymphatic drainage of scrotal structures as in case of elephantiasis

               by connection with a hernia of the peritoneal cavity in the congenital variety, which presents as hydrocele of the cord

 

Symptoms

               Soft, Cystic, Not reducible, Scrotal swelling

               Scrotal pain

               Redness of the scrotum

               Heaviness

               Fullness

               Fluid accumulation with translumination

               Dragging sensation

               Fever

               Chills

               Nausea

               Vomiting

 

Diagnosis

               History.

               Physical examination

               Ultrasound.

               Blood and urine tests to check for underlying infection.

 

Management

               Lord/s Plication is indicated in small hydrocoeles. The sac is opened and the cut edge of the sac is plicated to tunica albuginea.

               Partical excision and eversion of the sac: Jaboula’s operation

               Aspiration-is a temporary method.

Nursing management

               Teach about the hydrocele bandage

               Teach coping techniques

Complications

               Infection

               Inguinal hernia.

               Haematocoele

               Pyocoele

 

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12th Nursing : Chapter 2 : Medical Surgical and Applied Nursing Management Psychology of Human Diseases : Hydrocele | Definition, Types, Causes, Risk factors and Symptoms, Diagnosis, management

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12th Nursing : Chapter 2 : Medical Surgical and Applied Nursing Management Psychology of Human Diseases


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