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.
Hydrocele is a collection of excessive fluid in the tunica vaginal
sac.
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Vaginal Hydrocele occurs when hydrocele sac in patient only
in the scrotum.
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Infantile Hydrocele The sac from the scrotum in patient upto
the deep ingunial rings
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True congenital Hydrocele The scrotal sac communicates with
peritoneal cavity.
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Hydrocele of canal of Nuck: It presents as a smelling in the inguinal
region in female.
Injury or inflammation of the scrotum
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Excessive production of fluid within the sac
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Defective absorption of fluid
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Defective lymphatic drainage of scrotal structures as in case of
elephantiasis
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by connection with a hernia of the peritoneal cavity in the
congenital variety, which presents as hydrocele of the cord
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Soft, Cystic, Not reducible, Scrotal swelling
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Scrotal pain
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Redness of the scrotum
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Heaviness
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Fullness
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Fluid accumulation with translumination
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Dragging sensation
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Fever
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Chills
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Nausea
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Vomiting
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History.
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Physical examination
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Ultrasound.
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Blood and urine tests to check for underlying infection.
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Lord/s Plication is indicated in small hydrocoeles. The
sac is opened and the cut edge of the sac is plicated to tunica albuginea.
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Partical excision and eversion of the sac: Jaboula’s operation
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Aspiration-is a temporary method.
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Teach about the hydrocele bandage
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Teach coping techniques
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Infection
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Inguinal hernia.
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Haematocoele
•
Pyocoele
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