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.
• 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.
Injury or inflammation of the scrotum
• 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
• Soft, Cystic, Not reducible, Scrotal swelling
• Scrotal pain
• Redness of the scrotum
• Fluid accumulation with translumination
• Dragging sensation
• Physical examination
• Blood and urine tests to check for underlying infection.
• 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.
• Teach about the hydrocele bandage
• Teach coping techniques
• Inguinal hernia.