Hydrocele: A common tropical problem.
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Hydrocele is a collection of serous fluid in the tunica vaginalis of the scrotum. The document discusses the surgical anatomy of the scrotum, defines hydrocele and discusses its classification and causes. It also covers the clinical examination for hydrocele including inspection, palpation and transillumination of the scrotum. Common investigations like ultrasound and treatments like eversion of the sac are mentioned. Complications of hydrocele surgery are also listed.
Hydrocele: A common tropical problem.
- 1. HYDROCELE Dr. Ketan Vagholkar MS, DNB, MRCS, FACS Consultant General Surgeon & Professor of Surgery
- 2. Surgical anatomy of the scrotum Layers of the scrotum Skin Dartos muscle Ext. spermatic fascia Cremasteric fascia Int.spermatic fascia Tunica vaginalis
- 3. Definition of hydrocele Hydrocele is defined as a collection of serous fluid in any part of the processus vaginalis most commonly in the tunica.
- 4. Surgical pathology Classification Congenital Acquired Primary Secondary Mechanisms of fluid formation Contents of hydrocele fluid Complications
- 5. Clinical features History Symptoms Complications Etiology Treatment taken Clinical examination Inspection(no visible impulse on coughing) Palpation Getting above the swelling Fluctuation Transilluminant No palpable impulse on coughing Testis (palpable or not,& testicular sensation) Spermatic cord Lymph nodes PR examination
- 9. Investigations Laboratory CBC Urine exam. Semen analysis in young patients Radiological Xray chest –PA view USG of scrotum
- 11. Treatment Eversion of sac Eversion with subtotal excision Lord’s procedure Sharma and Jhawer’s procedure Herniotomy for cong hydrocele
- 12. Complications of surgery Damage to the testis & chord stuctures Haematocele Infection Recurrence