Testicular Diseases Orchitis Epididymitis Testicular Torsion Aricocele Hydrocele Anorchidism Hydrocele

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

TESTICULAR DISEASES

Inflammation of the testicles, called orchitis


Inflammation of the epididymis, called epididymitis
Spermatic cord torsion also called testicular torsion
Varicocele — swollen vein from the testes, usually affecting the left testicle
Hydrocele testis - Collection of fluid around the testicle, like a water balloon.
Anorchidism is the absence of one or both testicles.

HYDROCELE

A hydrocele is a fluid collection within the tunica vaginalis of the scrotum or along the
spermatic cord.
These fluid collections may represent persistent developmental connections along the
spermatic cord or an imbalance of fluid production versus absorption.

CAUSES:

Trauma
Ischemia
Infection (sexually transmitted or other)
Testicular tumor
Increased intra-abdominal pressure
Filariasis may produce hydrocele in infected boys and men
Hydrocele may be seen following ipsilateral renal transplantation
Indirect inguinal hernia
Primary testicular disorders
Surgery
Peritoneal dialysis
Valsalva

Pathophysiology:
The pathophysiology of hydroceles requires an imbalance of scrotal fluid production and
absorption. This imbalance can be divided further into exogenous fluid sources or intrinsic
fluid production.
Alternatively, hydroceles can be divided into those that represent a persistent
communication with the abdominal cavity and those that do not. whereas
noncommunicating hydroceles develop increased scrotal fluid from abnormal intrinsic
scrotal fluid shifts.

Communicating hydroceles: Fluid excesses are from exogenous sources (the


abdomen) in communicating hydroceles.
Noncommunicating hydroceles: In noncommunicating hydroceles, the
pathophysiology may occur as a result of increased fluid production or as a
consequence of impaired absorption.

Signs and Symptoms:


The main symptom of a hydrocele is swelling in the scrotum.
Generally, hydroceles do not cause pain; however, adult men may feel discomfort.

Diagnostic evaluation:
The first step in diagnosing a hydrocele is a physical examination. During the exam,
the physician may shine a flashlight at the swollen area of the scrotum. Because
the fluid in a hydrocele is usually clear, the light will show the outline of the testicle
and detect excess fluid.
Ultrasonography
Duplex ultrasonography
Plain abdominal radiography

Hydrocele Treatment
Most hydroceles resolve without medical treatment.
There are two methods of treatment: aspiration and hydrocelectomy (surgery).
In aspiration, a needle is used to drain the fluid. Aspiration is not the most common
treatment for hydroceles, but it may be performed when surgery is too risky. In some
cases, medication is injected afterward the procedure to close the sac and help prevent
hydroceles from recurring.
Hydrocelectomy is a minor surgical procedure in which the fluid and sac are removed.

You might also like