SlideShare a Scribd company logo

Hydrocele

•Download as PPT, PDF•
•
Abino David
Abino David

This document discusses bilateral hydrocele, which is a fluid collection around the testes. It defines different types of hydrocele including congenital, infantile, encysted, and secondary to infections. Key features include a fluctuant, transilluminant swelling above the scrotum without palpable testes. Complications can include infection, infertility, and testicular atrophy. Differential diagnoses include hernia and tumors. Treatment involves surgical techniques like Lord's plication, evacuation and eversion, or subtotal excision depending on size and characteristics of the hydrocele sac.

1 of 17
Downloaded 1,826 times
Hydrocele
BILATERAL HYDROCELE
DEFINITION TYPES AETIOLOGY
FEATURES:  TESTIS NO PALPABLE  FLUCTUANT  TRANSILLUMINANT  CAN GET ABOVE SWELLING  TESTICULAR SENSATION CAN BE ELICITED
TRANSILLUMINANT
Hydrocele
CONGENITAL FUNICULAR ENCYSTED INFANTILE HYDROCELE HYDROCELE HYDROCELE HYDROCELE OF CORD
CONGENITAL HYDROCELE: PV COMMUNICATES WITH PERITONEAL CAVITY INFANTILE HYDROCELE: TUNICA &PV DISTENDED UPTO INTERNAL RING BUT SAC HAS NO CONNECTION WITH PERITONEAL CAVITY
ENCYSTED HYDROCELE OF CORD: SMOOTH,OVAL SWELLING ASSOCIATED WITH SPERMATIC CORD.  TRACTION TEST BILOCULAR HYDROCELE 2 INTERCOMMUNICATING SACS ABOVE & BELOW NECK OF SCROTUM
HYDROCELE OF CANAL OF NUCK: OCCURS IN FEMALES IN RELATION ROUND LIGAMENT ALWAYS IN THE INGUINAL CANAL HYDROCELE OF HERNIAL SAC: DUE TO ADHESIONS IN HERNIAL SAC
SECONDARY HYDROCELE: INFECTIONS: FILARIASIS TUBERCULOSIS OF EPIDIDYMIS SYPHILIS INJURY POST HERNIORRHAPHY HYDROCELE TRAUMA TUMOUR MALIGNANCY
FILARIAL HYDROCELE:  COMMON IN COASTAL REGION  REPEATED ATTACKS OF FILARIAL EPIDIDYMITIS  SIZE- LARGE SIZE WITH THICKENED SAC  CHOLESTEROL RICH FLUID  RESEMBLES PRIMARY HYDROCELE
1. INFECTION 2. PYOCELE,HEMATOCELE 3. INFERTILITY 4. ATROPHY OF TESTIS 5. HERNIATION OF HYDROCELE SAC (rare) 6. RUPTURE (rare)
1. INGUINAL HERNIA 2. EPIDIDYMAL CYST 3. TESTICULAR TUMOUR 4. SCROTAL EDEMA 5. SPERMATOCELE
SURGERIES:  LORDS PLICATION  EVACUATION AND EVERSION  SUBTOTAL EXCISION  JABOULEYS OPERATION  SHARMA and JHAWERS TECHNIQUE
 IF SAC IS SMALL THIN AND CONTAINS CLEAR FLUID ->LORDS PLICATION –SAC IS MADE TO FORM FIBROUS TISSUE OR EVACUATION & EVERSION  IF SAC IS THICK IN LARGE HYDROCELE –SUBTOTAL EXCISION  JABOULEYS OPERATION  SHARMA & JHAWER TECHNIQUE
Hydrocele

More Related Content

Hydrocele

  • 4. FEATURES:  TESTIS NO PALPABLE  FLUCTUANT  TRANSILLUMINANT  CAN GET ABOVE SWELLING  TESTICULAR SENSATION CAN BE ELICITED
  • 7. CONGENITAL FUNICULAR ENCYSTED INFANTILE HYDROCELE HYDROCELE HYDROCELE HYDROCELE OF CORD
  • 8. CONGENITAL HYDROCELE: PV COMMUNICATES WITH PERITONEAL CAVITY INFANTILE HYDROCELE: TUNICA &PV DISTENDED UPTO INTERNAL RING BUT SAC HAS NO CONNECTION WITH PERITONEAL CAVITY
  • 9. ENCYSTED HYDROCELE OF CORD: SMOOTH,OVAL SWELLING ASSOCIATED WITH SPERMATIC CORD.  TRACTION TEST BILOCULAR HYDROCELE 2 INTERCOMMUNICATING SACS ABOVE & BELOW NECK OF SCROTUM
  • 10. HYDROCELE OF CANAL OF NUCK: OCCURS IN FEMALES IN RELATION ROUND LIGAMENT ALWAYS IN THE INGUINAL CANAL HYDROCELE OF HERNIAL SAC: DUE TO ADHESIONS IN HERNIAL SAC
  • 11. SECONDARY HYDROCELE: INFECTIONS: FILARIASIS TUBERCULOSIS OF EPIDIDYMIS SYPHILIS INJURY POST HERNIORRHAPHY HYDROCELE TRAUMA TUMOUR MALIGNANCY
  • 12. FILARIAL HYDROCELE:  COMMON IN COASTAL REGION  REPEATED ATTACKS OF FILARIAL EPIDIDYMITIS  SIZE- LARGE SIZE WITH THICKENED SAC  CHOLESTEROL RICH FLUID  RESEMBLES PRIMARY HYDROCELE
  • 13. 1. INFECTION 2. PYOCELE,HEMATOCELE 3. INFERTILITY 4. ATROPHY OF TESTIS 5. HERNIATION OF HYDROCELE SAC (rare) 6. RUPTURE (rare)
  • 14. 1. INGUINAL HERNIA 2. EPIDIDYMAL CYST 3. TESTICULAR TUMOUR 4. SCROTAL EDEMA 5. SPERMATOCELE
  • 15. SURGERIES:  LORDS PLICATION  EVACUATION AND EVERSION  SUBTOTAL EXCISION  JABOULEYS OPERATION  SHARMA and JHAWERS TECHNIQUE
  • 16.  IF SAC IS SMALL THIN AND CONTAINS CLEAR FLUID ->LORDS PLICATION –SAC IS MADE TO FORM FIBROUS TISSUE OR EVACUATION & EVERSION  IF SAC IS THICK IN LARGE HYDROCELE –SUBTOTAL EXCISION  JABOULEYS OPERATION  SHARMA & JHAWER TECHNIQUE