The term hydrocele comes from the Greek words hydro meaning water and cele meaning tumor. It is also known as water hernia among the public. hydroceleIt is a condition of the scrotum (swelling) of the scrotum with more fluid accumulation than normal in the membranes surrounding the testicles.
What is Hydrocele?
Hydrocele is a male condition. However, it can also be seen frequently in children and newborns. Normally, between the testicle and the membranes surrounding the testicle, there is 0.5 -1 ml to ensure the lubrication of the testicle. liquid is present. However, in hydrocele, this amount of fluid is 100–200 ml. , sometimes even reaching much larger volumes.
What are the Types of Hydrocele?
Water hernia types are divided into two; Congenital Hydrocele and Adult Hydrocele
Congenital Hydrocele: In the womb, the testicle is located in the abdomen and, starting from the 14th week of pregnancy, moves towards the lower parts of the abdomen and then descends into the testicle bag called the scrotum. The peritoneum (abdominal membrane), which is dragged together during this descent, descends with the testicle to the scrotum, like a glove finger.
Some time after birth, this sac closes and becomes a thread-like structure. If this sac does not close, intra-abdominal fluid passes through this opening and accumulates around the testicle, causing swelling. This situation also hydrocele It is called. Congenital hernia occurs in approximately %6 of newborn males. Most neonatal hydroceles are congenital, but it should not be overlooked that tumors, infections or circulatory disorders can also cause water hernia in newborns.
Adult Hydrocele: Hydrocele occurs in approximately 1 in 100,000 adult men and is usually over the age of 40. In adult men and older people, hydrocele may occur due to reasons such as trauma to the scrotum, inflammatory diseases of the testicles and its appendages, testicular tumors, varicocele surgeries and after radiotherapy.
Böbrek nakli olan hastaların %70’inde tek taraflı hidrosel oluşur. Testis torsiyonu (testisin kendi etrafında aniden dönmesi), hastada reaktif hidrosele neden olabilir ve acil müdahale gerektiren testis torsiyonunu maskeleyebilir.
How to Diagnose Hydrocele?
The diagnosis of water hernia can be easily made through physical examination. Many water hernias do not cause any complaints. The reason why patients consult a physician is usually painless swelling in the scrotum. The patient may feel heaviness or fullness in the scrotum. Rarely, they may experience mild discomfort in the groin area and pain in the waist area.
There is usually no pain, if there is, it may be due to acute epididymal infection. In congenital hydrocele, swelling in the scrotum disappears in the morning and becomes apparent later in the day. Symptoms such as fever, chills, nausea and vomiting are not usually seen in simple hydroceles.
During scrotal examination, hydrocele testisin üst ön kısmında yerleşimli olarak bulunur. %10 ihtimalle iki taraflıdır. Eğer enfeksiyon yoksa testis torbasında kızarıklık ya da bir renk değişikliği görülmez. Testis torbasına karanlık bir odada ışık tutulmasıyla birlikte, şişkinlik sebebi su fıtığı ise, testis torbası ışığı geçirir. Buna transülliminasyon denir. Konjenital (doğumsal) su fıtığı ise şişlik, çocuk ayağa kalktığında veya ağladığında belirginleşir. Ancak muayene sırasında veya yattığında kaybolur.
What is Hydrocele Treatment?
which is a surgical procedure hydrocele treatment For newborns and children, it is expected until the age of 2. However, a surgical operation is performed for children who do not improve after the age of 2. Another treatment is circumcision of children or newborns.
In adults, a drain is first inserted into the patient's scrotum bag in an operation that takes between 30 and 60 minutes. Then, after the drain remains in the patient for between 24 and 48 hours, the drain is removed from the patient and the patient is discharged and advised to rest at home. If necessary, painkillers or antibiotic treatment may be applied after the procedure.
Frequently Asked Questions
The most common symptom of hydrocele is swelling. This swelling in the bags is usually painless and grows slowly.
The incidence of hydrocele, which occurs as a symptom of bloating, increases with age. Hydrocele is a benign formation and does not turn into cancer.
The diagnosis of hydrocele is made through a medical examination performed by a urologist.
Although it is not known for certain, the presence of excess fluid around the testicle may affect the scrotum temperature, increasing the testicular temperature required for sperm production and disrupting sperm production.