Hydrocele.pptx

Hydrocele lec

1. HYDROCELE DR SHIV CHARAN NAVRIYA ASSISTANT PROFESSOR DEPARTMENT OF UROLOGY AIIMS RISHIKESH

2. HYDROCELE Defined as a collection of fluid within the tunica vaginalis of the testis.

3. Premature - 44% Full term – 4-5% Disturbed Balance between produced and absorbed fluid Heaviness, fullness, dragging sensation , cosmetic problem, radiating pain to back

4. Pathophysiology Excessive production of fluid within sac Defective absorption of fluid Interference with lymphatic drainage Connection with peritoneal cavity via patent processus vaginalis

5. Imbalance between the fluid secretion and absorption of the tunica vaginalis

6. DIFFERENTIAL DIAGNOSIS: SCROTAL CYSTIC MASSES Indirect inguinal hernia Epididymis cyst Hydrocele Varicocele Spermatocele Pyocoele Hematocele

7. DIFFERENTIATION HYDROCELE INGUINAL HERNIA Palpate cord above mass YES NO Transillumination YES NO Fluctuate YES NO Fluid thrill YES NO

8. DIFFERENTIATION HYDROCELE INGUINAL HERNIA Testis palpable NO YES Cough impulse NO YES Reducible NO YES Bowl sounds NO YES

9. FLUID FROM CYSTIC MASSES TESTICULAR CYSTIC MASS COLOR OF FLUID Hydrocele Straw color Spermatocele Milky or Grey opaque (barley-water) Epididymis cyst Clear

10. TREATMENT Communicating Tying off the patent processus vaginalis Primary Hydrocelectomy Aspiration + injection of sclerosing agent Secondary Treat underlying pathology