Hydroceles

Hydroceles

A hydrocele is a fluid collection between the parietal and visceral layers of the tunica vaginalis and is usually confined to the scrotum /uni00A0 – /uni00A0 one can feel the cord above it. Occasionally , it extends into the external ring and one cannot feel the cord. Hydroceles are typically asymptomatic, non-tender and may fluctuate, reducing overnight; they can be bilateral. Infant hydroceles can be tense and uncomfortable, especially if over examined, causing confusion with an incarcerated inguinal hernia. Although hydroceles transilluminate, this is a flawed test for distinguishing one from an incarcerated inguinal hernia since light easily shines through an infant’s intestine. Surgery is rarely indicated before 2 years because a major ity resolve. Occasionally an encysted hydrocele of the cord (or hydrocele of the canal of Nuck in a girl) forms as the processus obliterates; persistence warrants exploration. Occasionally , a febrile boy pr esents with a viral-like illness and an acute hydro cele. These generally resolve over a few weeks, and only those that remain need exploration. Ligation of a patent processus vaginalis is similar to an inguinal hernia repair. Teenage boys ma y have a non-communicating hydrocele with fluid arising from the tunica vaginalis; a plication (Lord’s procedure) or excision/eversion of the tunica vaginalis (Jabou lay pr ocedure) are needed. Hydroceles

A hydrocele is a fluid collection between the parietal and visceral layers of the tunica vaginalis and is usually confined to the scrotum /uni00A0 – /uni00A0 one can feel the cord above it. Occasionally , it extends into the external ring and one cannot feel the cord. Hydroceles are typically asymptomatic, non-tender and may fluctuate, reducing overnight; they can be bilateral. Infant hydroceles can be tense and uncomfortable, especially if over examined, causing confusion with an incarcerated inguinal hernia. Although hydroceles transilluminate, this is a flawed test for distinguishing one from an incarcerated inguinal hernia since light easily shines through an infant’s intestine. Surgery is rarely indicated before 2 years because a major ity resolve. Occasionally an encysted hydrocele of the cord (or hydrocele of the canal of Nuck in a girl) forms as the processus obliterates; persistence warrants exploration. Occasionally , a febrile boy pr esents with a viral-like illness and an acute hydro cele. These generally resolve over a few weeks, and only those that remain need exploration. Ligation of a patent processus vaginalis is similar to an inguinal hernia repair. Teenage boys ma y have a non-communicating hydrocele with fluid arising from the tunica vaginalis; a plication (Lord’s procedure) or excision/eversion of the tunica vaginalis (Jabou lay pr ocedure) are needed. Hydroceles

A hydrocele is a fluid collection between the parietal and visceral layers of the tunica vaginalis and is usually confined to the scrotum /uni00A0 – /uni00A0 one can feel the cord above it. Occasionally , it extends into the external ring and one cannot feel the cord. Hydroceles are typically asymptomatic, non-tender and may fluctuate, reducing overnight; they can be bilateral. Infant hydroceles can be tense and uncomfortable, especially if over examined, causing confusion with an incarcerated inguinal hernia. Although hydroceles transilluminate, this is a flawed test for distinguishing one from an incarcerated inguinal hernia since light easily shines through an infant’s intestine. Surgery is rarely indicated before 2 years because a major ity resolve. Occasionally an encysted hydrocele of the cord (or hydrocele of the canal of Nuck in a girl) forms as the processus obliterates; persistence warrants exploration. Occasionally , a febrile boy pr esents with a viral-like illness and an acute hydro cele. These generally resolve over a few weeks, and only those that remain need exploration. Ligation of a patent processus vaginalis is similar to an inguinal hernia repair. Teenage boys ma y have a non-communicating hydrocele with fluid arising from the tunica vaginalis; a plication (Lord’s procedure) or excision/eversion of the tunica vaginalis (Jabou lay pr ocedure) are needed.