What Is A Hydrocele?
A hydrocele is the accumulation of fluid around a testicle. The fluid is secreted from a residual piece of the inner abdominal wall lining called peritoneum. This layer of peritoneum around the testis is called tunica vaginalis.
What Causes A Hydrocele?
The causes of hydrocele could be:
when there is defective absorption of fluid by the tunica vaginalis
where there is excessive production of fluid within the sac as a result of other conditions such as:
- Cancer of the testis
Diagnosis is made by:
- Examining the scrotum. On examination there is a soft and non-tender swelling. The testis itself may not be felt.
- Ultrasound scan of the scrotum can confirm the hydrocele.
Treatment options include:
Different surgical procedures can be done but the most common is called Jaboulay’s procedure. This is where the hydrocele fluid is drained and the tunica vaginalis is wrapped around the spermatic cord to stop recurrence of the hydrocele.
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