Hydrocele

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Hydrocele

  1. 1. BILATERAL HYDROCELE
  2. 2. DEFINITIONTYPESAETIOLOGY
  3. 3. FEATURES: TESTIS NO PALPABLE FLUCTUANT TRANSILLUMINANT CAN GET ABOVE SWELLING TESTICULAR SENSATION CAN BE ELICITED
  4. 4. TRANSILLUMINANT
  5. 5. CONGENITAL FUNICULAR ENCYSTED INFANTILEHYDROCELE HYDROCELE HYDROCELE HYDROCELE OF CORD
  6. 6. CONGENITAL HYDROCELE:PV COMMUNICATES WITH PERITONEAL CAVITYINFANTILE HYDROCELE:TUNICA &PV DISTENDED UPTO INTERNAL RING BUT SAC HAS NO CONNECTION WITH PERITONEAL CAVITY
  7. 7. ENCYSTED HYDROCELE OF CORD:SMOOTH,OVAL SWELLING ASSOCIATED WITH SPERMATIC CORD. TRACTION TESTBILOCULAR HYDROCELE2 INTERCOMMUNICATING SACS ABOVE & BELOW NECK OF SCROTUM
  8. 8. HYDROCELE OF CANAL OF NUCK:OCCURS IN FEMALES IN RELATION ROUND LIGAMENTALWAYS IN THE INGUINAL CANALHYDROCELE OF HERNIAL SAC:DUE TO ADHESIONS IN HERNIAL SAC
  9. 9. SECONDARY HYDROCELE:INFECTIONS: FILARIASIS TUBERCULOSIS OF EPIDIDYMIS SYPHILISINJURY POST HERNIORRHAPHY HYDROCELE TRAUMATUMOUR MALIGNANCY
  10. 10. FILARIAL HYDROCELE: COMMON IN COASTAL REGION REPEATED ATTACKS OF FILARIAL EPIDIDYMITIS SIZE- LARGE SIZE WITH THICKENED SAC CHOLESTEROL RICH FLUID RESEMBLES PRIMARY HYDROCELE
  11. 11. 1. INFECTION2. PYOCELE,HEMATOCELE3. INFERTILITY4. ATROPHY OF TESTIS5. HERNIATION OF HYDROCELE SAC (rare)6. RUPTURE (rare)
  12. 12. 1. INGUINAL HERNIA2. EPIDIDYMAL CYST3. TESTICULAR TUMOUR4. SCROTAL EDEMA5. SPERMATOCELE
  13. 13. SURGERIES: LORDS PLICATION EVACUATION AND EVERSION SUBTOTAL EXCISION JABOULEYS OPERATION SHARMA and JHAWERS TECHNIQUE
  14. 14.  IF SAC IS SMALL THIN AND CONTAINS CLEAR FLUID->LORDS PLICATION –SAC IS MADE TO FORM FIBROUS TISSUEOR EVACUATION & EVERSION IF SAC IS THICK IN LARGE HYDROCELE –SUBTOTAL EXCISION JABOULEYS OPERATION SHARMA & JHAWER TECHNIQUE

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