HYDROCELE Dr. Ketan Vagholkar MS, DNB, MRCS, FACS Consultant General Surgeon & Professor of Surgery
Surgical anatomy of the scrotum <ul><li>Layers of the scrotum </li></ul><ul><ul><li>Skin </li></ul></ul><ul><ul><li>Dartos...
Definition of hydrocele <ul><li>Hydrocele is defined as a collection of serous fluid in any part of the processus vaginali...
Surgical pathology <ul><li>Classification </li></ul><ul><ul><li>Congenital </li></ul></ul><ul><ul><li>Acquired </li></ul><...
Clinical features <ul><li>History </li></ul><ul><ul><li>Symptoms </li></ul></ul><ul><ul><li>Complications </li></ul></ul><...
Clinical examination
Clinical examination
Clinical examination
Investigations <ul><li>Laboratory </li></ul><ul><ul><li>CBC </li></ul></ul><ul><ul><li>Urine exam. </li></ul></ul><ul><ul>...
Differential diagnosis
Treatment <ul><li>Eversion of sac </li></ul><ul><li>Eversion with subtotal excision </li></ul><ul><li>Lord’s procedure </l...
Complications of surgery <ul><li>Damage to the testis & chord stuctures </li></ul><ul><li>Haematocele </li></ul><ul><li>In...
Upcoming SlideShare
Loading in …5
×

Hydrocele: A common tropical problem.

6,726 views

Published on

Published in: Health & Medicine

Hydrocele: A common tropical problem.

  1. 1. HYDROCELE Dr. Ketan Vagholkar MS, DNB, MRCS, FACS Consultant General Surgeon & Professor of Surgery
  2. 2. Surgical anatomy of the scrotum <ul><li>Layers of the scrotum </li></ul><ul><ul><li>Skin </li></ul></ul><ul><ul><li>Dartos muscle </li></ul></ul><ul><ul><li>Ext. spermatic fascia </li></ul></ul><ul><ul><li>Cremasteric fascia </li></ul></ul><ul><ul><li>Int.spermatic fascia </li></ul></ul><ul><ul><li>Tunica vaginalis </li></ul></ul>
  3. 3. Definition of hydrocele <ul><li>Hydrocele is defined as a collection of serous fluid in any part of the processus vaginalis most commonly in the tunica. </li></ul>
  4. 4. Surgical pathology <ul><li>Classification </li></ul><ul><ul><li>Congenital </li></ul></ul><ul><ul><li>Acquired </li></ul></ul><ul><ul><ul><li>Primary </li></ul></ul></ul><ul><ul><ul><li>Secondary </li></ul></ul></ul><ul><li>Mechanisms of fluid formation </li></ul><ul><li>Contents of hydrocele fluid </li></ul><ul><li>Complications </li></ul>
  5. 5. Clinical features <ul><li>History </li></ul><ul><ul><li>Symptoms </li></ul></ul><ul><ul><li>Complications </li></ul></ul><ul><ul><li>Etiology </li></ul></ul><ul><ul><li>Treatment taken </li></ul></ul><ul><li>Clinical examination </li></ul><ul><ul><li>Inspection(no visible impulse on coughing) </li></ul></ul><ul><ul><li>Palpation </li></ul></ul><ul><ul><ul><li>Getting above the swelling </li></ul></ul></ul><ul><ul><ul><li>Fluctuation </li></ul></ul></ul><ul><ul><ul><li>Transilluminant </li></ul></ul></ul><ul><ul><ul><li>No palpable impulse on coughing </li></ul></ul></ul><ul><ul><ul><li>Testis (palpable or not,& testicular sensation) </li></ul></ul></ul><ul><ul><ul><li>Spermatic cord </li></ul></ul></ul><ul><ul><ul><li>Lymph nodes </li></ul></ul></ul><ul><ul><ul><li>PR examination </li></ul></ul></ul>
  6. 6. Clinical examination
  7. 7. Clinical examination
  8. 8. Clinical examination
  9. 9. Investigations <ul><li>Laboratory </li></ul><ul><ul><li>CBC </li></ul></ul><ul><ul><li>Urine exam. </li></ul></ul><ul><ul><li>Semen analysis in young patients </li></ul></ul><ul><li>Radiological </li></ul><ul><ul><li>Xray chest –PA view </li></ul></ul><ul><ul><li>USG of scrotum </li></ul></ul>
  10. 10. Differential diagnosis
  11. 11. Treatment <ul><li>Eversion of sac </li></ul><ul><li>Eversion with subtotal excision </li></ul><ul><li>Lord’s procedure </li></ul><ul><li>Sharma and Jhawer’s procedure </li></ul><ul><li>Herniotomy for cong hydrocele </li></ul>
  12. 12. Complications of surgery <ul><li>Damage to the testis & chord stuctures </li></ul><ul><li>Haematocele </li></ul><ul><li>Infection </li></ul><ul><li>Recurrence </li></ul>

×