3. Defination
• Abnormal collection of serous fluid in tunica
vaginalis (between visceral and parietal layers
of tunica vaginalis)
• May be acute or chronic, congenital or
acquired
• Presents as swelling of scrotum or groin area
• Common in men over the age of 40.
4.
5. Causes
• Exact cause is unknown
• May be associated with:
– Trauma
– Systemic edema: cardiac failure, renal disease
– Inflammation of testis and epididymis
• Gonorrhoea,
• Syphilis
• Tuberculosis
– Cancers/tumors of testicle or kidney
6. • Cause of fluid accumulation:
– Defective absorption of fluid by tunica vaginalis:
may be due to damage to endothelial wall by
low-grade infection
– Interference with drainage of fluid by lymphatic
vessels of cord
– Excessive production of fluid
– Communication with peritoneal cavity
7. • Mild Pain
• Swelling of scrotum
• Redness of scrotum
• Feeling of pressure at base of penis may be present
• Testicular torsion
• Infertility
Clinical Features