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HYDROCELE
Dr. SIZAN THAPA
MBBS, MD
Objectives
• Hydrocele
– Definition
– Causes
– Clinical Features
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.
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
• 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
• Mild Pain
• Swelling of scrotum
• Redness of scrotum
• Feeling of pressure at base of penis may be present
• Testicular torsion
• Infertility
Clinical Features
TESTICULAR TUMORS
Hydrocele and tumors of testis mbbs 2nd year.pptx

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Hydrocele and tumors of testis mbbs 2nd year.pptx

  • 2. Objectives • Hydrocele – Definition – Causes – Clinical Features
  • 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