This document discusses bilateral hydrocele, which is a fluid collection around the testes. It defines different types of hydrocele including congenital, infantile, encysted, and secondary to infections. Key features include a fluctuant, transilluminant swelling above the scrotum without palpable testes. Complications can include infection, infertility, and testicular atrophy. Differential diagnoses include hernia and tumors. Treatment involves surgical techniques like Lord's plication, evacuation and eversion, or subtotal excision depending on size and characteristics of the hydrocele sac.

2. BILATERAL HYDROCELE

3. DEFINITION
TYPES
AETIOLOGY

4. FEATURES:
 TESTIS NO PALPABLE
 FLUCTUANT
 TRANSILLUMINANT
 CAN GET ABOVE SWELLING
 TESTICULAR SENSATION CAN BE ELICITED

5. TRANSILLUMINANT

7. CONGENITAL FUNICULAR ENCYSTED
INFANTILE
HYDROCELE HYDROCELE HYDROCELE
HYDROCELE
OF CORD

8. CONGENITAL HYDROCELE:
PV COMMUNICATES WITH PERITONEAL CAVITY
INFANTILE HYDROCELE:
TUNICA &PV DISTENDED UPTO INTERNAL RING BUT
SAC HAS NO CONNECTION WITH PERITONEAL
CAVITY

9. ENCYSTED HYDROCELE OF CORD:
SMOOTH,OVAL SWELLING ASSOCIATED WITH
SPERMATIC CORD.
 TRACTION TEST
BILOCULAR HYDROCELE
2 INTERCOMMUNICATING SACS ABOVE & BELOW NECK
OF SCROTUM

10. HYDROCELE OF CANAL OF NUCK:
OCCURS IN FEMALES IN RELATION ROUND LIGAMENT
ALWAYS IN THE INGUINAL CANAL
HYDROCELE OF HERNIAL SAC:
DUE TO ADHESIONS IN HERNIAL SAC

11. SECONDARY HYDROCELE:
INFECTIONS:
FILARIASIS
TUBERCULOSIS OF EPIDIDYMIS
SYPHILIS
INJURY
POST HERNIORRHAPHY HYDROCELE
TRAUMA
TUMOUR
MALIGNANCY

12. FILARIAL HYDROCELE:
 COMMON IN COASTAL REGION
 REPEATED ATTACKS OF FILARIAL EPIDIDYMITIS
 SIZE- LARGE SIZE WITH THICKENED SAC
 CHOLESTEROL RICH FLUID
 RESEMBLES PRIMARY HYDROCELE

13. 1. INFECTION
2. PYOCELE,HEMATOCELE
3. INFERTILITY
4. ATROPHY OF TESTIS
5. HERNIATION OF HYDROCELE SAC (rare)
6. RUPTURE (rare)

14. 1. INGUINAL HERNIA
2. EPIDIDYMAL CYST
3. TESTICULAR TUMOUR
4. SCROTAL EDEMA
5. SPERMATOCELE

15. SURGERIES:
 LORDS PLICATION
 EVACUATION AND EVERSION
 SUBTOTAL EXCISION
 JABOULEYS OPERATION
 SHARMA and JHAWERS TECHNIQUE

16.  IF SAC IS SMALL THIN AND CONTAINS CLEAR FLUID
->LORDS PLICATION –SAC IS MADE TO FORM FIBROUS
TISSUE
OR EVACUATION & EVERSION
 IF SAC IS THICK IN LARGE HYDROCELE –SUBTOTAL
EXCISION
 JABOULEYS OPERATION
 SHARMA & JHAWER TECHNIQUE