Surgical management and prevention of infections

1. HYDROCELE
PRESENTED BY: SONIA DAGAR

2. HYDROCELE:

3. DEFINITION
 Hydrocele is a collection of fluid around one or
both testicles and cause swelling of scrotum or
groin area.
 It commonly occurs in men older than 40 years.

4. TYPES
1) NONCOMMUNICATION
2) COMMUNICATING

5. 1) NONCOMMUNICATING:A
noncommunicating hydrocele occurs when the
sac closes, but your body doesn’t absorb the
fluid. The remaining fluid is typically absorbed
into the body within a year.
2) COMMUNICATING: A communicating
hydrocele occurs when the sac surrounding
your testicle doesn’t close all the way. This
allows fluid to flow in and out.

6. ETIOLOGY
 Causes of hydrocele is unknown.
 Inflammation of infection of the
epididymis or testicles.
 In rare cases, may be caused by cancer of
testicle or left kidney.
 Men over the age of 40.

7. CLINICAL MENIFESTATIONS
 Swelling of scrotum
 Pain sometime
 Redness of scrotum
 Feeling of pressure at base of penis
present.
 Testicular torsion
 Infertility

8. DIAGNOSTIC EVALUATIONS
 History taking
 Physical examination
 Transillumination: It is a test used to identify
abnormalities in an organ or body cavity. The test is
performed in a dark room, with a bright light shined at
a specific body part to see the structures beneath the
skin
 Ultrasound of scrotum done to rule out presence of
fluid
 Blood test done to rule out infection.

9. TRANSILLUMINATION

10. TREATMENT
 Surgery: If your new infant has a hydrocele, it
will probably go away on its own in about a
year. If your child’s hydrocele doesn’t go away
on its own or becomes very large, he might need
surgery by a urologist
 Needle aspiration done.
 Sclerotherapy done to reduce reaccumulation.
 In adults, hydroceles typically go away within
six months