ASSISTANT PROFESSOR DEPARTMENT OF UROLOGY AIIMS RISHIKESH HYDROCELE Defined as a collection of fluid within the tunica vaginalis of the testis Premature 44 Full term 45 Disturbed Balance between produced and absorbed fluid ID: 919353
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HYDROCELE
DR SHIV CHARAN NAVRIYA
ASSISTANT PROFESSOR
DEPARTMENT OF UROLOGY
AIIMS RISHIKESH
Slide2Slide3Slide4HYDROCELE
Defined as a collection of fluid within the tunica
vaginalis
of the testis.
Slide5Premature - 44%Full term – 4-5%
Disturbed Balance between produced and absorbed fluid
Heaviness, fullness, dragging sensation , cosmetic problem, radiating pain to back
Slide6Pathophysiology
Excessive production of fluid within sac
Defective absorption of fluid
Interference with lymphatic drainage
Connection with peritoneal cavity via patent
processus vaginalis
Slide7Imbalance between the fluid secretion and absorption of the tunica
vaginalis
Slide8Slide9Slide10Slide11Slide12Slide13Slide14Slide15Slide16Slide17Slide18Slide19Slide20Slide21Slide22Slide23Slide24Slide25Slide26DIFFERENTIAL DIAGNOSIS: SCROTAL CYSTIC MASSES
Indirect inguinal hernia
Epididymis
cyst
Hydrocele
Varicocele
Spermatocele
Pyocoele
Hematocele
Slide27DIFFERENTIATION
HYDROCELE
INGUINAL
HERNIA
Palpate cord above mass
YES
NO
Transillumination
YES
NO
Fluctuate
YES
NO
Fluid thrill
YES
NO
Slide28DIFFERENTIATION
HYDROCELE
INGUINAL
HERNIA
Testis palpable
NO
YES
Cough impulse
NO
YES
Reducible
NO
YES
Bowl sounds
NO
YES
Slide29FLUID FROM CYSTIC MASSES
TESTICULAR
CYSTIC MASS
COLOR OF FLUID
Hydrocele
Straw color
Spermatocele
Milky or
Grey opaque (barley-water)
Epididymis cyst
Clear
Slide30Slide31TREATMENT
Communicating
Tying off the patent
processus
vaginalis
Primary
HydrocelectomyAspiration + injection of sclerosing
agentSecondary
Treat underlying pathology
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