Through clinical examination and ultrasound image observation, the doctor found that hydrocele hydration was found on the right testicle of the patient.
1.What is hydrocele in children?
Hydrofluorosis, also known as vitreous, refers to the term in which fluid accumulates in the membrane around the testicles, which can occur in one or both testicles.
Hydrolysis is a congenital disease in which case, the male peritoneal canal without fibrosis or incomplete fibrosis leaves a hole between the abdominal cavity and the testicular cavity to allow the fluid to pass through, and the hole accumulates in the membrane cavity.
Hydrofluorosis is a common disease in boys. full-term children account for 3-5%, and premature increases by 3 times. Especially for premature babies under 30 weeks, the weight is less than 1500g, and the incidence rate is 20 times that of in full-term .
2. Symptoms and manifestations of hydrocele
Children with hydrocele, parents, grandparents, and nanny can observe that the scrotum on one or both sides of the child is larger than normal, with a round scrotum, and there are no wrinkles like the other side. Maples can appear from birth, increasing size over time.
It is observed that the scrotum often becomes larger in the afternoon or after the child plays, runs and jumps. The scrotum may collapse in the morning and becomes smaller and returns to normal.
Small amounts of liquid usually do not cause pain or discomfort, and children can still play, dance and eat normally.
illustration.
3. Complications of hydrocele hydration
A small amount of hydration usually does not cause any complications, and the child can still play, dance and eat normally. However, when a lot of fluid accumulates, it can cause pain, discomfort and crying.
A large amount of effusion will reduce the blood flow to the testicles, causing the testicles to atrophy, which will greatly affect the child's future physiological function and fertility.
develops into inguinal hernia risk, if not treated early, can cause compression, block blood flow to the testicles and lead to testicular dysfunction.
Hydroxygen effusion may also be associated with active testicles, increasing the risk of testicular torsion.
Hydroflux is a common disease in boys. It is a benign disease and often does not show serious symptoms in children. However, parents should not be subjective. If there are abnormal signs, they should take their children to medical treatment as soon as possible to prevent complications and complications.
4, diagnosis of testicular effusion
The diagnosis of epididymisitis is mainly based on clinical examination and ultrasound examination results.
When the groin scrotum on both sides is exposed, we see a bulge on one or both sides of the scrotum, which is disproportionate to the groin area. Compared to the other side, the scrotum on one side is stretched and wrinkled. Do some tests to increase intra-abdominal pressure, such as: when the child is crying, laughing, coughing, running, and jumping, the bulge of the scrotum will become larger.
A small or medium amount of hydrocele can still pave the testicles, epididymis, and vas deferens in the scrotum. However, if the hydrocele is very effusion, the epididymis and testicles cannot be touched (Sébilean sign is negative); the testicular membrane is not clamped (negative Chevasu sign).
Light test will show a testicle lump in the middle and a shadow of testicle fluid around it.
Ultrasound is a very important and easy-to-operate method for diagnosing hydrocele. On ultrasound images, normal testicles and epididymis were observed, surrounded by uniform flowing fluid.
5. Treatment of testicular effusion
Hydraulic effusion can disappear on its own after 12 months of birth without any treatment, so the baby can be monitored until 12 months of age.
If hydrocele does not disappear on its own after 12 months, the inguinal mass increases, causes pain in children, or develops inguinal hernia, surgery is the only treatment.
Surgical treatment of hydrocele is based on the general principle of incision or ligation of the peritoneal canal deep in the inguinal trough. There are two main methods: open surgery through the inguinal scrotum and laparoscopic surgery through the abdomen.
At present, laparoscopic surgery for the treatment of hydrocele is gradually replacing open laparotomy. It has small trauma, few complications, low recurrence rate, can evaluate the abdominal cavity and contralateral inguinal ring, shorten the operation time, early postoperative recovery time, and short hospital stay.
To sum up, hydrocele can be easily detected and diagnosed based on clinical manifestations. When abnormalities in scrotum and groin are found, parents should take their children to see a doctor as soon as possible, seek opinions, and treat them reasonably and in a timely manner.
