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Hydrocoele

Hydrocele is the accumulation of fluid between the parietal and visceral layers of the tunica vaginalis. There are several types of hydrocele including idiopathic, congenital, infantile, and hydrocele of the cord. Hydroceles are usually evaluated based on history, examination findings such as swelling size and tenderness, and characteristics of the fluid such as color, temperature, and translucency on examination. Treatment options include needle aspiration or surgical excision depending on the type and severity of hydrocele.

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150 views2 pages

Hydrocoele

Hydrocele is the accumulation of fluid between the parietal and visceral layers of the tunica vaginalis. There are several types of hydrocele including idiopathic, congenital, infantile, and hydrocele of the cord. Hydroceles are usually evaluated based on history, examination findings such as swelling size and tenderness, and characteristics of the fluid such as color, temperature, and translucency on examination. Treatment options include needle aspiration or surgical excision depending on the type and severity of hydrocele.

Uploaded by

nmyza89
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We take content rights seriously. If you suspect this is your content, claim it here.
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HYDROCOELE 

10
Idiopathic  Trauma
2nd

Accumulation of fluid btwn parietal + visceral layer of tunica  Usually tense + large Epididymo-orchitis
vaginalis Treat underlying causes
 >40 y/o Tumour
 X tender Lymphatic obstruction
 Usually lax + smaller
 20-40 y/o
 mayB tender IF underlying testes
tender

Vaginal hydrocoele Congenital hydrocoele Infantile hydrocoele Hydrocoele of cord (rare)


 Hydrocoele around testes in layer  a/w hernia sac  Extent from testes to internal  Lies along cord. Anywhere from
of tunica vaginalis  connect wif peritoneal cavity via inguinal ring deep inguinal ring to upper srotum
 X connect wif peritoneal cavity narrow orifice  X connect wif peritoneal cavity  X connect wif peritoneal cavity or
 Cyctic translumination swelling in  when elevated ->empty tunica vaginalis
scrotum  In female->hydrocoele canal of
 Exam = testes impalpable + lies at NUCK
d back of swelling  D(x) = downward traction o testes
which pulls hydrocoele cord w it
Needle aspiration Surgical Needle aspiration
excision Excision of peritoneal remnant MayB resolve spontaneously
Position
 Swelling fills 1 side of scrotum but within
history
Age
scrotum
 Testes x palpable bcoz w/in scrotum
 BUT epididymal cyst palpable

Symptoms Colour + temp ->norm


 ↑size o testes/swelling
 Pain/discomfort
Tender
 Social embarresment
10 -> X
 Fluctuant
2nd -> tender
 transluminate
examination
Shape + size
Usually OVOID shape

Lymphatic drainage
Para-aortic

Surface
Smooth + well defined
Reducibility If hv weak spot in d wall -> small
X be reduced fluctuant bump

Composition
 Clear yellow fluid (prot)
 Flunctuant + transluminate
 X pulsatile + x compressible
 IF large -> fluid trills
 Dull on percussion

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