Is coix seed effective in treating hydrocele of spermatic cord?

Hydrocele is a common disease in men. The cause may be congenital, that is, there is a chance of this disease in the fetal period. Of course, it can also be caused by acquired factors, such as testicular inflammation, or tumors, trauma and other symptoms, so you must pay special attention. If this disease occurs, you need to go to the hospital for timely diagnosis, otherwise it will affect your future sex life. But some people like to use folk remedies. Is coix seed effective in treating hydrocele?

When the testis descends from the retroperitoneal space, the processus vaginalis composed of two layers of peritoneum also enters the scrotum through the inguinal canal. Under normal circumstances, before and after the birth of the fetus, the upper 2/3 of the processus vaginalis is completely closed, and the processus vaginalis of the testis forms a blind bag that surrounds the testis, which is called the testicular tunica vaginalis. A small amount of fluid accumulates in the testicular tunica vaginalis, which can act as a lubricant to facilitate testicular movement. If the amount of fluid in the congenital tunica vaginalis sac increases abnormally or the processus vaginalis closure is abnormal, causing fluid accumulation in the sac, hydrocele will form. In addition, when the processus vaginalis closure is normal, due to acquired factors such as testicular and epididymal infection, tumor, filariasis or trauma, the amount of fluid in the tunica vaginalis increases, and hydrocele may also occur.

Hydrocele is a common disease in men. The testicles descend from the abdominal cavity into the scrotum during the 8th to 9th month of gestational age. When the testicles descend into the scrotum, the passage from the abdominal cavity to the scrotum will be closed. If it is not closed, it is also called chordae vaginalis insufficiency in medicine. As a result, the peritoneal fluid flows to the scrotum when the abdominal pressure increases, forming a congenital communicating hydrocele. If it is in the spermatic cord, it will be closed at both ends of the abdominal cavity and the testicle, forming a congenital spermatic cord hydrocele. Hydrocele can also be caused by infection of the testicles and epididymis, trauma, tumors, and filariasis.

Clinical type

Clinically divided into four types.

Spermatic hydrocele

The characteristic is that the two ends of the processus vaginalis are closed, and the spermatic cord forms a localized hydrocele, which is not connected to the abdominal cavity and the testicular vaginal cavity.

Hydrocele

This is the most common type, which is caused by normal closure of the processus vaginalis and increased accumulation of fluid in the tunica vaginalis.

Communicating hydrocele

The characteristic is that the processus vaginalis is completely open, and the intra-abdominal fluid enters the testicular tunica vaginalis through the open processus vaginalis channel. The fluid flows with changes in body position. This type of hydrocele should be distinguished from inguinal oblique hernia. The difference is that the passage between the tunica vaginalis and the abdominal cavity is narrow, and the greater omentum and intestinal loops cannot enter the tunica vaginalis. Only the intra-abdominal fluid can enter.

Spermatic cord hydrocele

The processus vaginalis is closed only at the internal ring, while the spermatic cord is not closed and communicates with the cavum vaginalis.

The incidence of hydrocele

There is no accurate statistics on the incidence. Compbell (1927) reported that it accounted for 3.6% of urology hospitalizations and 0.24% of male hospitalizations; domestic reports showed that it accounted for 1% of all inpatients and 7% of urology outpatient visits; in tropical regions, due to the high incidence of parasitic diseases, the incidence is significantly higher, accounting for about 7.5% to 10% of male inpatients. Since the symptoms of hydrocele are hidden, medical treatment is only sought when the volume is large, the symptoms are severe, or secondary infection occurs, so the actual incidence is much higher than the statistical figures. Hydrocele can occur on both sides, and although the statistical figures show that the left side is more than the right side, it has no statistical significance. Bilateral hydrocele accounts for about 4% to 8% of hydrocele. Hydrocele of spermatic cord is rarely bilateral. The incidence of hydrocele in newborns is relatively high, accounting for about 1.75%, and it is mostly bilateral.

Symptoms

1. A small amount of effusion may cause no symptoms. If the effusion is large, there may be discomfort caused by scrotal prolapse, or urination and sexual dysfunction.

2. If it is a communicating hydrocele, the size of the mass may change with changes in body position.

3. For cystic masses in the scrotum, the transillumination test is (+). If the tunica vaginalis is thickened, the transillumination test is (-).

4. Spermatic hydrocele is generally small in size and located above the testicles.

5. Hydrocele of the testicle. If there is a lot of fluid accumulation, the testicles are often not palpable.

6. Communicating hydrocele: the size of the cyst may change with changes in body position.