For men, if there is water in the groin, it is often caused by hydrocele, which is also a common men's disease. When the epididymis becomes diseased, a certain amount of fluid will accumulate inside, and the absorption will become unbalanced. If the fluid accumulation lasts for a long time, it will lead to increased internal pressure and temperature, which will have a great impact on the quality of male semen, and it is also very harmful to infants.
The clinical manifestation of hydrocele is more common on one side, with a cystic mass in the scrotum that is chronic, painless and gradually enlarges. A small amount of hydrocele may be asymptomatic; when the amount of hydrocele gradually increases, the scrotum on the affected side may feel like it is falling, pulling or swollen. If the hydrocele is huge, the penis will retract into the foreskin, affecting urination, sexual life and walking. When examining a hydrocele, different types of hydrocele have different manifestations: 1. Hydrocele There is a lot of fluid in the testicular vaginal cavity, which is oval or spherical, with a smooth surface, cystic feeling, no tenderness, the testis and epididymis are unclear, and the transillumination test is positive.
Cystic effusion is located above the testicle in the scrotum or in the inguinal groove. It is oval or fusiform with a smooth surface. It moves with the spermatic cord. The transillumination test is positive, and the testicle and epididymis can be touched below. 3. Mixed hydrocele The coexistence of testicular and spermatic hydrocele without communication with each other may lead to complications such as inguinal hernia or undescended testicles.
The processus vaginalis is closed at the internal ring but not at the spermatic cord. It is connected to the cavum vaginalis of the testis. It is mostly pear-shaped in appearance and is located in the scrotum. The testis and epididymis cannot be felt clearly. The opening of the external ring is enlarged due to pressure, but it is not connected to the abdominal cavity. 5. Communicating hydrocele The amount of fluid accumulation is related to body position. The amount of fluid accumulation decreases or disappears when lying flat, and increases when standing. The testicles and epididymis can be touched, and the transillumination test is positive. If the passage between the processus vaginalis and the abdominal cavity is large, the field tube or greater omentum can enter the processus vaginalis, resulting in an inguinal oblique hernia. |
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