Four major types of hydrovarictum, surgical treatment is highly praised

In a healthy male body, there is a small amount of fluid in the testicular tunica. Once the amount of fluid exceeds the normal level, it will cause a disease called spermatic effusion. Generally speaking, this disease is discovered by chance, such as during a physical examination or while taking a bath. Spermatic effusion is generally divided into the following four types.

1. Hydrocele

The most common cause is inflammation, trauma, filariasis or tumor. When the amount of effusion is large, it may pull on the spermatic cord when standing or walking, causing blunt pain and swelling. When the effusion is huge, it may affect walking, work and even urination. The characteristics are oval cystic masses with smooth surface, soft texture, no tenderness, elasticity and cystic feeling; the testicles and epididymis cannot be touched, and light can pass through (positive light transmission test).

2. Hydrocele of testicles and spermatic cord

There is fluid accumulation in the spermatic cord and testicles, so the shape of the mass is often not oval but pear-shaped, and the testicles cannot be felt clearly.

3. Communicating hydrocele

Also known as congenital hydrocele, the fluid in the testicular hydrocele cavity can communicate with the abdominal cavity through a small duct. The typical symptom is that the size and shape of the mass change with the change of body position. The scrotum swells when standing, shrinks or disappears when lying down, and the testicles can be touched.

4. Hydrocele

The fluid in the cyst is not connected to the testicular tunica vaginalis and the abdominal cavity, and appears as a cystic mass located in the inguinal groove or above the testicle, with a clear boundary from the testicle.

Surgical treatment is well received

Hydrocele is common in children, and the treatment method of hydrocele resection or rotation through an oblique incision in the groin has long been used. This procedure is prone to damage the intra-spermatic blood vessels and vas deferens during the operation, and the incision is obvious, which is prone to recurrence after the operation. The latest surgery, "high ligation of the hydrocele through a transverse abdominal incision", has achieved satisfactory results after clinical treatment and follow-up of hundreds of children. In addition, this procedure has many advantages such as concealed incision, intradermal suture, linear incision appearance, no suture needle holes, little damage to the spermatic cord tissue, no recurrence and complications, etc., and is therefore well received by patients and their parents. If the tumor is not large, surgery is not necessary and it will not develop into a tumor, but regular follow-up is required.