Testicular atrophy and effusion

Testicular effusion is mainly caused by inflammation such as orchitis and epididymitis. Inflammation can cause fluid accumulation in the testicles, which can block sperm secretion and cause testicular pain. Therefore, we should treat the symptoms of testicular effusion in a timely manner. We can learn about the symptoms and treatment methods of testicular effusion in this article.

Causes

Secondary hydrocele is caused by primary diseases, such as acute orchitis, epididymitis, spermatic cord inflammation, etc., which stimulate the increase of hydrocele exudation and cause hydrocele. Scrotal surgery damages lymphatic vessels, causing reflux obstruction, as well as high fever, heart failure, ascites, etc., which manifest as acute hydrocele; chronic secondary hydrocele is common in chronic orchitis, epididymitis, syphilis, tuberculosis, testicular tumors, etc., which cause increased secretion of the hydrocele and hydrocele. In addition, filariasis and schistosomiasis can also cause hydrocele. The fluid often contains white blood cells.

The cause of primary hydrocele is not completely clear, it may be due to increased secretion and reduced absorption of the hydrocele, or it may be caused by undetected or healed epididymitis. It is also related to congenital factors, such as defects in the lymphatic vascular system of the hydrocele, and the course of the disease progresses slowly.

When the testicles descend from the retroperitoneum to the scrotum, the peritoneum descends with it and becomes the tunica vaginalis. The tunica vaginalis that surrounds the epididymis is the visceral tunica vaginalis, and there is another layer outside it called the parietal tunica vaginalis. There is only a small amount of fluid between the two layers. The processus vaginalis that descends with the testicles is completely closed after birth and becomes a cord-like object. If the processus vaginalis is not completely closed, the fluid in the abdominal cavity (ascites) can flow along its unclosed lumen to the periphery of the testicle or stay on a certain section of the spermatic cord, forming a hydrocele called congenital or communicating hydrocele. If there is too much fluid between the two layers of the proper tunica vaginalis of the testis, it is a hydrocele of the testis.

In the early stage of normal fetal development, the testicles are behind the peritoneum. At 7 to 9 months, the testicles descend to the scrotum through the inguinal canal. The peritoneal processus vaginalis closes with the descent of the testicles, forming a fibrous cord, and the processus vaginalis of the testis forms a sac-like tunica vaginalis propria. Under normal circumstances, there is only a small amount of fluid in the cavity, which is balanced between exudation and absorption. When pathological changes occur in the organs adjacent to the tunica vaginalis, such as inflammation, tumors, trauma, parasitic diseases, etc., the exudation and absorption functions are unbalanced, or the processus vaginalis closes incompletely, and the fluid in the abdominal cavity goes back and forth in the tunica vaginalis cavity, thus forming testicular hydrocele.

treatment

1. When newborns have hydrocele, it usually disappears by itself before the age of two, so there is no need to rush for treatment. If it still does not disappear after the age of two, many of them can recover by themselves at the age of four or five. If it still does not heal after the age of six, puncture and fluid extraction are performed. Most of them will not recur after aspiration. This method is not suitable for adults. Adults will grow up again in a short time after fluid extraction.

Second, injection therapy is to inject irritating drugs such as silicine and sodium morrhuate into the vaginal cavity after the fluid is drawn to cause inflammatory adhesions to eliminate the vaginal cavity. This method has a large reaction, incomplete adhesions, and forms multi-chambered vaginal hydrocele. It brings more difficulties to surgical treatment. It is rarely used.

3. Surgical treatment Congenital hydrocele cannot be treated with the above two methods, and surgical treatment is the main treatment. The purpose of the surgery is to perform a high ligation of the hernia neck at the internal ring to block the downward flow of ascites. The hernia sac below can be left untreated.

4. Treatment with Traditional Chinese Medicine Traditional Chinese medicine experts believe that according to the symptoms, it is a disease of body weakness, cold and dampness stagnation in the lower part of the body. It is appropriate to use Qi-boosting and exterior-strengthening, warming and transforming cold and dampness, and supplemented with Qi-moving products. Hydrocele is a disease of scrotal edema. Symptoms include swelling and pain in the scrotum, occasional sweating, or swelling and shiny crystal-like scrotum, not red or hot; or itching, rupture and discharge of yellow fluid; or water sounds when pressing the lower abdomen.