Hydrocele In the first year of life, it is possible to wait, since spontaneous healing often occurs (by the 4th month of life at the latest, the processus vaginalis/funnel-shaped protrusion of the peritoneum into the scrotum usually obliterates (“closes”)). In young patients or men whose family planning has not yet been completed, the indication for … Hydrocele (Water Hernia), Spermatocele: Surgical Therapy
The following symptoms and complaints may indicate a hydrocele (water hernia): Leading symptoms Unilateral painless bulging testicular swelling that is dependent on the location and pressures intraabdominal (in the abdomen) The following symptoms and complaints may indicate a spermatocele: A spermatocele usually causes no discomfort If necessary, pulling pain in the testicle Testicular enlargement
Pathogenesis (development of disease) Hydrocele may be congenital or acquired. In congenital hydrocele, there is incomplete obliteration of the processus vaginalis peritonei. An acquired hydrocele results from inflammation (e.g., epididymitis (inflammation of the epididymis), orchitis/testicular inflammation), injury, or tumors. A spermatocele may be a cystic dilated remnant of Müller’s duct or ruptured tubules in the … Hydrocele (Water Hernia), Spermatocele: Causes
Laboratory diagnostics are usually not required! 2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification. Inflammatory parameter – CRP (C-reactive protein). If testicular tumor is suspected: Tumor markers of testicular carcinoma: beta-HCG, α-fetoprotein – these are also considered prognostic factors. Lactate dehydrogenase (LDH). … Hydrocele (Water Hernia), Spermatocele: Lab Test
Obligatory medical device diagnostics. Scrotal sonography (examination of the scrotal organs testis and epididymis with ultrasound) Hydrocele: anechoic peritesticular space; it may be completely anechoic or, in the case of a very large hydrocele, may have a chambered structure with septa (partitions). Spermatocele: typical is the anechoic or anechoic cystic space, which originates from the … Hydrocele (Water Hernia), Spermatocele: Diagnostic Tests
Medical history (history of illness) represents an important component in the diagnosis of hydrocele (hydrocele) or spermatocele. Family history Are there frequent diseases of the genitourinary tract in your family? Social history Current medical history/systemic history (somatic and psychological complaints). Are you experiencing pain? If yes, when does the pain occur? Where is the pain … Hydrocele (Water Hernia), Spermatocele: Medical History
Cardiovascular System (I00-I99). Varicocele (synonyms: varicocele testis; varicocele hernia) – varicose vein formation in the area of the pampiniform plexus, a plexus of veins in the spermatic cord formed by the testicular and epididymal veins; in a high percentage (75-90%), varicocele occurs on the left side.Indication for surgery: varicocelectomy when a reduced testis is present … Hydrocele (Water Hernia), Spermatocele: Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by hydrocele (water hernia) or spermatocele with: Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99). Testicular atrophy (as a complication of compression of the blood supply by pressure during rapid increase in size of the hydrocele).
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing) and palpation (palpation) of abdomen (stomach), inguinal region (groin region), etc. (tenderness?, tapping pain?, release pain?, coughing pain?, guarding pain?, hernial orifices?, kidney bearing tapping pain?) Inspection and palpation … Hydrocele (Water Hernia), Spermatocele: Examination
