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DEFINITION
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A hidrocele testicular ¾ of the Greek "hidro" (water) and "watch" over (tumor) ¾ it is a collection of watery fluid inside the case that holds the testicle (or scrotum). Normally this case contains just enough liquid to lubricate the testicle.
The hidrocele develops or because the organism produces more liquid of the necessary one (inflammation of the testicle and his appendices), or because the scrotum does not absorb the sufficient one (lymphatic or venous obstruction).
The hidroceles are a very common cause of inflammation escrotal and they can happen in one or in two testicles. The hidrocele can appear at any age, but it is more frequent in the biggest men. Generally they do not produce annoying symptoms.
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A - Testicle | B - Epididymis | C - Deferential Conduit | D - Prostate | And - Vejíga Urinaria | F - Urethra |
The congenital hidrocele usually collaborates to other congenital alterations of testicles and scrotum (criptorquidia, etc).
DIAGNOSIS
To help to differentiate the hidrocele of a tumor or another cause of inflammation, the doctor must feel the area inflamed carefully and introduce a light in the scrotum. If the inflammation is a hidrocele, the light will shine across the scrotum. An examination can be necessary also in some cases with ultrasounds (ultrasound scan).
TREATMENT
The hidrocele is not serious. Generally he does not need treatment unless the scrotum is so inflamed that it is very uncomfortable.
When the hidrocele needs treatment, two options are used:
- Surgery (almost always).
- Aspiration with needle. In some cases, it is possible to extract the fluid with a needle and syringe. This procedure is very simple, but as the fluid tends to accumulate again, it usually not apply. Also, the aspiration with needle is potentially risked by the possible introduction of an infection. By it the aspiration only is used in patients with high risk in surgery.
WHAT DOCTOR CAN TREAT ME?
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