SEARCH RESULTS FOR: Hydrocele

Hydrocele

Hydrocele: Pathogenesis and clinical findings Non-communicating Communicating Congenital patent processus vaginalis Communication between peritoneal cavity and the scrotum Free flow of peritoneal fluid into tunica vaginalis Authors: Luc Wittig Ryan Brenneis Reviewers: Alec Mitchell Darren Desantis* * MD at time of publication Notes: • Hydroceles are typically asymptomatic. • Communicating hydroceles may produce a cough impulse or decrease in size after laying down. Localized infection or trauma Previous varicocelectomy or inguinal surgery Impaired fluid drainage Imbalance between secretion and absorption of fluid in tunica vaginalis Testicular or scrotal malignancy Spermatic cord can still be felt above the testicle & accumulated fluid Accumulation of fluid within tunica vaginalis Hydrocele Increased scrotal fluid volume Increased volume stretches layers of the scrotum Scrotal swelling and heaviness Increased pressure on the testicular structures Accumulated fluid allows light to disperse through the scrotum Fluid motion can occur with external pressure on scrotum Positive fluctuation Compression/ irritation of nerves and pain sensitive structures Scrotal discomfort Longstanding compression of vascular supply, ↓ nutrients to testicles Positive pinch test (done to rule out hernia) Transillumination Testicular Atrophy Legend: Pathophysiology Mechanism Sign/Symptom/Lab Finding Complications Published November 26, 2019 on www.thecalgaryguide.com