A dropsy occurs if the liquid accumulates in the scrotum in the saccular formation near the testicle. It is visually evident that the scrotum is greatly enlarged. This is due to incorrect fluid withdrawal. A man at the same time feels pain and discomfort. Pediatric testis in men in medical terminology is called hydrocele. In general, the disease develops only on one side of the scrotum, rarely occurs bilateral hydrocele.
This disease affects about 10% of boys and 1.5-2% of men.
The disease can pass without treatment within a year, but during this period it is necessary to be observed by the doctor. If you do not observe the course of the disease, you can skip the moment when you can not do without treatment. When dropsy is not treated, it goes into a more complex stage, where the scrotum deforms and grows to 12 centimeters.
Sometimes the hydrocele passes in the varicocele. This is a very insidious disease, because it is harmless, but can lead to infertility. Varicocele is an expansion of the vessels in the testicles and near them. In this case, the outflow of blood from the testicle is broken and because of this the venous pressure rises. According to statistics, varicocele is affected by 14-18% of men. Most often it appears at the age of 12-15 years and is considered dangerous. In older men, it is not a big threat and with timely treatment varicocele passes without consequences.
To determine the disease is not difficult, because one side of the scrotum, affected varicocele, hangs stronger than the other. Through the skin veins are very prominent.
Causes of
This disease has several causes:
- scrotal injury,
- bacterial infection,
- heart failure,
- abnormal lymph flow of inguinal and pelvic lymph nodes,
- is a wrong surgical procedure.
About 50% of men aged 20 years or older have hydrocele due to STDs. However, a disease like gonorrhea has similar symptoms with dropsy.
Forms of the disease:
- Acute. It occurs with severe scrotal injury.
- Pathological. Occurs during bacterial infection and inflammation.
Men who have been involved in sports for a long time are at risk and should monitor closely any changes. If a deviation is found, it is necessary to urgently consult a doctor and begin the recommended treatment. If you ignore the disease, then it will pass to the reproductive system and this will lead to almost irreversible consequences.
The dropsy of the testicles is accompanied by a full or partial obstruction of the ducts. In this case, the outflow of decay products from the body is disturbed. The ducts are also responsible for maintaining the necessary amount of fluid in the scrotum and its circulation, if their work is disturbed, this leads to accumulation and stagnation of the fluid.
Men undergoing radiation therapy( ionizing radiation) are also at risk.
Many doctors believe that edema of the testis shells occurs with ascites. Ascites are a violation of the flow of fluid through the duct, which connects the abdominal cavity and scrotum. The disease can be both congenital and acquired.
Symptoms and signs
Symptoms of hydrocele are subtle or absent. Visually, you can identify the disease even with a large accumulation of fluid near the left or right testicle. Accumulation of fluid does not cause pain or discomfort.
If the disease is caused by an operation or inflammation, the scrotal enlargement occurs spasmodically. In this case, the inflow of liquid over a short period of time can be large.
Symptoms also include discomfort in the groin with active sex, because of the increase in the scrotum, it becomes uncomfortable to walk and feels heavy. A man can feel splashes of fluid, but these symptoms do not bring pain.
At a certain stage of development, suppuration of exudate occurs. This greatly affects the development of piocele. The patient noted deterioration of well-being and an increase in body temperature. After this, the inflammation passes to the areas of the body located near the hearth. A man during this period experiences pain in the inflamed area.
Such signs should alert the man:
- enlargement of the scrotum,
- inability to feel the testicles,
- smooth and strained skin without wrinkles in the scrotum area,
- blunt aching pain in the groin and scrotum,
- , when pressing on the enlarged testicle, fluctuation is felt( vibrations in the cavity filled with liquid),
- increased temperaturebody,
- when wearing underwear there is discomfort and pain,
- acute attacks of pain in the inflamed area.
If these symptoms occur, you should immediately consult a doctor, to clarify the diagnosis.
Diagnosis
When you go to the doctor and make a diagnosis, the following tests are performed:
- Ultrasound examination. Ultrasound can finally confirm the diagnosis and establish an accurate assessment of pathologies. With his help, the doctor accurately determines the amount of accumulated fluid and a kind of disease. To it carry hydrocele encysted, surrounding, one-sided and two-sided.
- Diaphanoscopy( transillumination).It is considered the most accurate and fastest way to determine the disease. This type of examination is concluded that light is passed through the place where the liquid has accumulated. This allows you to make sure of the diagnosis and to detect more serious diseases if they are present.
Surveys used for diagnosis are painless and do not bring unpleasant sensations. They have high efficiency.
Treatment of
Treatment of hydrocele depends on the cause of the onset:
- In a disease caused by an infection, treatment is carried out with antibacterial agents and nonsteroidal drugs.
- In case of a disease provoked by a testicle injury and the development of edema of tissues, prescribe drugs and procedures that normalize blood circulation.
- In rare cases, doctors make a puncture to remove fluid. Carry it with a needle, which is injected into the scrotum. This procedure has a temporary nature, after drainage it accumulates again in the absence of additional treatment.
- Doctors sometimes use the operating method. Often, operations are performed using the Vilkelman method and operations using the Bergman method.
With the help of the operation, the treatment is carried out only when the medicinal and physiotherapeutic methods do not give the desired result and do not lead to a cure.
Complications of
The disease, if left untreated, will pass to nearby organs and lead to serious consequences.
- Inflammation, accompanied by a profuse suppuration of fluid. If this complication occurs, the treatment is performed by the operating method. Remove the testicle.
- Inguinal hernia. If you start a disease or interrupt treatment, a hernia of the inguinal area arises. Treatment of it is difficult and sometimes doctors do surgery to remove it.
- In rare cases, malignant formation may occur.
It is necessary to monitor the health status and any changes in the body. When symptoms appear, you need to contact the hospital for diagnosis and examination, and also prescribe a treatment. It must be done according to all the recommendations of the doctor. Do not discontinue treatment without consulting an expert. The consequences can be very serious.
Forecast
Often after treatment of hydrocele and varicocele, the prognosis is positive. The onset of the disease occurs only when treating large hydrocele. After the operation, the risk of infection is minimal. It means that after the surgical intervention the appearance of the disease is reduced to zero. Often the operation is very good, and the doctor completely removes defects. This prevents a second disease.
A full-fledged life a person returns after 10-12 days after the operation. Although some activities, such as hard work, lifting weights and having sex, are prohibited for a period of 4-5 weeks.
