Urology Book

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Hydrocele

Aka: Hydrocele
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  1. See Also
    1. Hydrocele in Infants
  2. Pathophysiology
    1. Collection of peritoneal fluid sorrounding Testicle
      1. Between visceral and parietal tunica vaginalis
    2. Two Types
      1. Communicating Hydrocele (Infants)
        1. Incomplete obliteration of processus vaginalis
        2. Open communication between peritoneum and tunica
        3. Closes spontaneously in the first year of life
      2. Non-Communicating Hydrocele (Adults)
        1. Imbalance in secretion vs absorption of tunica
        2. Results from inflammatory reaction
          1. Injury (may result in hematocele, blood collection, which does not transilluminate)
          2. Infection (e.g. Filariasis causes lymphatic obstruction)
          3. Testicular tumor
          4. Testicular Torsion
  3. Symptoms
    1. Painless scrotal swelling
    2. Small and soft on arising in the morning
    3. Becomes large and tense as the day progresses
    4. Large amounts of fluid may interfere with intercourse
  4. Signs
    1. Nontender scrotal swelling anterior to Testis and cord
    2. Translucent fluid on transillumination
    3. Overlying scrotal skin may have bluish tint
  5. Radiology: Scrotal Ultrasound Indications (Adults)
    1. Raised suspicion for testicular tumor
      1. New onset Hydrocele
      2. Hydrocele that hemorrhages after only mild trauma
      3. Right sided Hydrocele (90% are on left)
  6. Management
    1. Infant
      1. See Communicating Hydrocele
    2. Adult (Non-Communicating Hydrocele)
      1. Aspirate fluid - may help better palpate Testicle
      2. Surgery indicated only for:
        1. Discomfort from bulky mass
        2. Tense Hydrocele leading to Testicle atrophy
  7. References
    1. Kaplan (2000) Pediatr Rev 21(9):311-4
    2. Skoog (1995) Urol Clin North Am 22:119-30

Testicular Hydrocele (C1720771)

Definition (MSH) Accumulation of serous fluid between the layers of membrane (tunica vaginalis) covering the TESTIS in the SCROTUM.
Concepts Disease or Syndrome (T047)
MSH D006848
ICD9 603.9, 603
ICD10 N43.3
SnomedCT 155912008, 197982005, 386152007, 55434001, 26614003
English Hydrocele sac, HYDROCELE, Hydrocele, NOS, Hydrocele, unspecified, Hydrocele NOS, Hydrocele, Scrotal, Hydrocele, Testicular, Hydrocele, Vaginal, Hydroceles, Scrotal, Hydroceles, Testicular, Hydroceles, Vaginal, Scrotal Hydroceles, Scrotal Hydrocele, Testicular Hydroceles, Testicular Hydrocele, Vaginal Hydroceles, Vaginal Hydrocele, hydrocele, hydrocele of male genital organs, testicular hydrocele (diagnosis), hydrocele (physical finding), hydrocele of male genital organs (diagnosis), testicular hydrocele, TESTICLE HYDROCELE, Hydrocele NOS (disorder), Testicular Hydrocele [Disease/Finding], hydrocele testicle, hydrocele testis, testicle hydrocele, testis hydrocele, hydrocele testicles, Hydrocele, Hydrocele of testis, Hydrocele (disorder), Hydrocele (morphologic abnormality), Hydrocele of testis (disorder), Hydrocoele
Dutch niet-gespecificeerde hydrokèle, Hydrokele, Hydrocele, Hydrokle, niet gespecificeerdn, hydrokèle
French Hydrocèle, non précisée, Hydrocèle vaginal, Hydrocèle testiculaire, Hydrocele, Hydrocèle
German Hydrozele, umspezifisch, Hydrozele testis, Hydrocele testis, Wasserbruch des Hodens, Hydrocele vaginalis, Hydrozele vaginalis, Hydrozele, nicht naeher bezeichnet, Hydrozele
Italian Idrocele non specificato, Idrocele testicolare, Idrocele vaginale, Idrocele
Portuguese Hidrocele NE, Hidrocele Testicular, Hidrocelo
Spanish Hidrocele no especificado, Hidrocele Testicular, Hydrocele, hidrocele (anomalía morfológica), hidrocele (trastorno), hidrocele del testículo (trastorno), hidrocele del testículo, hidrocele testicular, hidrocele, SAI (trastorno), hidrocele, SAI, hidrocele, Hidrocele
Russian ТЕСТИКУЛЯРНОЕ ГИДРОЦЕЛЕ, ЯИЧКА ГИДРОЦЕЛЕ, IAICHKA GIDROTSELE, TESTIKULIARNOE GIDROTSELE
Swedish Vattenbråck, HYDROCELE/VATTENBRACK
Finnish Kivesvesikohju, HYDROCELE
Czech hydrokéla, Hydrokéla, blíže neurčená, Hydrokéla
Norwegian HYDROCELE TESTIS
Danish Hydrocele
Hungarian hydrokele, Hydrocele, Hydrocele, nem meghatározott
Japanese 精索水瘤, 精巣水瘤, 睾丸水瘤, 精索水腫, 水瘤-陰嚢, ｲﾝﾉｳｽｲﾘｭｳ, 陰嚢水瘤、詳細不明, ｲﾝﾉｳｽｲﾘｭｳｼｮｳｻｲﾌﾒｲ, 陰嚢水腫, 陰嚢水瘤
Korean 상세불명의 음낭수류
Croatian HIDROKELA
Hebrew hidrotzela
Polish Wodniak jądra
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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