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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
          2. Infection
          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
    2. Skoog (1995) Urol Clin North Am 22:119

Testicular Hydrocele (C1720771)

Definition (MSH)Accumulation of serous fluid between the layers of membrane (tunica vaginalis) covering the TESTIS in the SCROTUM.
ConceptsDisease or Syndrome (T047)
ICD9603, 603.9
MSHD006848
DanishHydrocele
DutchHydrokele
EnglishHydrocele, Scrotal Hydrocele, Scrotal Hydroceles, Testicular Hydrocele, Testicular Hydroceles, Vaginal Hydrocele, Vaginal Hydroceles
FinnishHYDROCELE
FrenchHydrocele
GermanHydrozele
Hebrewhidrotzela
Hungarianhydrokele
ItalianIdrocele
NorwegianHYDROCELE TESTIS
PortugueseHidrocelo
SpanishHidrocele
SwedishHYDROCELE/VATTENBRACK
Parent ConceptsGenital Diseases, Male (C0017412), Testicular Hydrocele (C1720771), Male Genital Organs (C0017422), Diagnosis/Diseases Component (C0497531), Disease of scrotum (C0268919), Accumulation of fluid (C0333229), Duplicate concept (C1274013)
SourcesCOSTAR, DXP, ICD9CM, ICPC, ICPCDAN, ICPCDUT, ICPCFIN, ICPCFRE, ICPCGER, ICPCHEB, ICPCHUN, ICPCITA, ICPCNOR, ICPCPOR, ICPCSPA, ICPCSWE, LCH, MSH, NDFRT, OMIM, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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