SURGICAL DISEASES, TRAUMATOLOGY, ORTHOPEDICS, UROLOGY : DROPSY OF THE SHELL OF THE EGG (HYDROCOELE) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Acute inflammation of the tunica vaginalis testis usually develops due to inflammation of the epididymis and testis or injury. In the cavity of the shell appears exudate with serous in nature.
Chronic inflammation can develop from acute inflammation of the membranes, but is most likely to occur as a result of injury (often very small) or previously transferred gonorrohea epididymitis. Connective tissue occurring after the inflammation in the area of the spermatic cord, leads to compression of the lymphatic vessels, obstruction of the outflow and accumulation of serous fluid in the membranes. There are congenital hydrocephalus membranes of the egg, the reason for which you should see in hypoplasia of the lymphatic system shells. In many cases the etiology of the hydrocephalus is difficult to determine.
Depending on the amount of liquid in the shells the size of the scrotum increases. Appears mild pain; palpation to feel sableye. The puncture can be obtained serous cloudy liquid containing a large amount of protein and leukocytes. As subacute inflammatory process in the testis and epididymis exudate begins to dissolve, the size of the scrotum decrease pain subside. Chronic edema fluid in the membranes accumulate slowly and quietly. No pain, patients do not feel. The testicle is usually one's pressing away backwards, to probe separately the elements of the testis and epididymis cannot. Fluid obtained by puncture, has a yellow color, transparent, contains large amounts of protein and isolated leukocytes. Externally, without causing patient suffering, hydrocele however, due to the pressure of fluid in the testicle, leads to atrophy of the glandular epithelium of the testis, to impaired spermatogenesis and endocrine function.
Complications - atrophy of the testis.
Recognition does not present special difficulties. Unlike hernia tumor is not vpravlyaetsya in the abdominal cavity, is pear-shaped, with percussion gives a dull sound and clear translucent in transmitted light.
Treatment of the underlying process in the epididymis and testis. With strong whites good results are obtained by puncture with aspiration of exudate and the subsequent introduction into the cavity from 50 000 to 200 000 units of penicillin. After acute nephritis phenomena - operation. In all diseases of the epididymis and testis as prophylaxis it is recommended to wear jockstrap.