{"product_id":"2940153792798","title":"Hydrocele, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions","description":"\u003cp\u003eA hydrocele is a medical disorder where there is abnormal collection of fluid within the sac in the scrotum (remnants of the processus vaginalis)\u003cbr\u003eA hydrocele is a fluid-filled swollen sac usually occurring in one scrotum.\u003cbr\u003eA. Simple hydrocele:\u003cbr\u003ea. There is collection of fluid within the tunica vaginalis.\u003cbr\u003eb. It affects 1-2% of male neonates.\u003cbr\u003ec. A congenital, simple hydrocele usually disappears within the first 1-2 years of life.\u003cbr\u003eCauses in older boys and men are:\u003cbr\u003e1. Trauma,\u003cbr\u003e2. Epididymo-orchitis,\u003cbr\u003e3. Testicular torsion,\u003cbr\u003e4. Hernia,\u003cbr\u003e5. Varicocele,\u003cbr\u003e6. Testicular tumor.\u003cbr\u003eHydroceles in older boys and men may also be due to generalized edema, such as nephrotic syndrome or heart failure.\u003cbr\u003eB. Communicating hydrocele:\u003cbr\u003ePersistence of the processus vaginalis permits peritoneal fluid to communicate easily with the scrotal sac.\u003cbr\u003eC. Hydrocele of the cord:\u003cbr\u003eD. Abdomino-scrotal hydrocele:\u003cbr\u003eUncommonly a large hydrocele lies across the internal ring, with both inguino-scrotal and intra-abdominal lobes.\u003cbr\u003eSymptoms\u003cbr\u003e1. The main symptom is a painless, swollen testicle, which feels like a water balloon.\u003cbr\u003e2. A hydrocele may occur on one or both sides.\u003cbr\u003e3. Scrotal enlargement with a non-tender, cystic swelling.\u003cbr\u003e4. Pain is not a feature unless there is infection in the hydrocele or if there is pain caused by the underlying disease.\u003cbr\u003e5. The testis is normally palpable but may be difficult to palpate if the hydrocele is large.\u003cbr\u003e6. A hydrocele lies anterior to and below the testis and will transilluminate.\u003cbr\u003eTransillumination is not diagnostic.\u003cbr\u003eIndications for further investigation are:\u003cbr\u003e1. Failure to clearly delineate the testis,\u003cbr\u003e2. Tenderness on palpation\u003cbr\u003e3. Internal shadows on transillumination\u003cbr\u003eUltrasound can help to detect if any underlying pathology is present.\u003cbr\u003eHydroceles are not harmful most of the time.\u003cbr\u003eThey are given treatment only when they produce infection or discomfort.\u003cbr\u003eMany hydroceles in infancy resolve before the age of 2 years.\u003cbr\u003eEarly surgery in this age group is necessary if there is indication of a linked inguinal hernia or underlying testicular pathology\u003cbr\u003eOnce underlying pathology has been excluded, adults with non-communicating hydroceles can be treated medically, with support for the scrotum and reassurance.\u003cbr\u003eAspiration treatment may be needed for bigger hydroceles.\u003cbr\u003eAspiration treatment is otherwise not recommended unless for symptomatic treatment in an elderly man who is not fit for surgery\u003cbr\u003eAn exploratory operation is needed if the diagnosis is not certain or underlying disease cannot be found.\u003cbr\u003eOther indications for operation are:\u003cbr\u003e1. If the large hydrocele is causing discomfort,\u003cbr\u003e2. If there is infection\u003cbr\u003e3. If it repeatedly re-accumulates after aspiration\u003cbr\u003eHydroceles from an inguinal hernia should be treated with surgery as soon as possible.\u003cbr\u003eHydroceles that do not go away on their own after several months may require surgery.\u003cbr\u003eA hydrocelectomy (removal of sac lining) is frequently done to correct the problem.\u003cbr\u003eSurgical removal of a hydrocele can be done\u003c\/p\u003e\u003cp\u003eTABLE OF CONTENT\u003cbr\u003eIntroduction\u003cbr\u003eChapter 1 Hydrocele\u003cbr\u003eChapter 2 Causes\u003cbr\u003eChapter 3 Symptoms\u003cbr\u003eChapter 4 Diagnosis\u003cbr\u003eChapter 5 Treatment\u003cbr\u003eChapter 6 Prognosis\u003cbr\u003eChapter 7 Epididymitis\u003cbr\u003eChapter 8 Testicle Torsion\u003cbr\u003eEpilogue\u003c\/p\u003e","brand":"Kenneth Kee","offers":[{"title":"Default Title","offer_id":47103504875760,"sku":"2940153792798","price":2.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0737\/7593\/9824\/files\/2940153792798_p0.jpg?v=1764057486","url":"https:\/\/shop-qa.barnesandnoble.com\/products\/2940153792798","provider":"Barnes \u0026 Noble (DEV)","version":"1.0","type":"link"}