HYDROCOELE 

10
Idiopathic  Trauma
2nd

Accumulation of fluid btwn parietal + visceral layer of tunica  Usually tense + large Epididymo-orchitis
vaginalis Treat underlying causes
 >40 y/o Tumour
 X tender Lymphatic obstruction
 Usually lax + smaller
 20-40 y/o
 mayB tender IF underlying testes
tender

Vaginal hydrocoele Congenital hydrocoele Infantile hydrocoele Hydrocoele of cord (rare)

 Hydrocoele around testes in layer  a/w hernia sac  Extent from testes to internal  Lies along cord. Anywhere from
of tunica vaginalis  connect wif peritoneal cavity via inguinal ring deep inguinal ring to upper srotum
 X connect wif peritoneal cavity narrow orifice  X connect wif peritoneal cavity  X connect wif peritoneal cavity or
 Cyctic translumination swelling in  when elevated ->empty tunica vaginalis
scrotum  In female->hydrocoele canal of
 Exam = testes impalpable + lies at NUCK
d back of swelling  D(x) = downward traction o testes
which pulls hydrocoele cord w it
Needle aspiration Surgical Needle aspiration
excision Excision of peritoneal remnant MayB resolve spontaneously
 Position
 Swelling fills 1 side of scrotum but within
history
Age
scrotum
 Testes x palpable bcoz w/in scrotum
 BUT epididymal cyst palpable

Symptoms Colour + temp ->norm

 ↑size o testes/swelling
 Pain/discomfort
Tender
 Social embarresment
10 -> X
 Fluctuant
2nd -> tender
 transluminate
examination
Shape + size
Usually OVOID shape

Lymphatic drainage
Para-aortic

Surface
Smooth + well defined
Reducibility If hv weak spot in d wall -> small
X be reduced fluctuant bump

Composition
 Clear yellow fluid (prot)
 Flunctuant + transluminate
 X pulsatile + x compressible
 IF large -> fluid trills
 Dull on percussion