Dropsy of shells of testis and spermatic cord

Dropsy shells of the testis and spermatic cord. Hydrocep - a manifestation of violation of the obliteration of the vaginal process of the peritoneum. Unlike a congenital inguinal hernia. The communication of the lumen of the vaginal process of the peritoneum with edema with the abdominal cavity is narrow, does not exceed 0.5 cm. The cause of fluid accumulation in the testicle shells is the imperfection of the lymphatic apparatus of the inguinal region in newborns and infants and, in this connection, a delayed absorption. As the child grows, it is possible to complete the obliteration of the vaginal process and increase the absorptive properties of its membranes, which in many children leads to an independent cure for dropsy.

Depending on the level of obliteration of the vaginal process of the peritoneum, edema of the epididymis of the testis, the spermatic cord or the cyst of the spermatic cord develops. Clinically, edema of the testicle shells is manifested by an increase in half, and in bilateral disease - the entire scrotum due to the appearance of a tumor-like formation of the elastic consistency. With isolated dropsy, the formation has a rounded shape, the testicle is not palpated separately from this formation. When communicating dropsy of the spermatic cord, the formation has an oval shape, the upper edge of which reaches the outer opening of the inguinal canal, making it difficult to examine it. The egg is palpable separately from this formation. Its dimensions vary within a day, with the child's anxiety increasing. If dropsy has a valvular character, the scrotum becomes thicker as it increases.

The cyst of the spermatic cord has a round or oval shape, distinct contours, it is possible to determine its upper and lower contours, it is displaced by pulling the testicle downwards, freeing the outer inguinal ring for examination. In contrast, the hernia does not fit into the abdominal cavity. If it is impossible to differentially diagnose the acute dropsy of the spermatic cord and the injured inguinal hernia, an emergency operation is indicated.

The medical tactics for dropsy and testicular sperm depend on the child's age. In the period of the newborn (tm), surgical treatment, as a rule, does not produce. With intense hydrocephalus of large sizes, the puncture of formation (sometimes repeated) is performed. If the fluid does not dissolve in the future and the dropsy persists, then it is treated promptly (usually at the age of 2-3 years) according to the method of Winckelmann or Bergman.