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HYDROCELE

AZIS AIMADUDDIN AI

Definition

an abnormal collection of fluid in the


tunica vaginalis that may surround the
testicle
Glenn's Urologic Surgery, 6th Edition.
2004

Caused by excessive fluid secretion by the


visceral tunica albuginea without adequate
reabsorption of this fluid by the parietal
peritoneum around the testis
Campbell Walls Urology.10th Ed.2012

Anatomy

EMBRIOLOGY

CLINICAL FEATURES
Testicular

Hystory taking: Painless scrotal


swelling

Communicating hydrocele

An open
processus
vaginalis leads
to varying
amounts of
serous fluid in
the cavum
vaginalis testis.

Non communicating hydrocele


(testicular hydrocele)

Accumulation of
serous fluid in the
cavity of the tunica
vaginalis of the
testis, without
communication of
the hydrocele with
the abdominal cavity

Non communicating hydrocele (cord


hydrocele)

accumulation of serous
fluid in a nonobliterated part of the
processus vaginalis
without communication
with the abdominal
cavity or tunica
vaginalis of the testis

Differential
Diagnosis :

Testicular Tumors
Epididymal cyst
Spermatocele
Hernia scrotalis

Positive transilumination

Indication to surgical treatment

Some indications to perform surgery on


hydrocele is:
(1) a large hydrocele that can suppress the
blood vessels,
(2) an indication of cosmetics, and
(3) permagna hydrocele which were interfere
with the patient in performing daily activities.

Contraindication

Local Infection

Glenn's Urologic Surgery, 6th Edition

PROCEDUR
Communicating hydrocele
( high ligation )

Atlas Pediatric Surgery

Atlas Pediatric Surgery

Non Communicant Hydrocele


PROCEDUR

Jabulay technic (testicle hydrocele)

Do marsupialitation and plication of vaginal tunica

Jaboulay procedure

Lord technic (testicle hydrocele)

Excise and plicate


margin of vaginal
tunica

Technical operation

For cord hydrocele, made blunt


preparation to find hydrocele and do intoto
extirpation

Post operative care

scrotal support.

COMPLICATIONS
Early Complication

Hematoma.
Hematoma.
Infection.
Infection.

Late complication

Scrotal
Scrotal abscess
abscess
Recurrent hydrocele
Recurrent
hydrocele

Spermatocele
Spermatocele

(Campbell-Walsh Urology, 10th. Ed.

Thank You