Child’s watermark testis (hydrocele) – a pathology that results in the formation of fluid in the testicular shells, resulting in scrotum enlargement on one or both sides. If you do not start treatment in time, the disease can lead to severe swelling of the groin and genitalia. Dropsy testis in children often appears only on one side: dropsy from the left or dropsy from the right testicle.
When watering the testicles in boys, an increase in scrotum size on one or both sides is observed. In the case of the hydrotarget, scrotal enlargement is transient; in the case of the isolated one, scrotal enlargement is gradual. Boys’ scrotum sizes may reach goose eggs and in neglected cases – child’s head. The reported dropsy testis in boys may have different size and stress during the day: the largest size of scrotum tumor reaches the day when the child moves; at night, in the lying position, the tumor may disappear due to emptying the contents of the dropsy bag into the abdomen. As a rule, the dropsy testis in boys runs painlessly and without signs of inflammation. In case of secondary infection of hydrocele, painfulness, redness of scrotum, chills, fever, vomiting may appear. With a large volume of accumulated fluid, children may have difficulty urinating and develop acute urinary retention. Older children report unpleasant sensations, heaviness in the groin area, and walking discomfort.
Classification of hydrocele testis depends on the reasons that provoked the formation of the pathology. Water lining of the testicles may be congenital and acquired. Congenital hydrocele is recognized in about eighty percent of infants. The causes of the formation of hydrocele are failure in the development of testicles. As the child grows from the abdomen, the testicle descends along the groin canal, which is shrouded in the vaginal process of the peritoneum. Within a few months, if the vaginal process does not grow, the fluid from the abdominal cavity is transferred to the testicular shells. Purchased hydrocele mainly occurs due to damage and inflammatory processes. Reasons for the formation of acquired hydrocele shells: inflammation of the testis or orchitis, inflammation of appendages, genital tumors, complications of the cardiovascular system, mechanical damage and injuries, the consequences of surgery.
Scrotum examination is performed in standing and lying position. This diagnostic technique is used to find out the shape of the testicular hydrocele in boys (communicating or not communicating with the abdomen). If the size of the hydrocele decreases in the lying position, you should think about the communication of the water cavity with the abdominal cavity. Also in favor of the communicating hydrocele testis is evidenced by an increase in the size of hydroceles when coughing, ie, when the intra-abdominal pressure increases. Palpatorno hydrocele in boys is defined as a pear-shaped seal, its upper part facing towards the groin canal.
Ultrasound examination of scrotum and inguinal canals confirms the diagnosis of hydrocele in boys and excludes more serious pathology (testicular cancer, inflammation or twisting of the testicle or its appendage). In addition, ultrasound of the scrotum is a highly sensitive method in determining the type of hydrocele in boys (communicating or not communicating).
Watery testicular shells are quite common in newborn boys and in most cases passes independently during the first year of life. If there is no independent disappearance of fluid, it is recommended to conduct surgical treatment after 1 year and 6 months. If the accumulation of fluid in the testicular membranes occurs at the age of 2-3 years and older, the operation is also usually shown. In addition, there are a number of indications in which the operation is performed in children from 12 to 18 months of age: joining to a watercolored testicular membrane inguinal hernia, the presence of too much fluid in the scrotum, which causes excessive tension of the testicular membranes, discomfort or pain in the scrotum.
The intervention is done through a small incision (2-3 cm) in the inguinal area. After surgical treatment of hydrocele, the child’s testicle is sutured and a sterile bandage is applied. There is no scar on the abdomen. Remains a low-profile scar, a length of 2 cm. On average, the operation with dropsy testis in children lasts 35-60 minutes.