Dropsy of the testicles in boys
Dropsy of the testicles in children is mainly found in congenital form. Until 1 year, when the organs of the reproductive system of boys mature and fully form, doctors do not resort to surgery.
After this, the defect in 99% of cases eliminates itself. But what happens if the squeezing of the spermatic cords does not pass, and the signs of dropsy only increase, and no treatment is carried out?
How can this end for the baby? We will talk more about the effects of dropsy of the testicle in children in the article below.
Dropsy of a testicle in a child: consequences
What is dangerous dropsy testicle in a child? Dropsy of the testicles implies a violation of blood circulation in the scrotum due to compression of the seminal ducts (between the layers) by organic fluids. It can be inflammatory or non-inflammatory sweat, blood, and even urine.
If dropsy has passed into the chronic stage, then it is with a very high probability that testicular atrophy develops. The organ simply ceases to function normally, and subsequently “dies”.
This leads to irreversible infertility. Alas, doctors in such situations can only perform amputation of the testicle. Restore sperm production (after puberty) is no longer possible.
And the most painful form of complication is the death of the tissues of the testes, after which the process of rotting starts. Surgical intervention is indispensable here.
Without it, suppuration of tissues and further infection of the blood is possible. Compare this process with gangrene. The boys understood the consequences of dropsy of the testicles, then the question that worries many parents is: “Can dropsy lead to infertility?”
Infertility is the result of a lack of treatment
Dropsy of the testicles can undoubtedly lead to infertility if the blood circulation is disturbed until the condition when the testes are completely clogged. After this, the testicle freezes and its subsequent rejection (atrophy).
In fact, this is the activity of bacteria that penetrate the testis cavity and begin to actively multiply there.
The body cannot get rid of them, since locally the immunity in the affected testicle does not function. This is what triggers the process of atrophy, decay.
Does dropsy always lead to infertility? It depends only on how much fluid accumulates between the layers of the testis.
This indicator can vary from a few millimeters to 0.5-1 liters! As a rule, with a slight accumulation of fluid, doctors simply put the child on the register and monitor his condition.
Control of blood circulation is performed through ultrasound and the introduction of contrast medium into the vessels.
Total, dropsy can provoke infertility if it led to testicular atrophy. In other cases, only spermatogenesis and hormone production are disturbed. In any case, it is not recommended to postpone the operation.
The causes and consequences of dropsy of the testicle in a child are understood, further on whether this ailment can become a trigger for the development of new diseases.
Can dropsy provoke other diseases?
As medical practice shows, after dropsy, children often have infectious diseases of the reproductive and urinary system. And the disease can lead to a decrease in potency, premature ejaculation, or even inadvertent erection.
But this applies only to those cases when the child was diagnosed with a chronic form of the disease.However, it will be possible to identify all these problems only after puberty, when the prostate gland and pituitary gland begin to more actively synthesize sex hormones. And this occurs at about 11-14 years old.
As for varicocele (varicose veins of the scrotum), these diseases have little to do with dropsy, despite similar symptoms. Dropsy can become a provoking factor in varicocele, but does not lead to its appearance. Varicose veins are a result of internal vascular thrombosis or plaque that violates the bloodstream.
Will physical defects remain?
With timely treatment to the doctor, no physical defects after hydrocele remain. After the operation, the edema completely disappears, in the future - the tissues are pulled together, and if necessary, physiotherapy is carried out (visiting a physical room and physiotherapy exercises).
Physical damage during visual inspection can only be detected in cases where:
- the volume of accumulated liquid exceeded 100 milliliters (for babies - 40-50 milliliters),
- there was a suspicion of testicular atrophy,
- hydrocele led to inflammation of the venous node.
After the operation, the suture is almost imperceptible, since it is made along the line of contact of the scrotum and pubis. In reality, one can only notice that the absence of the testicle and too stretched skin of the scrotum (if there was a lot of fluid).
As you can see, after dropsy, the child should not have physical defects with proper care.
Total, dropsy of the testicle will necessarily lead to complication if you refuse surgical treatment of the disease. It can also provoke infertility, and even purulent processes (atrophy of the testis).
If any signs of hydrocele in a child are detected, you should immediately consult a doctor for registration and subsequent monitoring of the patient's condition.
Dropsy of the testis is characteristic of the neonatal period. Up to 90% of male infants are predisposed to the development of pathology. An increase in one or both halves of the scrotum is observed in 7-12% of newborns.
Normally, upon reaching a year and a half age, the anatomical prerequisites for the development of the disease disappear. That is why 95% of babies with fluid in the testicles have a spontaneous recovery. 5% of children over two years of age retain the clinical picture of hydrocele.
Among boys of older children and adolescents, testicular dropsy is a rare pathology. It occurs in 0.5-2% of the population. Usually, the late appearance of signs of the disease is associated with another condition - an injury or infection.
A congenital and acquired variant of hydrocele is distinguished. In the first case, the disease is associated with the anatomical features of the anterior abdominal wall of the newborn boy. Acquired testicular dropsy occurs at any age after a period of infancy.
Depending on the vastness of the pathological process, experts classify dropsy into two types:
- Bilateral dropsy, in which both halves of the scrotum are affected.
- One-sided dropsy of the right or left testicle.
There is a classification based on the mechanism of the development of the disease. Primary hydrocele occurs without concomitant pathology, it is associated with structural features of the body. Secondary dropsy of the testicle is the result of an injury, infection, or other disease and condition.
Scientists also distinguish complicated and uncomplicated hydrocele. In the first case, against the background of dropsy, associated pathologies arise - hernias, infections, ruptures of the membranes. With an uncomplicated course, the disease proceeds without the described features.
Depending on the mechanism of formation and anatomical structure of the scrotum, the disease is classified into two options:
- Communicating hydrocele, in which the scrotum has a connection with the free abdominal cavity.
- An isolated dropsy of the testicle, in which the shell of the organ does not communicate with the abdominal cavity.
Why is dropsy of the testicle formed in boys?
Dropsy of the testicle (hydrocele or dropsy of the testicle membranes) is formed due to the accumulation of serous fluid between the shells of the testicle, this contributes to an increase in the size of the scrotum, and sometimes difficulty in the act of urination. This disease can be either congenital or acquired.
Testicular dropsy in newborn boys is a fairly common occurrence. The frequency of its occurrence during this period is 9 - 10%, and in adult men, acquired hydrocele occurs in 1% of cases. The volume of serous fluid in this disease can vary from 15 ml to 250 ml, and sometimes up to two to three liters.
The main causes of dropsy of the testicle
Embryological disorders contribute primarily to the birth of a baby with a congenital hydrocele. By the twenty-eighth and twenty-ninth week of pregnancy, the testicles descend into the scrotum and the vaginal process of the peritoneum moves into it.
If this process proceeds physiologically, then the anterior part of the process closes and the vaginal membrane of the testicle forms from the posterior. But if this process is disturbed, and the vaginal process of the peritoneum is not overgrown, then the scrotum and abdominal cavity communicate, as a result of which the peritoneal fluid enters and accumulates in the testicles.
A feature of the inner membrane of the appendix of the peritoneum is the ability to independently produce serous fluid (it is necessary for lubrication and movement of the testicles in the scrotum). If its production and absorption are disturbed, physiological dropsy occurs.
Congenital hydrocele can occur with:
- threatened miscarriage during pregnancy,
- burdened by heredity (on the male line),
- birth injury
- the presence of a pregnant woman's bad habits (smoking, alcoholism, etc.),
- the abuse during pregnancy of medications that have a teratogenic effect,
Acquired hydrocele occurs when:
- acute and chronic inflammation of one or two testicles, as well as its appendages (an example is orchitis, epididymitis, orchoepididymitis, etc.),
- scrotum injuries and tumors,
- tumor formations in the scrotum,
- testicular torsion,
- severe heart failure,
- complicated operations of the scrotum region (for example, with inguinal hernia, etc.).
Changes in the organ itself
The appearance of hydrocele helps to change the appearance of the groin, both in boys and in men. The scrotum increases in size (it becomes pear-shaped, the base is facing down) due to the accumulation of fluid in the shells of the testicle. If the spermatic cord is also susceptible to dropsy in the child, then the swelling also occurs in the area of the inguinal canal (it looks like an “hourglass” or multi-chamber tumor).
If the baby has a congenital hydrocele, then in most cases the appearance of anxiety, severe pain (usually during coughing), intense sausage formation in the scrotum, as well as vomiting, flatulence, and stool retention are characteristic.
On palpation of the formation, a smooth fluctuating surface is felt, with a dense-elastic consistency, most often painless.
How is dropsy of the testis classified?
Hydrocele is classified depending on the severity of the process, side of the lesion and the genesis of the disease.
According to the genesis, it can be:
- congenital, and it at one time is communicating and non-communicating,
- acquiredwhich proceeds as primary (idiopathic) or secondary (symptomatic).
Depending on the nature of the disease, hydrocele is:
- sharp. It develops in a couple of hours due to the inflammatory process. Pronounced pain in the inguinal region is characteristic,
- chronic. Dropsy of testicular membranes occurs gradually (over several weeks and even months). Soreness does not occur.
Depending on the side of the lesion, the disease is:
- left side
With hydrocele, the scrotum increases in volume (it can hang down to the knees, as the amount of fluid can be several liters). It changes its density, as well as its shape (the formation becomes elongated, slightly pointed in one place). The skin over the formation remains mobile. The patient may complain of a feeling of heaviness, a slight increase in body temperature.
Dropsy of the testicle in newborns
Dropsy of the testicles in newborns can occur both on one side and on two (depending on what shape the scrotum will be). Often this disease at this age is combined with inguinal hernia.
It is a fairly common occurrence. Painful and uncomfortable sensations at this age, with this type of hydrocele, mainly do not occur.
To diagnose dropsy of the testicular membranes, it is necessary to correctly collect an anamnesis of the disease, complaints, anamnesis of life (to find out past diseases, as well as the presence of injuries, operations, inflammatory processes in the inguinal region in the past), obstetric and gynecological anamnesis, and to find out the hereditary predisposition to this disease.
Diagnostic methods include hydrocele diaphanoscopy. Using a flashlight in a darkened room, it is estimated how the light passes through the scrotum. With dropsy of testicular membranes, the inguinal region in boys acquires a pink color. But if there is pus or hernia, there is no “pink glow”.
Diagnosis for a pediatrician, surgeon, urologist, andrologist is not difficult.
During the examination of the scrotum, it can be enlarged (swollen) on one or two sides, compacted, hyperemic (in the presence of an acute inflammatory process). The skin over the formation is mobile. The shape of the seal can be pear-shaped (elongated and slightly pointed), as well as in the form of an “hourglass” (when liquid enters the inguinal canal). A baby may have one or both testicles deformed.
Complaints such as discomfort, pain, and fever can be formidable symptoms, indicating an infection in the event of a testicular dropsy.
What diseases should not be confused with?
Differential diagnosis of this pathology must be carried out with:
- neoplasms (malignant and benign) of the testis, spermatic cord,
- fluid accumulation in the spermatic cord,
- inguinal and inguinal scrotal hernia,
- cystic formations of the testis, as well as spermatic cord,
Possible complications of testicular dropsy
With timely treatment, they rarely occur.
Hydrocele can be complicated:
- atrophy of the testis or testicles (it / they decrease in size, as a result of which the production of male sex hormones and spermatogenesis are disrupted),
- difficulty urinating may occur (this occurs if a significant amount of fluid has accumulated in the scrotum),
- piocele (this happens when the hydrachnic fluid becomes infected and turns into purulent).
What it is?
The testicles are paired genital organs that are found in the scrotum. When exposed to a number of factors, fluid accumulates in it. This leads to the development of dropsy of the testicle shells. This swelling is also called hydrocele. In boys, this pathology is common enough.
Pediatric andrology describes both dropsy of the right testicle and the left. Often the process is two-way. Parents will be able to notice trouble even on their own.Usually, the scrotum swells in the baby or its noticeable bulging is visible. These cases require immediate medical advice.
According to statistics, the disease occurs in every tenth baby. In 9-10% of children, edema of testicular membranes occurs simultaneously with other diseases of the intimate organs at the same time. These include: inguinal hernia, dropsy of the spermatic cord of the gland, as well as a violation of the outflow of lymph from its membranes.
Causes and consequences
In boys, this disease is in most cases congenital. Usually the disease manifests itself in 1-2 years.
Some cases occurring with fairly erased symptoms can be detected in a child only at the age of 3 years. In complex clinical cases, an additional examination of the baby is required using modern instrumental diagnostic methods.
The following conditions lead to the development of this condition in boys:
- Too low birth weight. Babies born for some reason ahead of schedule are often more prone to dropsy. This is due to the presence of anatomical defects in the structure of the genital organs. It takes time to lower the testicles into the groin. When shortening this period, the baby often has various defects in the structure of the genital organs.
- Birth injury. Violation of the delivery can lead to infliction of various injuries to the baby. If the fetus is in the pelvic presentation, as well as at the birth of twins in a natural way - often there are various injuries, including genitals. Also, a similar situation occurs in miniature mothers who have given birth to too large a baby.
- Infectious diseases. Viruses and bacteria very easily penetrate the placental barrier. Getting into the fetus at the stage of development of the genital organs, they cause various structural anomalies in the baby. The most dangerous period of pregnancy for the occurrence of these pathologies, doctors consider the first and third trimesters.
- Swelling of adjacent organs. The fluid that forms in various diseases can easily flow from one anatomical zone to another and reach the scrotum. This feature is due to children's anatomy. Pathologies of neighboring organs (often lower limbs) lead to the development of edema of the scrotum in the child, leading to dropsy of the testicles.
- Cardiovascular failure. In this condition, the tendency to form various edema increases. Usually they are localized on the legs and in the pelvic organs. Scrotal edema can even occur in a child who has a congenital heart disease. Typically, this combination indicates a strong trouble in the children's body.
- Birth defects. Often found in babies born prematurely. Adverse symptoms are noted by parents in the first year of a child's life. In full-term babies, the duct connecting the peritoneum and scrotum overgrows.
Premature babies often face problems resulting from impaired overgrowth.
- The consequences of viral infections. Children's andrologists note the development of acquired forms of diseases after the flu. Viruses have a strong negative effect on many internal organs, including the intimate zone. Pathology, proceeding in a rather severe form and hydrocephalus, can cause severe swelling in the scrotum in a child.
- The consequences of injuries. Damage to the external genitalia can cause inflammation and swelling of the membranes of the testicles. This condition is more often recorded in boys aged 12-14 years. Damage contributes to the rapid development of adverse symptoms. In some cases, surgical treatment is required.
- Urinary tract diseases. The organs of the genitourinary system are quite close to each other.This contributes to the rapid spread of infection. Often, chronic pyelonephritis or cystitis leads to the development of inflammation in the intimate area in boys. In babies of the first year of life, this condition is recorded more often.
Dropsy of the testicles is very dangerous. You can not neglect and not notice the first signs of this disease! This condition requires the appointment of compulsory treatment. If the treatment of the disease was delayed for some reason, this can lead to serious complications in the boy in the future.
The most common consequences include:
- Necrosis (death) of tissues of the scrotum and testicles. Prolonged squeezing leads to a violation of the blood supply and innervation of the intimate organs. Ultimately, this contributes to the development of persistent hypoxia (oxygen starvation). The chronic process is accompanied by the development of severe damage and death of genital cells.
- Reproductive dysfunction. When the process is chronic, there is a violation of sperm formation. According to statistics, in 20% of men with poorly treated testicular dropsy in childhood, infertility occurs. Treatment of this condition at an older age is quite problematic. In some cases, the reproductive function of men is almost completely reduced.
- Compression of organs located nearby. Most often, with this condition, the intestines are damaged. This leads to various digestive problems. The most common manifestation is a violation of the stool. Toddlers with dropsy of the testicles also suffer from constipation or have an increased tendency to them.
- The development of combined diseases of the genitourinary sphere. Severe swelling in the scrotum also leads to squeezing and disruption of other genital organs.
A prolonged condition contributes to the appearance of a baby's lymphocele. With this pathology, lymph outflow from the area of intimate organs is significantly impaired.
There are several options for dropsy of the testicles in boys. A variety of causative factors leads to their development. This classification has been used in pediatric andrology for many years. It is made taking into account the anatomical defects that occur with different variants of the disease.
This pathology can be:
- Communicating. This form of the disease is congenital. The condition is characterized by the presence of a duct between the scrotum and peritoneum. As a result of this, free fluid can easily reach the area of the intimate zone. Its accumulation leads to the development of dropsy of the shells of the testicles.
- Isolated. In this case, pathological fluid is formed in the scrotum itself or between the leaves of the testicles, and not in the abdominal cavity. Most often, this condition contributes to the development of a one-sided process. Adverse symptoms occur on one side only.
When establishing and formulating a diagnosis, it is very important to indicate when this pathology arose.
When anatomical defects appear immediately after birth, they speak of a congenital variant. If the scrotal edema appeared as a result of various injuries and injuries, as well as a consequence of various infectious diseases, then they talk about the acquired option.
The severity of the clinical manifestations of this condition may be different. It depends on many different aggravating causes. These include: the age of the child, the presence of concomitant diseases, the level of immunity and even social conditions of residence. The mild course of the disease is quite difficult to diagnose at home. Often parents “miss” the first signs of the disease in the baby.
The most characteristic symptoms include:
- Discoloration of the skin in the scrotum. She turns red. The skin to the touch is hot. Usually this symptom manifests itself well in babies of the first years of life.With traumatic injuries on the scrotum, you can see various bruises or hematomas that have a dark blue color.
- Scrotum enlargement. She's getting tense. With a bilateral process, the scrotum increases several times relative to the norm. If only one testicle is damaged, then asymmetry is visually visible.
- Soreness or tenderness on palpation. Inflammation leads to the fact that any touch of the scrotum causes an increase in pain. Usually, this manifestation is discovered by parents during hygiene procedures with the baby.
- Sensitivity during urination. In some cases, when a dropsy is combined with diseases of the urinary system, the child also experiences various disorders of urination. The baby often asks for a toilet. Some urges are accompanied by increased pain.
- Symptoms of intoxication. Some variants of the disease are accompanied by fever up to 37-38 degrees. At the height of hyperthermia, fever may occur or chills may appear. Chronic inflammatory process in the area of intimate organs leads to the appearance in a baby of signs of persistent fever.
- Behavior change. Kids become more moody, can whimper. With severe pain - even cry. Children of the first years of life often ask for their hands. The child is often disturbed by sleep. Difficulty falling asleep or waking up many times during the night are usually noted.
- Urinary excretion. This symptom develops with a rather severe and neglected course of the disease. This disrupts the excretion of urine from the bladder. Servings become small in volume. In this case, the parameters of the general analysis of urine, as a rule, do not change.
- The growth of pain in the scrotum. The first stages of the disease are usually not accompanied by the appearance of adverse symptoms. Subsequently, with failure to treat, the pain syndrome becomes more noticeable. The baby may complain of discomfort or even soreness. Most often, it appears after a hot bath, a quick walk or going to the toilet.
You can suspect the disease in the early stages. To do this, it is very important to monitor the condition of the intimate organs in the child. This is best done during daily hygiene procedures. Parents should pay attention to any deviations that occur in the area of the external genitalia in the baby. If there is a change in the color of the skin of the scrotum or its increase - you should definitely consult a doctor.
For additional diagnostics, it is better to contact a pediatric andrologist or urologist. These doctors have sufficient knowledge in the treatment of diseases of the intimate organs in boys.
You can turn to medical specialists from the first days of the baby’s birth. Such consultations will help to identify the disease in the early stages and help prevent the development of long-term adverse effects.
Usually, doctors conduct several additional tests to establish a diagnosis. For a preliminary determination of the disease, even a simple clinical examination is enough. During this, the doctor examines the external genitalia of the baby and conducts all palpation tests to establish the correct diagnosis. In complex clinical cases, additional tests are required.
According to the appointment of a children's urologist, for the diagnosis of dropsy of the testicles are used:
- Ultrasound examination of the scrotum and testicles. This method is absolutely safe and painless. During the procedure, the baby does not feel any pain at all. Only 15-20 minutes are enough to establish a diagnosis. The method is quite accurate and highly informative.
- Diaphanoscopy. This method isthat intimate organs are translucent with the help of light. The study reveals the presence of free fluid between the shells of the testicles. The method is widespread in pediatric urological practice around the world.
Laboratory tests, including a general analysis of blood and urine, are auxiliary. Usually they are prescribed only to establish the cause of the disease, as well as to establish the degree of functional impairment. For example, a general blood test allows you to accurately determine the presence in the child's body of a viral or bacterial infection, which become the cause of the disease quite often. An increase in the level of leukocytes indicates the severity of the process. Changes in the parameters of the general analysis of urine are found only in advanced cases of the disease and are practically absent in the initial period of the disease.
Testicular dropsy therapy should be carried out as soon as possible. Timely treatment helps to cope with adverse symptoms and reduce the likelihood of delayed effects of the disease.
Therapy of the disease includes the sequential administration of several groups of drugs.
To treat this condition, apply:
- Symptomatic pain medication. They allow you to eliminate the pain syndrome that occurs in the scrotum with strong squeezing of the testes with liquid. As painkillers can be used: Ketorol, Ibuprofen, Analgin, Nimesulide and others. Drugs are prescribed in the form of tablets or in injections. They are prescribed strictly by a doctor.
- Surgical operations. Indications for them are individual. The decision on the surgical removal of fluid from the scrotum is made by the attending pediatric urologist. Usually they are prescribed in cases where there are anatomical defects. Ross's operation is a fairly often used method to eliminate the adverse manifestations of the disease.
- Reduction of adverse symptoms of the disease using funds from a home medicine cabinet. Some mothers suggest curing dropsy of the testicles with sea salt. This method of treatment has very conflicting reviews. Typically, such self-medication only leads to a decrease in adverse symptoms, however, the disease does not completely cure.
- Puncture of the affected testicle. Puncture in this case eliminates all excess fluid from the scrotum. The method is traumatic and has a number of contraindications. It is carried out according to strict indications. The decision on the need for a puncture is made by the attending pediatric urologist.
- Performing sclerosis. Also applies to surgical methods for the treatment of dropsy of the testicles. During the procedure, the doctor with a special tool pumps out fluid from the scrotum and injects a drug into it that helps to reduce the formation of secretions in the future. Currently, this method is not used in pediatric practice. It can cause serious problems with reproductive function in a child in the future and even lead to the development of infertility.
- Conducting the Winkelmann Surgical Method. The doctor conducts a layered disclosure of the testicles. Typically, the size of the surgical field is 4-6 cm. All fluid from the cavity of the scrotum is pumped out. After that, the doctor unfolds all the membranes and stitches them together on the back surface, which allows in the future not to form an excessive amount of fluid inside the scrotum cavity.
Typically, after surgery, the postoperative period is from two weeks to a couple of months. This time is required to restore all structures of the intimate area.
For good and quick healing of tissues, it is necessary to limit strong physical exertion, as well as good nutrition, enriched with protein products.
Doctors also recommend that babies do not wear too narrow and tight underwear, as this leads to compression of the external genital organs. During the postoperative period, the baby must be regularly examined by a urologist. Six months after the operation, it is enough to visit the doctor only once during the year.
The course of the disease usually passes in mild or moderate form. With timely diagnosis, the prognosis of the disease is usually favorable.
Almost 75% of infants who underwent dropsy of the testicle in childhood fully recover. In the future, they do not have any long-term adverse effects.
With the advanced course of the disease, various dangerous consequences can occur. Such conditions most often develop if parents do not treat their baby with due attention. Late access to a doctor only exacerbates the development of the disease. Treatment of the disease should not be carried out at home, but under the supervision of a specialist. This will reduce the likelihood of developing dangerous consequences of the disease that occur in more adulthood.
In order to prevent various clinical forms of the disease, you should:
- Regularly carry out hygiene procedures. With the appearance of redness of the scrotum and external genital organs, you can use various medicinal herbs that have antiseptic and anti-inflammatory effects. These include: chamomile, calendula, succession and other herbs. You can use decoctions of herbs in the form of lotions or add to the bath.
- Monitor the state of intimate organs in the baby. Having seen redness or enlargement of the scrotum, it is necessary to show the child to the doctor. Violation or increased urination can also be one of the adverse symptoms of dropsy of the testicles. Frequent urges, especially at night, should alert parents and motivate them to contact a specialist.
- Avoid severe physical exertion. The correct selection of the optimal training regimen will contribute to the normal functioning of the reproductive organs in the boy. During sports, whenever possible, any damage to the external genital area should be prevented.
- Planning a healthy pregnancy. Any infections that arose during this period, which is special for every expectant mother, contribute to the development of various anatomical defects and anomalies in the baby.
Monitoring the course of pregnancy helps prevent the appearance of many pathologies in the baby.
- Timely diagnosis and treatment of concomitant diseases. All chronic urinary tract pathologies must be treated. Babies suffering from these pathologies should regularly visit a pediatric urologist. Such dispensary observation will help prevent the progression of the disease in the future.
- Maintaining a healthy lifestyle. A complete diet, enriched with vitamins and containing a sufficient amount of protein products, helps to maintain the optimal body weight in the baby. Obesity in most cases contributes to the development of various pathologies in boys. in the external genital area. Proper nutrition ensures the optimal functioning of all organs in the child's body.
- Matched size and age. Wearing excessively narrow or tight-fitting cowards in boys often contributes to the development of diseases of the intimate organs. Underwear for babies should be made only from natural materials. When wearing it, the child should not have any uncomfortable symptoms.
About what is dropsy of the testicle and how to treat it, see the next video.
What is dropsy of testicles in a baby
Experts say that dropsy of the testicles in a child is a condition in which fluid rapidly accumulates in the shell of one or both testicles. This is due to the fact that the organs of the reproductive system appear in the scrotum at seven months long before the day the future guys are born, and before that they are located in the abdominal cavity.
At this age, the testes move from the peritoneum of the baby into the scrotum, dragging along a film of special tissue to connect. This impromptu pocket necessarily closes before birth or at most during the first two months after this event. If for some reason this did not happen, then the accumulation of fluid rapidly occurs in the cavity or an inguinal hernia appears over time.
Then everything happens according to different scenarios depending on the type of pathology:
- if there is a danger of communicating dropsy, then the liquid will penetrate into the pocket with the help of the vaginal process, which connects the peritoneum to the scrotum, in the best case, the process will be closed independently at the age of one and a half years,
- if the dropsy is isolated, then the fluids do not come from anywhere, but simply accumulate due to the production of vaginal membranes in large quantities, the balance between the production of fluid and its absorption within the norm is completely lost, so the moisture simply has nowhere to go from the organ, which causes pathology development.
The problem is often diagnosed in boys who have not yet reached the age of three, so small patients rarely can clearly explain what gives them pain and discomfort.
If the accumulation of fluid is not stopped in time, then it will become more and more, which will lead, ultimately, to problems with the genitourinary and reproductive systems.
Why does pathology occur in boys
After the dropsy of the testicle in a child has already been diagnosed, the causes of its occurrence begin to occupy parents more and more.
The causes of the pathological condition have long been studied, so they are all divided into several types, examples of which are presented in the photo. Congenital disorders that cause hydrocele are related to small malformations, since they are in no way associated with gene mutations.
If the cause is a congenital pathology, then non-healing of the communicating type occurs, which was caused by:
- problems that arise during pregnancy (the possibility of miscarriage, infections, sexually transmitted infections in the mother),
- delivery trauma
- undescended testes or one of them into the scrotum,
- chronic prematurity
- urethral orifice,
- defects that occurred on the peritoneum,
- congenital permanent accumulations of fluids in the peritoneum and between the membranes of the testis.
If these problems are not congenital, but arose at a later age, then we can talk about dropsy of a secondary or acquired type, which often occurs in a little gentleman:
- after an infectious disease (ARVI, mumps),
- with injury to the scrotum,
- when twisting the seminiferous tubule or the testicle itself,
- in case of acute or chronic inflammation of the organ itself or its appendages,
- as a consequence of an unsuccessful operation on the abdominal cavity or genitals,
- with severe damage to the lymphatic system associated with the presence of worms and other parasites in the body.
In childhood, dropsy can occur when an inflammatory process occurs due to infection in the organ, which causes unbearable pain and discomfort in the genital area.
If the pathological condition of the testicles is not treated, then against the background of problems with the gastrointestinal tract, infections, high pressure inside the peritoneum and increased excitability of the child, inguinal hernia rapidly develops.
What is hydrocele
Hydrocele in children is caused by the accumulation of viscous secretion around the gonads - testicles. This leads to an increase in the scrotum on the affected side. The causes of the disease are divided into 2 groups - acquired and congenital. Congenital hydrocele detected in the first year of life in 13-15% of boys.
Acquired dropsy is accompanied by:
- lymphocele - an accumulation of lymphatic fluid in the inner shells of the testicles,
- inguinal hernia - protrusion of the peritoneal organs beyond the anatomical cavity,
- funicular - a cystic cavity with liquid contents in the spermatic cord.
In half of the cases, children reveal bilateral dropsy of testicles - simultaneous damage to the right and left testicles.
What does a hydrocele look like?
In 89% of cases, dropsy of the testicle in the baby is detected by the parents during swaddling or bathing. The initial stage of the disease is diagnosed by a urologist during a routine examination. Hydrocele is accompanied by accumulation of fluid in the deepest layers of the testis, which leads to a change in its size and shape.
Local manifestations of dropsy of the gonads:
- scrotum enlargement,
- pear-shaped protrusion in the affected area,
- the testicle in the thickness of a thick liquid is not palpable,
- smoothing folds on the surface of the scrotum.
At the initial stage, dropsy reaches the size of a chicken egg, but in the absence of treatment it increases by 3-5 times.
In 8 out of 10 boys, hydrocele is painless. The dropsy intensity and its diameter depend on the time of day. It reaches its maximum in the daytime, and the minimum immediately after sleep.
The fluid inside the scrotum is an ideal medium for feeding the bacterial flora. That is why hydrocele is considered a risk factor for inflammatory diseases. Most often, infections are associated with the migration of the pathogen through the blood from distant organs - carious teeth, tonsils, intestines.
Infection is accompanied by general symptoms of intoxication. The child complains of weakness, increased fatigue, nausea and dizziness. There is a rise in body temperature to 38 or above degrees.
Also, the infectious process is accompanied by external symptoms. The scrotum turns red and swells, becoming painful on palpation. In severe cases, piocele occurs - an accumulation of pus in the membranes of the organ.
Launched hydrocele variants may cause rupture of the membranes. Clinically, the complication is accompanied by acute pain and bleeding. In the absence of competent medical care, a child may experience hypovolemic shock. Its symptoms are increased heart rate, drop in blood pressure, loss of consciousness.
A prolonged course of hydrocele in children can cause infertility in the future. In the testes are special cells that produce sperm. Prolonged compression can lead to their death and impaired reproductive function.
A testicular testicular infection increases the chances of infertility in adulthood. The inflammatory process contributes to the death of sperm producing cells and their replacement with connective tissue.
Symptoms of the disease depend on the cause of the accumulation of secretion in the shells of the testicles. In 76% of cases, dropsy of the testicle in children is non-infectious. In the acute form of hydrocele, there are:
- pain in the inguinal zone
- redness of the scrotum,
With a unilateral lesion, the secret often accumulates in the region of the right testicle. The hydrocele on the right is accompanied by an increase in the scrotum on one side only. It acquires a pear-shaped shape and sometimes can even reach the size of a child’s head.
When a testicle is infected, the following symptoms occur:
- redness of the scrotum,
- power failure
- cold sweat,
If dropsy reaches a large size, it compresses the urethral canal. As a result, urination is difficult, there is discomfort in the perineum. 3% of boys experience urinary retention.Children from 3 years old complain of groin pain and discomfort while walking.
Why is this condition developing
Signs of the disease appear in children of any age when the balance between the production of fluid and its absorption into the blood and lymph vessels is disturbed.
The reasons why the physiological form develops:
- there was no overgrowing of the canal between the membranes of the scrotum and peritoneum - due to intrauterine infection, the threat of miscarriage, such diseases of the pregnant woman as diabetes
- hereditary predisposition to communication between the abdominal cavity and the scrotum cavity. It is noted when a dropsy also formed in the father of the child at birth
- intestinal diseases or those diseases that lead to increased excitability of the child: as a result of increased intra-abdominal pressure, the fluid sweats between the testicular membranes
- there was an injury to the baby’s genital glands when passing through the bones of the mother’s pelvis at birth
- congenital malformation of the scrotal lymphatic vessels
- if the child in the process of treating hydronephrosis or other renal pathology required peritoneal dialysis.
Causes of acquired conditions when an ailment in children from three years of age is a disease:
- after surgery on scrotum organs - for varicocele or inguinal-scrotal hernia
- gonad injury
- as a complication of inflammation of the testicles or their appendage.
In adolescents, dropsy develops due to:
- testicular injuries, even minor
- scrotal surgery
- orchitis or orchoepididymitis
- malignant tumors in the scrotum
- heart failure.
Varieties of dropsy
In urology, dropsy of the testis is classified due to development, localization, structure, and features of the course. Depending on the mechanism of the disease, 2 types of hydrocele are distinguished:
- congenital - caused by impaired fetal development in the womb,
- acquired - occurs against a background of secondary diseases, injuries, medical manipulations.
Acquired hydrocele is found only in 1% of older boys. In most children, a viscous secretion accumulates in the testicle against other diseases - orchitis, epididymitis.
The structure reveals one of two forms of dropsy:
- Isolated. The fluid accumulates between the testicle and its inner membrane, but does not penetrate the peritoneal cavity. Dropsy of this type occurs with injuries, improper performance of diagnostic manipulations, operations.
- Communicating. If the abdominal process does not tighten in time, the secret from the scrotum enters the abdominal cavity. Communicating dropsy in 50% of cases turns into an isolated one. This occurs when the omentum in the abdominal process is overgrown or formed.
A newborn boy is often diagnosed with physiological hydrocele. The inner sheet of the genital gland secretes a secret, thanks to which it mixes painlessly inside the scrotum. If the balance between synthesis and reverse absorption of this fluid is disturbed, it begins to accumulate in the inner shells of the gland. Physiological dropsy of the testicles passes without therapy in 80% of cases.
How is the disease manifested?
In infants and boys under three years old, the disease is very easy to detect during bathing:
- noticeable increase in the right testicle and left testicle (less often - one of them)
- swollen scrotum in appearance, gives the impression of a decrease in the penis
- testicular formation is dense, elastic, with the tip pointing up
- skin over testicles not changed
- the child reacts a little restlessly to the feeling of the genitals
- when probing the testicle, you can feel how the fluid returns to the abdominal cavity.
How to cure enuresis in children and adolescents
It is sometimes difficult for teenagers to find out that they have any problems. But in some cases, they indicate the following symptoms:
- swelling of the scrotum (more often - the left testicle)
- heaviness and discomfort in the inguinal region, especially in the area of the base of the penis
- squeezing the swollen scrotum with the trousers.
If the disease is complicated, then such signs will be observed:
- scrotal pain
- organ redness
- temperature rise
- there may be a violation of urination
Dropsy on the testicle in a newborn is a consequence of developmental disorders in the womb. At the 28th week of pregnancy, the inguinal duct testicles descend into the scrotum. Together with the glands, the abdominal process penetrates into it, which is subsequently tightened.
If the process does not overgrow at the time of delivery, a canal remains between the abdominal space and the scrotum. Subsequently, fluid begins to accumulate in the testicles. Factors that cause dropsy include:
- prolonged toxicity in the mother,
- hypospadias (absence of the posterior wall of the bladder),
- abdominal dropsy,
- birth injuries
- high risk of miscarriage
- peritoneal dialysis,
- complicated pregnancy in the mother.
The channel between the space of the peritoneum and scrotum is not tightened in 80% of infants. But in most, it grows without surgery by 1.5 years.
How is the diagnosis
Diagnosis of dropsy of the testicle in the baby is as follows:
- examination by a pediatric urologist or surgeon
- ultrasound examination of the testicles determines the fluid between the leaves of the testicle shells (phimosis is diagnosed in the same way)
- diaphanoscopy - the approach of a light source to the scrotum, as a result of which, when dropsy, it shows through, with a hernia of the scrotum there is no such transmission
- general tests of urine and blood to identify complications and concomitant pathology (orchitis, urethritis).
In a boy after 3 years and a teenager, reactive dropsy of testicles is more often detected. The accumulation of secretion in this area occurs with excessive synthesis or insufficient absorption of the secretion, which is secreted by the testicle. Provoking factors include:
- scrotal injuries
- operations in the abdomen,
- inguinal hernia,
- tumor of the epididymis,
- inversion of the spermatic cord.
Dropsy of the left testicle occurs only in 20% of cases. 8 out of 10 boys are diagnosed with bilateral hydrocele. In isolated cases, the disease occurs against the background of acute respiratory viral infections, mumps, rubella.
What threatens testicular hydrocele
Ignoring the problem and inadequate treatment of infectious complications leads to malfunctions in the reproductive system. Sluggish dropsy is dangerous by reducing the viability of the gonads, a delay in the development of secondary sexual characteristics.
Possible effects of hydrocele:
- testicular atrophy,
- violation of spermatogenesis,
- purulent inflammation of the testicles,
- acute urinary retention.
Dropsy in children with an unclosed abdominal process is sometimes complicated by inguinal-scrotal hernia.
If a child has a swelling in the inguinal zone, consult a urologist. Dropsy is diagnosed on the basis of local symptoms - enlargement of the scrotum, troubled palpation of the testicles. To confirm the diagnosis are assigned:
- Ultrasound of the scrotum is an ultrasound examination of the gonads. The method reveals not only a secret, but also concomitant pathologies - testicular tumors, torsion of the cord, etc.
- Diaphanoscopy is a study of the sex glands in the light passing through the scrotum. During the examination, a thick secret is revealed in the scrotum. If dropsy is complicated by a hernia, part of the intestine is visible.
During the examination, the urologist distinguishes dropsy from diseases of the scrotum organs - spermatocele, epididymitis, torsion and appendage cysts.
With hydrocele caused by other diseases, MRI of the scrotum is indicated. According to layered images of organs, more dangerous diseases are excluded - orchitis, testicular cancer.
How are testes treated with dropsy in boys
Symptomatic hydrocele caused by background diseases is easier to treat. If the pathology is provoked by defects in the development of the fetus, resort to dynamic observation or surgery.
With uncomplicated hydrocele in an infant, dynamic observation is indicated. According to practice, in 80% of boys, the disease goes away without therapy as the canal between the abdominal space and the scrotum heals. Drug or surgical treatment is resorted to if:
- the released fluid becomes infected,
- the scrotum greatly increases in size,
- difficulty urinating.
If dropsy does not go away by 1.5 years, an operation is prescribed.
Dropsy of the testicles in boys
Dropsy in boys on the testicles most often appears immediately after birth. It can be found even with uterine development and medicine, there are cases when the pathology was already known at 31 weeks of gestation. Hydrocele is characterized by the accumulation of fluid in the scrotum, which should not be in a normal state in the body. The formation of dropsy leads to its gradual increase, which creates a lot of complications. But if the disease manifests itself in infants, then it can disappear on its own without special treatment.
Therapy of dropsy of testicular membranes is differentiated depending on its genesis and the nature of the disease.
Conducting surgical interventions. As a rule, children under one year of age are not produced (until this age, the child should be monitored by a surgeon), since it can pass on its own. But if fluid accumulates in the scrotum and tension appears in the testicle shells, then it is necessary to perform a puncture and remove the contents (in some cases it has to be performed repeatedly, since hydropodic fluid can be re-collected).
If the child has a communicating dropsy with a narrow peritoneal process, it is necessary to be under the supervision of a surgeon until the age of two.
It is allowed to carry out surgery if the baby:
- interconnected hydrocele and the child’s age is two years old,
- interconnected dropsy of testicular membranes, but the baby is one to two years old (in the case of a combination of dropsy and inguinal hernia, when the volume of the scrotum changes due to a change in posture (dropsy increases and the discomfort increases), the infection process joins),
- post-traumatic hydrocele and after three to six months there are no improvements.
If the baby has a traumatic hydrocele and the integrity of the testicle is not broken, then he should be observed by a specialist for no more than three to six months and, in case of negative dynamics, he needs to undergo surgical treatment.
Dropsy in the testicles of the newborn
Basically, already at the seventh month of development, the testes descend into the scrotum. During this period, when they move into place, a thin film of connective tissue located in the peritoneum can be captured and lowered. This piece of tissue lines the cavity inside the baby’s stomach. All this leads to the formation of a pocket, which in the normal state should close before the baby is born. Sometimes it happens that he still remains a few months after birth, but then passes on his own.
This mechanism is independent of infections or injuries, as is the case in adults. Based on this, despite the presence of the same symptoms, this disease belongs to a slightly different category, since in most cases it passes on its own as the body develops. Dropsy of the testicles in newborn boys passes during the first year, and more often even in the first months.
Naturally, not all this goes without a trace and sometimes even after two years all the symptoms remain. This phenomenon does not create a big problem for the development of the genitals at this age, so there is still time to take the necessary procedures for treatment.
Dropsy of the testicles in boys: types of hydrocele
There are two main types of hydrocele, which can be present in both children and adults. It could be:
- Interconnected dropsy of the testis of the child,
- Isolated dropsy of a baby's testicle
If the boy develops a communicable disease, then the peritoneal fluid that passes through the vaginal process and enters the created pocket begins to accumulate in the scrotum, but it can also flow into the peritoneum. The presence of a clearance in the process creates such a phenomenon that in some positions the dropsy can be very visible, and in others it can disappear without a trace. As long as the clearance remains, the fluid will flow uncontrollably from one place to another. By 1-1.5 years, the hole overgrows and the excess accumulated fluid in the scrotum dissolves. If a similar pathology is noticed, then it should not be left to chance. It is necessary to undergo periodic examinations by a doctor in order to know how the disease progresses.
Considering how dropsy of the testicles looks in newborns with an isolated type of pathology, it should be noted that her stay in the scrotum is constant, since the fluid does not disappear anywhere in the lumen. In this case, the fluid that accumulates in the scrotum is produced using the vaginal membrane. This is a natural process necessary for lubrication when moving the testicles inside the scrotum. But if there is a deviation in the form of a violation of the balance of absorption and production, then this leads to excessive accumulation.
Drug therapy is effective for secondary dropsy caused by infectious inflammation of the fluid or testicles. To facilitate the well-being of the child and the destruction of the infection are used:
- non-narcotic analgesics (Ketoprofen, Ibuklin) - reduce pain in the groin, normalize body temperature,
- antibiotics (Amoxiclav, Azithromycin) - eliminate the bacterial flora in the lesions,
- immunostimulants (Laferobion) - increase the body's resistance to infections.
If necessary, antiallergic drugs and vitamin-mineral complexes are prescribed. To reduce the burden on the organs of the scrotum, a suspensorium is used - a supporting dressing.
Preparation for surgery
Before surgery, the patient needs to carry out preparatory measures for him.
The list of tests and instrumental studies required for surgery depends on age. For adults, for example, it is necessary to take a general blood test, urine test, blood for clotting, an X-ray of the chest organs, an electrocardiogram. And also take tests to exclude HIV infection, syphilis, hepatitis.
Before surgery (if it is an adult male or teenager), he must shave his hair in the inguinal region and wash well. If the patient is a child, then the parents should wash the genitals in crumbs. On the day of surgery, it is forbidden to eat food.
How to treat dropsy of a testicle in a newborn
The treatment of all diseases in infants requires special delicacy. Given the fact that the physiological dropsy of the testicles in newborns has the above features of education, then they have not been engaged in its treatment for a long time. This is fully justified by the underdevelopment of some body systems, which in the first years of life can come back to normal. The main thing is not to disturb them at first, since the physiological manifestations of hydrocele are simple enough to observe. The main thing for parents during this period is to prevent digestive disorders and the appearance of colds. Indigestion and cough cause an increase in intra-abdominal pressure. This can increase the flow of fluid into the scrotum, which complicates the course of hydrocele.
If a dropsy does not go away a few years after birth, then surgical treatment is already required here. It can not be carried out if the child is less than two years old.When a hydrocele remains for such a long period, the likelihood that it will go away on its own becomes much less. In the future, it will interfere with the development of the reproductive system, so the sooner you can get rid of the disease, the better. Children tolerate operations quite normally. For them, the use of general anesthesia is mandatory.
The essence of the operation
There are 3 types of surgical correction of the described condition. They were proposed:
- Winkelmann. The essence of the method consists in the dissection of the sheets of the testicle shell, one of which is turned back and sutured,
- Bergman (excision of the leaf of the membrane is performed, followed by suturing of the remaining fragment),
- By the lord (opening of all shells, removal of accumulated exudate and corrugation of dissected tissues with special sutures is performed).
Dropsy of the testicle in a child 3 years old
When at the birth of a boy there were no signs of dropsy, and after she appeared, then she already has an acquired character. This is a more serious pathology, since here one should not hope that everything will go away on its own. Child injuries are not uncommon and it is because of it that hydrocele in young boys is most often formed. Any trauma to the testicles and inguinal region can cause accumulation of excess fluid in the scrotum. This is a progressive disease, the treatment of which does not need to be postponed for a long time.
For the acquired form of dropsy, even in childhood, an operation is necessary. Thanks to the fairly frequent examinations during the passage of the medical commission to kindergarten and school, such diseases can be detected in a timely manner before they have caused serious consequences. The sooner the treatment is carried out, the easier the surgery will be and the less chance there is of a relapse and complications.
Having understood what a dropsy is in a boy, a parent should not panic too much. This is a common pathology for which there are many treatments. Regardless of the form of the disease, doctors can always help in solving the problem with high efficiency. Complications in children are manifested much less frequently than in adults, since far from always it comes to treatment. Surgery for treatment is carried out in almost all city clinics with a surgeon in pediatric urology.
Dropsy of the testicle in a child: causes
Nothing arises in the body for no reason. Even if these are inborn factors, then something still affects them. The range of options why hydrocele can form in children is much higher than in adults, since even the course of the disease here is somewhat different. The reasons for the appearance of dropsy of the testicle in a child can be different and all of them can be divided into two main groups: acquired and congenital.
Dropsy of the testicle in the baby: congenital causes
If we are talking about newborns, then hydrocele becomes a relatively small pathology, which practically does not affect the boy’s health. Moreover, even if it is still found in the womb, which can be seen by ultrasound, in the conclusion this is not displayed, since it does not become a threat to life and does not require treatment. This is not due to gene mutation. Most often, it manifests itself in the form of communicating dropsy, since one of the main reasons here is an embryonic disturbance in the form of an increasing vaginal process.
The causes of dropsy of the testicle in children become:
- Birth trauma, which is characterized by the appearance of hydrocele after childbirth, so that on an ultrasound scan it was previously impossible to see,
- Prematurity, due to which some organs and systems in the infant did not have time to develop, since in a normal state they would have reached the desired stage even in the womb,
- Difficulties in bearing and pathological pregnancy during which the mother was exposed to chronic and infectious diseases, infections, there were threats of miscarriage and other negative phenomena,
- The testicle does not fall into the scrotum (cryptorchidism),
- Abnormal development of the genitals, in which the urethra opens on the trunk of the penis, and not on the head (hypospadias).
You can also highlight a number of pathological processes that lead to an increase in abdominal pressure, which leads to various pathologies of the scrotum. Such pathologies that contribute to the development of dropsy of the testicles in newborns, the causes and treatment of which is determined by the doctor, can be as follows:
- The appearance of ascites, which manifests itself in the form of accumulation of fluid in the peritoneum, from where it can move into the scrotum,
- Dialysis peritoneal,
- The presence of ventriculoperitoneal dowels, which are installed in the abdominal cavity to drain excess fluid,
- Defects in the abdominal cavity.
Acquired dropsy in newborns: causes and treatment
The acquired form is caused by external causes that were absent at birth. They can appear both at a very young age, in the first year of life, and later. The main reasons include the following:
- Physical testicular twisting, which leads to injuries and the development of various pathologies, including hydrocele,
- Injuries that affect the scrotum itself and the area that is next to it, which can also provoke the development of various diseases,
- A tumor of the appendages and testis, which can begin even at an early age and lead to such complications,
- Vascular and heart failure in an infant, which sometimes manifests itself in a severe form,
- The appearance of infectious diseases, especially when they flow into a severe form (mumps, flu, SARS, and others can be attributed here),
- Inflammation of the testicle and various diseases that cause such a factor (epididymitis, orchitis and others),
- The appearance in the body of parasitic worms that infect the lymphatic systems during their life in the host and cause filariasis,
- The occurrence of complications after operations.
Dropsy of the testicle in a child: causes and consequences
If the disease becomes prolonged, then it is not so important what exactly caused it, because with a prolonged absence of treatment, the consequences become a big problem. In fact, the development of the disease in children manifests itself very quickly and it becomes easier to detect it than in adults, so there is no prolonged latent form in hydrocele.
The negative consequences include painful sensations that will torment the child when walking and other physical activity. Considering the causes of dropsy of the testicle in the baby and the photo, you can often find such a thing as inflammation. It can become not only the cause, but also the consequence of the disease, when it manifests itself in the scrotum.
Further problems with the development of the genital organs also become a serious consequence. The boy’s reproductive system has not yet had time to form, and it is already affected by various negative factors that inhibit the undeveloped testicles and contribute to the appearance of foreign objects inside the scrotum. This can lead to a lot of negative consequences of development, so treatment must be dealt with in a timely manner.
With dropsy in boys, the causes and treatment should be the trial of doctors. Parents are required to timely contact and monitor all changes in the health of the child that may occur.
Symptoms of dropsy of the testicle in a child
Hydrocele is most often found in those moments when parents carry out various hygiene procedures, if we are talking about an acquired disease.In older boys, this can be during a routine examination, and in newborns with a congenital form, this is determined even before birth.
Dropsy of the testicle: the symptoms in children, regardless of age, remain the same.
Dropsy testicles in boys: consequences
The negative manifestations of the disease will depend on which part of the body is affected by hydrocele. The consequences of dropsy of the testis in a child can be as follows:
- The development of hydrocele with communication with the abdominal cavity has sad predictions. When fluid flows from the testicles to the peritoneum, it can shift the diaphragm from its normal position upward. This provokes respiratory failure, as the lung has less space to fill.
- With an increase in the size of dropsy, it can block the normal passage of blood, which leads to a deterioration in the blood supply to the internal organs and heart muscle, which impairs their development.
- When protein metabolism is disturbed, protein deficiency develops in the body, which is also caused by a communicating hydrocele.
- With the localization of hydrocele only in the scrotum and constantly increasing sizes, the blood supply to the testicles worsens. This leads to problems in their development, and can also cause atrophy.
- Abnormal development of the genital organs in the future, since the extraneous formation in the form of a hydrocele will interfere with the normal course of this process.
- With a long stay of dropsy in the body, the development of infection or the appearance of inflammation is not excluded. This occurs with colds during hydrocele and in the presence of other irritants.
Dropsy of the testicle in a child: operation and consequences
When an operation is performed, negative consequences rarely occur, but they can still be present and their likelihood should not be ruled out. One of the most unpleasant options is the recurrence of hydrocele. All symptoms return, dropsy begins to grow again, but at the same time, the speed of the disease often increases. Experienced parents quickly take the necessary actions, which helps to avoid all complications.
When the dropsy of the testicle in a child has disappeared after surgery, the consequences may appear due to problems during the procedure. Then an infection can enter the body, which will lead to various diseases and inflammations. The surgeon can injure nearby tissues, which then begin to hurt and swell. Such consequences are manifested very individually and it is impossible to guess what they can lead to.
For some time, the site of the operation may remain puffy and redness appears on it, and after a while itching begins. These are all temporary phenomena that must go away in the first month. If they do not disappear, then you need to see a doctor.
The appearance of large hematomas after surgery is not the norm, but such phenomena are not excluded. With their prolonged manifestation, it can be suspected that the internal wounds did not heal and there could be a process of decay and other unpleasant factors.
Dropsy of testicles and diapers
Now, most parents choose to wear various diapers for children, as it is more simple and convenient. With diseases such as hydrocele, certain difficulties arise, since too tight fit of their surface to the body can create discomfort for the child and cause complications. Opinion about dropsy of the testicles and diapers was somewhat divided among experts. Some argue that they can only be worn when walking on the street, while others say that if the material is breathable, you can wear it more often, but when donning, you need to raise the testicles with dropsy up.
Dropsy of the testicles in newborn boys: forum
When almost any disease occurs in a child, parents immediately turn to the Internet for more information.Most questions and forum posts on dropsy of testicles in newborn boys immediately cast doubt on the doctor’s decisions. It is quite a normal situation when, when a congenital hydrocele occurs, doctors do nothing, motivating that everything will go away by itself. Such assurances are often not suitable for young mothers and they are looking for a solution that is more suitable from their point of view in order to calm down. However, more experienced parents who have already encountered similar problems and other medical specialists only confirm the primary actions of doctors.
Dropsy of the testicles in boys: reviews and frequently asked questions
Most topics begin with a host of questions about how dangerous hydrocele is in newborns and how to act in this disease. The intensity is gradually decreasing, as it has already been repeatedly said that this is a completely normal phenomenon for newborns, which in more than 90% of cases passes independently
Frequent questions on the forum include:
- How to treat a child with hydrocele,
- What is forbidden to him during this period,
- What folk remedies can help,
- When the disease goes away
- Is it dangerous to have surgery
- Where to go for treatment
- Is it possible to wear diapers at this time and how to carry out hygiene procedures.
According to reviews, the testicles of newborns confirms generally accepted statistics. Large families with boys face a similar problem and, as a rule, everything goes without consequences. It is difficult to find reviews in which the disease would go too far and cause irreparable harm to the health of the baby. Most reviews show dropsy as a harmless temporary phenomenon.
Dropsy in boys on the testicles: photo
Dropsy in boys on the testicles photo has rather pathognomonic signs.
To visually determine the diagnosis, a photo of dropsy in boys on the testicles will help distinguish the normal condition of the scrotum from the one when the disease is actually present. Most of the informational articles, which are intended for both physicians and ordinary people, are provided with snapshots of examples so that readers have a better idea of what happens with this disease.
Dropsy of the testicle: photo of a child
Pictures of how hydrocele appears in children more fully reveal the appearance of dropsy. The fact is that in adult men, the scrotum is much larger than in children. This is due to the fact that in the child's body before puberty, special changes in the development of the testicles are not observed. This is especially true for newborns, in which this disease most often occurs. With the growth of dropsy, they are more noticeable, since the size of the scrotum is much smaller. If with unilateral development of hydrocele this is visible, at least in comparison with the second half, then with bilateral development it is already more difficult, since the increase is proportional.
With dropsy of the testicle in a child, photos taken at different periods, with breaks of a week or two, help determine whether the disease is developing or whether everything is in one place. In the normal course, the circumstance of the hydrocele should remain at the same level or gradually subside. This applies to congenital forms. If the child is already several years old and this is an acquired form, then there will likely be an increase in size.
In any case, you should consult a doctor for advice. Indeed, in addition to hydrocele, a hernia, varicocele, swelling of the testicles and other diseases with similar symptoms can occur. One inspection is often not enough and you need to use additional diagnostic methods.
Dropsy of the testicles in newborn boys photo: causes
From the pictures it is difficult to determine exactly which causes led to the development of this disease, but they should still be known.This will help to avoid the acquired forms of hydrocele, or reduce the level of their occurrence, and also not to worry when a congenital disease appears.
It is congenital dropsy that poses less danger, since ordinary physiological causes associated with the underdevelopment of internal organs lead to its formation. For infants, this is not considered a deviation, since premature babies have much more similar problems and they resolve on their own as the body develops. The main reason here is an open message through the vaginal canal, which allows fluid to move from the abdominal cavity to the scrotum and vice versa. This is the same kind of reason with which nothing can be done and disappears as the hole heals through which the message occurs.
Considering what the dropsy of the testicles looks like in boys in the acquired form, it is worth highlighting the following causes:
- Physical looping of the testicle due to improper wearing of underwear, poor sleeping position or other causes,
- Injuries to the groin and scrotum in particular
- Inflammatory processes and infection, which provokes a deterioration in blood circulation and lymph outflow,
- Parasitic attacks that lead to difficulties in the functioning of many body systems,
- Surgical operations when hydrocele can be one of the negative consequences of such an intervention.
Options for how dropsy of the testicles look in newborns in the photo differ depending on the cause. Upon impact, as a rule, a trace remains for some time, and after the operation it is clear that internal intervention could give such a complication. With infectious hydrocele, redness and other external changes are often observed. With edema, the scrotum appears cyanotic and other negative manifestations. Almost any additional phenomena indicate the presence of complications, since in the usual manifestation of a hydrocele is characterized only by an increase in the size of the scrotum.
Dropsy of the testicles in boys: photo after treatment
In addition to pictures of the development of the disease, which show exactly what the hydrocele looks at one stage or another, you should also know how everything should look when it comes back to normal. After dropsy of the testicles, the baby’s photos should be the same as before the disease. If it was a congenital hydrocele, then it is sometimes difficult to understand exactly when the scrotum returned to normal. Naturally, only a doctor can talk about a complete cure, but it is also important for parents to monitor the course of the disease, as they see the child much more often.
If an operation was performed on dropsy of the testicles in newborn photos or in children after 2-3 years, then in the first days immediately after surgery, the appearance may still not entirely correspond to the norm. It is during this period that you need to more closely monitor changes that may indicate complications. If reddening of the area is observed, the hematoma does not go away for a long time, after the size decreases, the scrotum begins to grow again or the suture begins to bleed, then for any of these manifestations, you need to see a doctor for urgent help.
Under normal circumstances, after a couple of weeks after treatment, everything can return to normal. The maximum period is about a month. In children, the scars remain much more invisible than in adults. After several months after treatment with dropsy of the testicle, the photos in newborns practically do not differ from those who did not have a hydrocele.
Do I need a diet
The nutrition of a newborn with dropsy of the testis does not differ in any way: the child receives a mixture or breast milk in an age volume. The only nuance concerns a nursing mother: salty and very sweet foods are excluded from her diet so that excess fluid does not linger in the child's body.
If several months have passed, and the signs of dropsy do not decrease, complementary foods are introduced in the form of unsalted foods. From the diet of older children and adolescents exclude pickled, smoked, salty dishes.
How to prevent the development of dropsy of the testicles
Prevention of dropsy is:
- careful planning of pregnancy: examination before it, treatment of chronic pathologies
- avoiding colds during pregnancy
- accustoming the child to a careful attitude to the organs of the scrotum, so as to prevent their injury.
Dropsy of the testicle in newborn boys is a pathology in which fluid accumulates between the membranes that protect the testicle. Most often, it arises due to causes acting in the prenatal period, has a tendency to dissolve on its own. The treatment of the disease is carried out only after 2 years of age, only surgery is effective.
Dropsy of the testicles in a newborn - what is it and how to treat
Good day, my dear readers! Have you noticed that you don’t need a lot of reason to panic? This is especially true for young mothers, because every new pimple on the baby's body is already a good reason to sound the alarm. One of my acquaintances felt for some condensation on the testicles of her newborn and diagnosed with “cancer”. Oh, if she then knew what a dropsy of testicles in a newborn is - such high-profile statements would not have been.
Ten percent of newborn boys have this disease. And most often there is nothing to worry about. But to understand this for sure, women re-read a lot of the most terrible diagnoses, which supposedly fit the symptoms found in their baby. What a mistake this is! A waste of time and nerves! There is a doctor!
And, although we are not doctors, let's talk about testicular dropsy.
1. Causes of dropsy
The root causes of dropsy are only two:
In the first case, there is no reason to fear. Congenital dropsy will not bring a newborn inconvenience.
Let's see where it comes from physiological dropsy (medical term - hydrocele):
- in the womb, the genitals are formed,
- testicles are born
- the testicle descends, “attracting” the peritoneum,
- a certain funnel forms
- the funnel is "sucked in" before the baby is born (however, not always, and if the funnel did not have time to drag out before the baby is born - a dropsy forms). Rather, dropsy is formed because a liquid that “settles” in the testicle gets into this funnel.
Physiological dropsy often takes place in the first months of a newborn’s life - the funnel “drags on” itself. This process does not require any action, do not interfere! Wait!
In the second case pathology can be affected by various factors. The most common of the reasons:
- illness of the mother during pregnancy with chickenpox,
- rubella disease during gestation,
- non-observance of a healthy lifestyle during pregnancy,
- child trauma during childbirth,
- grass received by the baby after birth (for example, a blow to the inguinal zone),
- other things.
If the disease is acquired, the child will most likely need to undergo treatment.
2. Diapers as a cause of dropsy - myth or reality
There is an opinion that diapers are one of the causes of dropsy. Moreover, it is the older generation, which at one time managed only with gauze diapers, which raises doubts.
So it is customary: to listen to the opinion of the older generation and follow their advice. What do our grandmothers say? "Refuse diapers and dropsy will pass by itself." And it passes! But only if it is congenital!
In fact, diapers do not affect dropsy and the course of the disease. There is no reason to refuse them. The only thing you need to pay attention to is size.Pampers should not pinch the baby’s tummy and leave traces on the body of the crumbs.
3. Symptoms of hydrocele
Unfortunately, there are no direct signs that would indicate a possible disease. The condition of the child worsens extremely rarely. Dropsy of the testicles does not interfere with the process of urination and does not cause discomfort to the baby. There is no increase in temperature, and the appearance of the baby does not change.
However there is few symptomsthat can alert a young mother:
- compaction in the testicles (the appearance of the genital organs may remain unchanged, it was this symptom that was noticed by my friend who "diagnosed" cancer in her newborn),
- enlargement of the scrotum (this phenomenon is rare, it all depends on the amount of fluid entering the testicles through the funnel),
- “Swelling” of the testicles (or one of them),
- testicular deformation (infrequent phenomenon).
Fortunately for young mothers, now in the public domain on the Internet you can see photos of dropsy. Although often the worldwide network “gives out” not the disease itself, as such, but the consequences arising from it (more on this later).
4. How to diagnose dropsy
Even at the birth of a baby, doctors examine the newborn for possible pathologies. If the dropsy is physiological, this will be established immediately by experts. You will be informed about this.
If dropsy is acquired, it will be necessary to undergo an examination.
The doctor will ask you:
- take a baby’s urine test,
- take a general blood test,
- undergo an ultrasound examination (optional).
An experienced specialist will be able to establish the presence of hydrocele by palpation. If the diagnosis is confirmed, the child is prescribed treatment.
Puncture of the scrotum is a minimally invasive procedure, during which excess fluid is sucked out. It is carried out in several stages:
- the inguinal zone is anesthetized,
- the puncture site is disinfected,
- a hollow needle is inserted inside the testicles
- suction of serous fluid.
Minimally invasive treatment of dropsy of the testicle often leads to re-accumulation of secretion inside the scrotum. To prevent this, a sclerosing solution is injected into the deep shells of the testicles. It glues the walls of the vaginal process of the peritoneum, so that the channel between the abdominal cavity and the scrotum overgrows.
5. How to treat dropsy in boys
Experts do not recommend treating dropsy of the testicles of the baby until they are one and a half years old. Often by this age, the hydrocele "resolves" on its own.
The funnel is overgrown and does not require surgical intervention.
However, throughout the entire time, the baby should be under the supervision of a doctor in order to take the necessary measures in case of an exacerbation of the disease.
If after a year and a half the funnel is not overgrown or was acquired by a child later than this age, surgical intervention is required.
The child is hospitalized, since the operation is carried out only in a hospital. Six hours before surgery, you can neither eat nor drink. The procedure itself takes no more than an hour (if there are no complications).
The whole procedure will be performed under general anesthesia using a special mask (with anesthetic gases). After the anesthesia works, a catheter is placed in the baby. Next, the operation itself is performed. Upon completion, the mask is removed - the child regains consciousness.
A few days after surgery, the child should be in the hospital under the close supervision of specialists. If the baby’s condition does not worsen, they will be discharged.
Typically, dropsy of testicular membranes is treated surgically. The choice of methodology depends on the age of the patient, the form of hydrocele. Perform the following operations:
- Winkelmann. The inner shell of the testicles is dissected and turned inside out, stitching the ends behind it. Due to the operation, the fluid ceases to accumulate in the testicles.
- The lord.The membranes of the genital gland are dissected, after which accumulated fluid is pumped out of the scrotum. The vaginal membrane is corrugated without turning inside out. This operation is more gentle, as it reduces the likelihood of damage to surrounding tissues.
- Bergman. A third of the inner leaf of the testis is excised, and the ends of the remaining 2/3 are sutured. During rehabilitation, antibiotics are prescribed and wearing a supporting dressing.
Surgical treatment of hydrocele is carried out for boys from 1.5-2 years. If the disease is caused by trauma, they resort to surgery after 3-6 months.
If a canal remains between the abdominal space and the scrotum, Ross is performed. Its essence lies in the formation of a duct for excretion of fluid from the testicles and ligation of the abdominal process. Exacerbations of hydrocele after surgical treatment are extremely rare - no more than 0.5-1% of cases.
6. Postoperative care
Both after any operation and after removal of dropsy, the operated baby needs care. The doctor will definitely advise the young mother about all subsequent actions.
- observe personal hygiene (however, you can not wet the seams for another week after the operation),
- after each diaper change, treat the inguinal zone (usually it is recommended to use baby powder),
- reduce physical activity (this requirement is not always relevant, if the doctor did not give a ban on the "free" movement of the baby - you do not need to limit it in activity),
- visit a doctor some time after surgery.
If you notice that the baby is behaving uneasily, or if the urination process is uncomfortable, contact a specialist for help.
7. What is dangerous dropsy
In fact, dropsy is not as dangerous as it seems. With timely access to a doctor, she is easily treatable.
However, sometimes hydrocele is really dangerous. For example, if the disease was discovered in a neglected form, some risks appear.
- the likelihood of a hernia (dropsy in combination with a hernia can be fatal),
- infertility of the boy in the future.
That is why young parents should carefully monitor changes in the behavior of their newborn and, if there is any suspicion, consult a doctor. Unfortunately, in our time, mothers increasingly turn to the Internet and independently diagnose their babies, but this can not be done!
The first year of his life, the baby is under the supervision of a doctor, a young mother with a frequency of once every three months leads the child for examination to the pediatrician. If you do not neglect this rule - the advanced stage of dropsy does not threaten you.
You can learn more about testicular dropsy from this video:
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What are the signs of dropsy?
According to relevant doctors, the main symptoms of normal dropsy of the testicle in a child, a photo of which is attached, can be attributed to:
- scrotal swelling,
- rapid increase in scrotum,
- the appearance of a red or burgundy shade on the genitals,
- acute pain that makes urination difficult
- discomfort when walking and squats,
- burning and pain in the perineum,
- a sharp increase in temperature
- general malaise and weakness,
- the appearance of migraines and dizziness,
- nausea or frequent vomiting
- chronic fatigue,
- difficulty urinating and intermittent urine stream.
It is necessary to understand that this is not the final list of symptoms, since the baby may still have lethargy, weakness, pallor of the skin. Chronic problems with appetite and sleep, nervousness and constant crying of a child are the consequences of a severe mental condition associated with constant acute pain and discomfort in the genitals.
How to diagnose a problem
Do not self-medicate, as this will lead to the fact that specialists will then have to correct the consequences of improper or untimely treatment. Ideally, dropsy of a testicle in a 3-year-old child should be diagnosed by urologists in person after a thorough examination and palpation of the corresponding male organ.
After the examination is carried out, the doctor individually prescribes such diagnostic tests as:
- Ultrasound of the testicles and scrotal area,
- diaphanoscopy, when specialists shine through the scrotum with a narrow beam of light, and if there are any amount of liquids in it, they will glow with a dark red hue.
- Both diagnostic methods allow you to quickly determine the cause of the ailment and help prescribe an effective treatment.
- What will happen if you do not treat testicular dropsy on time
- The detection of the first signs of an ailment, as shown in the photo, requires an instant visit to a professional doctor who will be able to diagnose the presence of the disease.
If the pathological condition is not treated on time, then ninety percent of cases can cause a variety of complications, only surgical intervention helps to get rid of them.
If the pathology is not treated, then this usually leads to:
- complete or partial necrosis of the tissue of the scrotum or testicles,
- the rapid increase in organ size,
- problems with the quality and production of seminal fluid in the future,
- problems with erectile function after a few years,
- possible chronic infertility
- circulatory problems in the gastrointestinal tract,
- degeneration into an inguinal hernia, as in the photo, which can rapidly increase in size and move to the gastrointestinal tract,
- chronic constipation or indigestion,
- surgery, which is required due to bowel obstruction,
- constant acute pain that destabilizes the mental state of the child.
Drug treatment of the disease
In order to get rid of dropsy of the testicle once and for all in a child, specifying the features of treatment without surgery, the procedures should be used in combination.
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To get rid of dropsy of the testicle, the attending urologist must stop the pain in the baby. A qualified specialist must prescribe painkillers (analgin, ketorolac, ketones), but in a dosage that is suitable for children of the appropriate age.
Only 12 tablets help get rid of pain in the genital area and testicles of young patients up to the age of two. It is strictly forbidden to give babies more than a pair of painkillers during the day.
Often, edema occurs on the genitals, which can really be reduced with the help of one of the effective drugs - Ketorol, Ketoprofen, Aponil, which are freely available.
If you take only one tablet of the drug in the morning and before bedtime, then the swelling will come to naught, and the scrotum of the boy will almost immediately take its original size, but only for a short time.
Do not self-medicate dropsy, since some medications can have a negative effect on the baby and even cause a number of serious complications.
How to treat an ailment in folk ways
It is possible to produce high-quality treatment of an insidious ailment using traditional medicine recipes, since our ancestors have long known about the existence of dropsy of the testicles.
The most effective folk remedy is chamomile, purchased at a pharmacy. Rinse the flowers thoroughly and grind them (this will be better with a blender), and then apply to the penis and scrotum in the form of a compress.
The mass should be on the scrotum for at least ten minutes, and the process will have to be repeated at least three times a day.
The removal of the tumor, edema and the first signs of the disease can be promoted by bearberry, from the leaves of which a thick infusion is made (two tablespoons of grass per glass of chilled boiling water). It should be drunk at least three times a day, and the baby must drink half a glass of infusion.
An ideal way to overcome the ailment is freshly squeezed juice from pumpkin pulp and sweet puree from this sunny vegetable.
A strict diet for dropsy should be followed, which:
- includes fruits and vegetables,
- excludes sweets and pastries with cream,
- prohibits the use of too spicy, salty and fatty foods,
- prescribes a strict diet for mothers who breastfeed a sick dropsy baby.
In parallel with the diet, the child will need to regularly massage the testicles and perineum. For this process, you should mix the fat free perfume cream for children with calendula infused with alcohol in a ratio of 1: 0.5, and then apply the mixture to the scrotum with massaging movements for at least five minutes.
From time to time, you should be interested in the condition of the baby, since it should not be painful or unpleasant. The procedure should be performed twice a day - after waking up and before bedtime.
When surgery is required
- Parents are often afraid of the need for surgery for dropsy in a child, but it can be avoided if you see a doctor in time and undergo the necessary examination.
Children better perceive the treatment, so you can refuse to perform the operation if in a couple of months the problem disappears and the scrotum remains at the same level.
- the puncture method is to puncture the testicle and pump out the fluid,
- sclerosis is never used in children and consists in the introduction of special fluid after scavenging into the scrotum,
- Winkelman’s method, in which, after pumping out the fluid, the tissues of the testicle shell are turned out and sutured behind the organ,
- Ross method, when the vaginal process is cut off from the abdominal cavity and pinched as much as possible.
Testicular dropsy in infants: is it dangerous?
Now, quite often, young children are diagnosed with hydrocele - dropsy of the testicle in a newborn. Therefore, for many parents it will be useful to understand such questions: what kind of disease, what are the causes of this disease, is it dangerous for the health of the child, what is the treatment, and what may be its consequences.
How to behave after surgery
After surgery, which will take no more than thirty minutes and pass under general anesthesia, the patient will recover under the supervision of a doctor for fourteen or thirty days. Immediately after the procedure, the child will put an ice bladder on the scrotum so that the muscles can contract.
After moving from the hospital home, the child should observe bed rest and not lift weights. It is strongly recommended that you decrease your activity and stop temporarily playing sports, but walks in the fresh air should be long.
It is strictly forbidden to rub the area of the scrotum or to hit on it, to wear tight or tight underwear. A child will have to visit a urologist at least once a week and follow all the recommendations from his side.
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What is this disease?
Dropsy of the testicles or hydrocele occurs only in boys and is characterized by a large amount of serous fluid in the shells of the testicles, while the scrotum is often significantly enlarged (a one-sided enlargement of the scrotum is possible if fluid accumulates around one testicle in newborn boys).
This disease is diagnosed in approximately 10 - 16% of newborns and in 75 - 85% of cases it goes away on its own, without any treatment. Therefore, this disease is also called physiological dropsy of the testicles.
The causes of hydrocele in newborns are various.
Why does the disease occur?
Dropsy in babies is of two types (types): communicating and non-communicating (or isolated).
Why does a communicating type of dropsy occur? Typically, in a male child, just before birth, the testicles descend into the scrotum. Passing the inguinal canal, they take with them part of the peritoneum (called the vaginal process). Then this part of the peritoneum overgrows.
Due to this, organs and fluid from the abdominal cavity will not be able to get into the space in which the testes are located. If certain causes arose and the process was not overgrown, then accumulation of fluid occurs in the membranes of the testicles and a hydrocele of the newborn develops.
With hydrocele, there can be either unilateral swelling of the scrotum, or bilateral.
Reasons for a communicating type to occur:
- catarrhal diseases of a woman when she is in a position
- heredity (if the father’s family had dropsy of the testicle, then there is a high probability that the baby will develop a similar disease),
- increased abdominal pressure in newborns, which usually occurs with excessive excitability of infants, problems with the gastrointestinal tract. Moreover, in addition to testicular dropsy, hernias may form in the groin,
- hormonal disorders during the period of bearing a baby or in a newborn,
- birth injury,
- prematurity of the baby.
Non-communicating dropsy occurs when a certain amount of fluid enters the cavity where the testes are located before the vaginal process is infected, the absorption mechanism is disturbed, and the fluid remains.
Or, due to insufficient functioning of the lymphatic system in infants, the process of fluid absorption is disrupted, which is normally secreted in a small amount of the testicle shell (to avoid friction and moisturization of the testicles). So, serous fluid accumulates between the membranes and a hydrocele occurs.
So, the most common causes of isolated testicular dropsy in young children are:
- hereditary factor
- malfunctions of the lymphatic and hormonal systems in the body of the child.
Dropsy in young children occurs with excess fluid in the cavity where the testes are. There are several mechanisms for the occurrence of this disease.
What are the predictions for the future of a small patient
You should not worry, because almost eighty percent of children get rid of the disease without surgical intervention.
To dropsy no longer returned, urologists advise:
- constantly wash genitals and take a contrast shower,
- periodically inspect the boy’s penis and scrotum,
- if you suspect an ailment, consult a doctor,
- do not physically load the child and do not allow lifting weights,
- Avoid injury to the scrotum and perineum
- constantly improve the efficiency of the immune system,
- constantly consume vitamins and minerals,
- wear only natural cotton underwear,
- refuse tight-fitting swimming trunks, replacing them with loose shorts, boxers or families,
- select underwear strictly according to season and age, so that the crotch and scrotum are not pinched,
- do everything so that the testicles do not freeze and do not overheat, so that this does not affect the quality of seminal fluid and reproductive function in the future.
The disease often causes problems for parents and children, but it should be timely detected, diagnosed and treated. If everything is done correctly, and the treatment was a tandem of folk and traditional means, then surgical intervention is not required.
Dropsy of a testicle in a boy
Dropsy testicles in boys - the accumulation of serous fluid produced by the vaginal membrane of the testicle, between its leaves. Dropsy of the testis in boys is accompanied by an increase in the size of the scrotum on one or two sides, sometimes - difficulty urinating.Diagnosis of dropsy of the testis in boys is carried out by a pediatric surgeon or a urologist, including examination and palpation of the scrotum, diaphanoscopy, ultrasound of the scrotum. With dropsy of the testis in boys, expectant tactics can be used, hydrocele puncture or surgical treatment may be performed.
Dropsy of the testis in boys (dropsy of the testicles, hydrocele) is a congenital or acquired pathology, accompanied by the accumulation of fluid around the testicle in the cavity of the scrotum, which leads to an increase in its corresponding half.
Congenital dropsy of the testis occurs in 8-10% of boys of the first year of life, acquired hydrocele is diagnosed in 1% of mature men. In 7-10% of cases, bilateral dropsy is detected. Dropsy of the testicle in a child is often accompanied by inguinal hernia.
In pediatric surgery and pediatric urology, other abnormalities of the scrotum are quite common: funiculocele (dropsy of the spermatic cord) and lymphocele (accumulation of lymph in the testicles).
Dropsy of a testicle in a boy
Congenital dropsy of the testis in boys is caused by embryological abnormalities. At about 28 weeks of intrauterine development, the testicle descends through the inguinal canal into the scrotum, and the vaginal process of the peritoneum also moves into the scrotum. Subsequently, obliteration of the proximal part of the appendix of the peritoneum occurs, and the vaginal membrane of the testicle forms from the distal.
If, at the time of birth, the vaginal process of the peritoneum does not overgrow, this leads to the presence of a residual message between the scrotum and the abdominal cavity, the flow and accumulation of peritoneal fluid in the scrotum cavity.
In addition, the inner membrane of the process of the peritoneum itself is capable of producing fluid, leading to the development of dropsy of the testis in boys.
The process of the peritoneum remains open in 80% of newborn boys, but in most cases it independently grows by 1.5 years.
The pathological course of pregnancy in the mother (risk of miscarriage), birth trauma, prematurity, cryptorchidism, hypospadias, as well as conditions accompanied by a constant increase in intra-abdominal pressure - defects of the abdominal wall, ascites, contribute to the non-vaginal process and the formation of dropsy in boys under 3 years of age. ventriculoperitoneal shunts, peritoneal dialysis, etc.
In boys older than 3 years, dropsy of the testis is usually secondary. Reactive hydrocele is associated with impaired filtration and reabsorption of the fluid produced by the vaginal membrane of the testicle. Testicular torsion, trauma to the scrotum, inflammatory diseases (orchitis, epididymitis, etc.), tumors of the testicle and its appendage can lead to such violations.
In rare cases, acute dropsy of the testis in boys can be a complication of SARS, influenza, mumps, and other childhood infections. In addition, acquired hydrocele in boys may develop as a postoperative complication after hernia repair or surgery for varicocele (varicocelectomy).
Thus, the reasons discussed above make it possible to distinguish the primary idiopathic (congenital) and secondary reactive (acquired) dropsy of the testis in boys.
If there is a violation of the closure of the vaginal process and the communication of the testicular cavity with the abdominal cavity, they talk about communicating dropsy of the testicle in boys. In this case, the peritoneal fluid circulates freely and accumulates in the scrotum in large quantities.
If the vaginal process is blind, and the hydrocele is located in isolation, in the form of a small cyst, such dropsy of the testicle in boys is regarded as unreported.
The communicating dropsy of the testis in boys can transform into an isolated one, for example, when the lumen of the peritoneal process is closed from the inside by the omentum.
Given the pressure of the fluid in the hydrocele cavity, there is a distinction between an intense and an unstressed dropsy of the testicle in boys.
Stressed hydrocele is almost always unreported, in this case the fluid in the hydropathy is under pressure, because, accumulating, it cannot leave the scrotum.
With an unstressed dropsy of the testicle in boys, the pressure in the cavity is not increased: most often this happens with the reported variant of hydrocele.
Congenital dropsy of the testicle in a child up to 1-1.5 years old is regarded as physiological, more often it passes on its own without any intervention. The nature of the course of dropsy of the testis in boys can be acute or relapsing, chronic. Depending on the localization, one- and two-sided dropsy of the testis occurs in boys.
Usually, parents reveal signs of dropsy in boys during hygiene procedures. Sometimes a hydrocele is detected by a pediatric surgeon during a routine examination of a child.
With dropsy of the testicle in boys, there is an increase in the scrotum in size on one or both sides. In the case of a communicating hydrocele, an increase in the scrotum is transient in nature, while in the isolated case, an increase in the scrotum occurs gradually. The size of the scrotum with dropsy of the testicle in boys can reach a goose egg, and in advanced cases - the baby’s head.
The communicating dropsy of the testis in boys can have a different size and tension during the day: the scrotum tumor reaches its maximum size during the day when the child moves, at night, in the supine position, the tumor can disappear due to the emptying of the contents of the sac into the abdominal cavity.
Dropsy of the testicle in boys, as a rule, proceeds painlessly and without signs of inflammation. With secondary infection of hydrocele, soreness, redness of the scrotum, chills, fever, and vomiting may appear.
With a large amount of accumulated fluid in children, urination may become difficult and acute urinary retention may develop.
Older children note unpleasant bursting sensations, heaviness in the inguinal region and discomfort when walking.
In boys who have a wide, unclosed vaginal process of the peritoneum, oblique inguinal or inguinal-scrotal hernias can develop along with dropsy of the testicle.
If a boy has swelling in the scrotum, parents should immediately contact a pediatric surgeon or pediatric urologist. At the consultation, a specialist will examine and palpate the scrotum.
Examination of the scrotum is carried out in a standing and lying position. This diagnostic technique is used to determine the form of dropsy of the testis in boys (communicating or not communicating with the abdominal cavity).
In the event that the size of the hydrocele decreases in the supine position, you should think about the message of the hydropathy with the abdominal cavity. Also, in favor of a communicating dropsy of the testicle, an increase in the size of hydrocele during coughing, i.e., with an increase in intra-abdominal pressure, indicates.
Palpation of dropsy of the testis in boys is defined as a pear-shaped seal, with its upper part facing towards the inguinal canal.
A non-invasive test for the diagnosis of dropsy of the testis in boys is scrotal diaphanoscopy - a study of tissue in transmitted light (transillumination). In the process of diaphanoscopy in the scrotum, not only a liquid that uniformly transmits light can be detected, but also an omentum or part of the intestine with a concomitant inguinal-scrotal hernia that will retain light.
Ultrasound of the scrotum and inguinal canals confirms the diagnosis of dropsy of the testis in boys, eliminates a more serious pathology (testicular cancer, inflammation or torsion of the testicle or its appendage).
In addition, ultrasound of the scrotum is a highly sensitive method in determining the type of dropsy of the testicle in boys (communicating or non-communicating).
In addition to the main study, it is advisable to conduct an ultrasound scan of the scrotum vessels.
Differential diagnosis is carried out between dropsy of the testis and boys and other diseases of the scrotum: testicular torsion, strangulated hernia, spermatocele, cyst of the epididymis.
In children under 1 year of age with congenital, non-stressed dropsy of the testis, pediatric patients are usually expected to adhere to expectant tactics and dynamic observation. In most cases, such a hydrocele does not require medical intervention and passes independently as the peritoneal process is obliterated.
With reactive dropsy of the testis in boys, treatment of the underlying disease is necessary. Intense dropsy of the testis in boys requires a hydrocele puncture and removal of fluid from the testicles. However, in this case, there is a high probability of repeated accumulation of fluid in the scrotum and the need for repeated punctures.
Surgical treatment of congenital hydrocele is recommended at the age of 1.5 - 2 years, post-traumatic - after 3-6 months. after an injury. Surgical treatment in boys up to 2 years of age is indicated by combining dropsy of the testicle with inguinal hernia, recurring rapidly increasing intense hydrocele, and infection with hydrocele.
With a non-communicating dropsy of the testicle in boys, Winkelmann, Lord or Bergman operations are performed (in children over 12 years old). In case of dropsy of the testicle with the abdominal cavity, a Ross operation is performed (ligation of the peritoneal process and the formation of the outflow pathway of the aqueous fluid). Relapse of dropsy of the testis in boys occurs in 0.5-6% of cases, more often in adolescence.
Physiological dropsy of the testis in boys is not dangerous and in 80% of children passes independently during the first year of life. Compliance with the terms of surgical treatment and technically competent execution of the operation allows you to radically get rid of hydrocele and avoid complications.
In the future, chronic hydrocele can cause impaired spermatogenesis and male infertility, since the testes are extremely sensitive to the slightest change in ambient temperature and can function normally only in a small temperature range. In addition, intense hydrocele can lead to impaired circulation in the testicle and its subsequent atrophy. With dropsy of the testicle in boys, compression or infringement of the concomitant hernia can occur.
Prevention of dropsy in boys is mainly to prevent inflammatory diseases and injuries of the scrotum. Regular examination by the parents of the genitals of the boy is necessary and an immediate appeal to the pediatrician and pediatric surgeon if swelling is detected in the scrotum. Boys with congenital dropsy of the testis should be observed by a pediatric andrologist andrologist.
Dropsy of a testicle in a child: photo in newborn boys, causes of hydrocele, consequences
Dropsy of the testicles in boys is associated with excessive formation and accumulation of fluid in their membranes. This disease occurs in almost 10% of newborns.
The disease is accompanied by swelling of the left, right or both testicles and an increase in the scrotum. This condition disappears on its own in approximately 85% of cases.
In each case, the question of the causes of occurrence, about how to treat and whether to do this, is considered.
Dropsy of the testicles is unilateral and bilateral, proceeds in acute or chronic form
Reasons for the appearance and mechanism of development of hydrocele
Even during embryonic ontogenesis, the testes and abdominal vaginal process move along the inguinal canal into the cavity of the scrotum. In the usual order of things in a newborn, this process should overgrow, then the testicles are isolated from the abdomen of the boy. If it does not overgrow, then a dropsy of the testicle occurs in the child.
READ ALSO: testis hydatide in a boy: causes and treatment methods
There are many reasons for the development of hydrocele - these are problems with the non-healing of the abdominal process, as well as some diseases and injuries:
- testicular inflammation
- testicular torsion,
- increased abdominal pressure in babies,
- birth injury in a newborn,
- hormonal or lymphatic disorders in the baby or mother during pregnancy,
- traumatic injury
- complications after surgery
- the threat of abortion,
- premature birth of a baby
- increased intrauterine pressure,
- hereditary predisposition
- colds during gestation,
- heart failure,
- inflammation of the appendages
- complications after cesarean section,
- tumor formation.
Pay close attention to the last item. Any complaints and discomfort, especially associated with the appearance of pain in the testicle, do not allow self-medication.
Parents require accuracy and self-control in order to correctly determine why there was concern, and consult a doctor in time.
Timely medical care will help to cure the boy and ensure his full life.
What other dropsy are there in newborns?
In addition to dropsy of the testicles, infants also have hydrocephalus (dropsy of the brain). This disease can occur in both boys and girls. Hydrocephalus occurs due to excessive accumulation of cerebrospinal fluid in the ventricles of the brain, characterized by an increase in head circumference and lagging of the child in psychomotor development.
Hydrocephalus is also dropsy, only the brain of a newborn. Only the prognosis and consequences of this disease, unlike hydrocele, can be extremely unpleasant. Such a baby necessarily needs long-term treatment.
In conclusion, I want to say that whatever the reasons for the development of dropsy of the testicle, your child should not panic, and especially engage in self-medication - folk remedies, incomprehensible ointments, massages, etc., because, as mentioned earlier, the disease is in the majority cases pass by itself. And you should carefully monitor the baby and regularly visit a surgeon who, if necessary, will prescribe treatment on time.
Dropsy of the testicles in newborns: what is it
- Dropsy in the fetus
- Dropsy of the testicles in newborns, or hydrocele, occurs in every tenth newborn in varying degrees of severity.
- By dropsy means the accumulation of physiological serous fluid between the membranes of the testicle, while the scrotum increases.
- According to its external data, such a dropsy resembles a hydrocele after surgery in adults.
- Often, dropsy of the testicles in newborns can pass on their own during the first year of life after birth, however, there are times when this pathology requires special treatment.
- How is dropsy of the testicles in newborns? As a rule, in 60-70 percent of newborns with dropsy of the testicle, it passes on its own over time due to the fact that the vaginal process of the peritoneum is obliterated, participating in the creation of the testicle membranes, and the fluid dissolves. This is especially true for premature infants.
- Is dropsy of the testicles dangerous in newborns? Testicular dropsy in itself does not threaten the life of the newborn, it is unpleasant in that complications can develop as a result of the disease.
Symptoms of dropsy of the testicles
The main and most noticeable symptom of dropsy is puffiness and swelling of the testicles. One testicle becomes larger than the other. This edema may be slight or rather large. The photo diagram above clearly shows how it looks.
An increase in the size of the scrotum is possible on one or both sides. It can occur gradually, or can dramatically - even in a few hours. Normally, this condition does not bring pain and does not bother the baby, but remember that a hernia may appear.
In severe cases, acute urinary retention is noted. Older children have unpleasant, bursting sensations, heaviness in the inguinal zone, discomfort when walking. Dropsy is most dangerous for adolescents (10-14 years), when the boy is embarrassed and can withhold anomaly for a long time, which is fraught with more dangerous consequences.
It is very important to pay attention to additional symptoms:
- pain and discomfort
- rarely - difficulty urinating,
- scrotum color change - cyanotic shade, reddish color,
- hyperthermia (occurs with infection),
- moods and anxiety,
- soft bulge on the background of hydrocele can serve as a signal about the formation of a hernia,
- chills and hyperthermia can also indicate infection.
Dropsy of the testicle affects the child with pain and discomfort
Dropsy of the testicles in newborn boys: causes
- In newborns, acquired hydrocele is quite rare, its occurrence as a result of trauma is more typical for an adult.
- The main cause of hydrocele is a pathology such as non-closure of the vaginal process of the peritoneum.
- To fully understand the picture of hydrocele, you need to know how the development of the sex glands of the future man - the testicles.
- Normally, the testes are laid in the abdominal cavity, slightly below the kidneys. From there, under the influence of hormones and physiological characteristics, they begin to move towards the scrotum.
- When the testicles descend into the scrotum through the inguinal canal, the peritoneum is involved. A section of the peritoneum bends into the cavity of the inguinal canal and grows in the direction of the scrotum, forming the vaginal process of the peritoneum. This process is an elongated sac that contains serous fluid, the testicle and its appendages, as well as the spermatic cord.
- The vaginal process is transformed when the testicles reach the scrotum, from it the membranes of the testis and spermatic cord are formed, which normally lose contact with the abdominal cavity, and the fluid from the cavity of the membranes gradually dissolves.
- In case of violations at the late stages of fetal development, vaginal process obliteration does not occur and a sac forms, communicating with the abdominal cavity. It can also be partially narrowed, preventing the intestinal loop from penetrating the scrotum, but keeping the message of the abdominal cavity of the vaginal process.
Around the testicle, fluid accumulates, which is a normal physiological exudate that comes from the abdominal cavity and is produced by the cells of the vaginal process. In some cases, an encapsulated or isolated hydrocele occurs, if there is no message with the abdominal cavity, and the fluid in the membranes continues to accumulate due to the predominance of the exudation process over resorption.
When a testicular dropsy disease is detected in newborn boys, the causes of its occurrence should be sought in the features of the intrauterine period.
There is a definite connection between the development of dropsy of a newborn and diseases of the mother in the prenatal period.
- Dropsy may affect development infectious diseases of the mother, both respiratory and inflammation of the gastrointestinal tract and genitourinary system.
- The connection between hydrocele in newborn boys and chickenpox in the third trimester.
- Bad habitssuch as smoking or drinking, and taking medication during pregnancy can provide an unborn child with health problems.
- Testicular dropsy can be inherited.
- Also, the appearance of dropsy can be affected increased abdominal pressure in the fetus, hormonal disorders both at the mother level and at the level of the hypothalamic-pituitary regulation of the child.
Dropsy of the testicles in newborn boys is very common if the baby is born ahead of schedule. Sometimes it is possible to develop dropsy after an injury to the scrotum, for example, during childbirth or with careless handling.
There is evidence that the development of dropsy of the testis in the newborn is associated with the presence of smooth muscle fibers in the wall of the vaginal process of the peritoneum.
The causes and conditions conducive to development and combined with hydrocele in newborns are:
- undescended testicle,
- violation of the formation of the penis with the formation of hypospadias,
- the presence of a ventriculo-peritoneal shunt,
- hereditary diseases such as mucopolysaccharidosis,
- connective tissue dysplasia
- bladder exstrophy,
- meconial peritonitis.
In patients with hydrocele, significantly more smooth muscle fibers were found in the vaginal process of the peritoneum than in those in which obliteration of the vaginal process was normal and in due time.
How is the disease diagnosed?
The following diagnostic methods are available:
- diaphanoscopy - light is transmitted through the scrotum (with dropsy, a characteristic glow appears),
Pathology is easily detected in appearance - the scrotum increases in size. If you find the slightest swelling, you must urgently go to a pediatric surgeon or urologist. At the consultation, the specialist will necessarily inspect and palpate the formation.
With hydrocele, diagnosis is carried out in vertical and horizontal positions. On palpation, dropsy is felt as a pear-shaped dense formation directed towards the inguinal canal. To clarify the diagnosis, a cough test is done.
An increase in swelling at the same time indicates a communicating hydrocele.
Non-invasive diagnostic methods include diaphanoscopy - an analysis in transmitted light. It is also called transillumination. During the diagnosis, not only a liquid that transmits light evenly can be found in the scrotum, but also an omentum or part of the intestine that inhibits the passage of light.
Ultrasound examination of the scrotum and inguinal canals
To make an accurate diagnosis, an ultrasound scan is used. Sometimes it is impossible to make a diagnosis without it, because the external signs of dropsy can disappear upon examination. Ultrasound clarifies the diagnosis, excluding other dangerous pathologies (hernias, malignant tumors, etc.). For a comprehensive examination, it is recommended to additionally perform an ultrasound scan of the scrotum vessels.
Undoubtedly, if you identify any abnormalities of the genitals, you should consult a doctor. Only the doctor makes a diagnosis and decides on the need and types of treatment. Hydrocele up to a year is controlled by a pediatric urologist. If there is too much fluid, puncture is prescribed.
Physiological dropsy of the testicles in newborns and other forms of the disease
In newborns, the following options for hydrocele are distinguished according to the anatomical structure:
- Hydrocele, communicating with the abdominal cavity.
- Hydrocele, not communicating or encapsulated.
- Funiculocele - accumulation of fluid around the spermatic cord, while the distal section is overgrown.
Hydrocele of the vaginal process can be not only in boys. Girls also have a vaginal process of the peritoneum, at birth it also overgrows and is called the Nooka canal. In girls, it is also possible to short this channel for various reasons with the formation of hydrocele phenomena in this area.
Dropsy of the testis in the baby manifests itself in the case of its congenital genesis, usually immediately, in the first days after birth. The appearance of the scrotum is characteristic due to its increase in size.
- If the scrotum is enlarged on one side, then they talk about a unilateral hydrocele, if on both sides - about a bilateral.
- Pain as a symptom is not characteristic of dropsy of the testicle, but it can appear if the hydrocele is intense, as well as with complications.
- An unstressed hydrocele of small severity, which takes place within a year after birth, can be interpreted as physiological dropsy of the testicles in newborns.
Methods for the treatment of dropsy of the testicle in children
If a child is diagnosed with hydrocele, then a urologist observes the baby until the age of two. As a rule, until this time, surgery is not performed, since the anomaly spontaneously disappears in 85% of cases. Later, if the disease has not passed, then surgery is recommended. Now no medical method has been developed for the treatment of dropsy without removal.
Sclerotherapy is a new, modern way of treatment. Liquid is removed from the membranes, but, unlike puncture, the cavity does not remain empty; instead of the liquid, a sclerosing solution, for example, Betadine or alcohol, is introduced. An aseptic inflammatory process occurs, the sheets of membranes are soldered, the cavity disappears.
Features of the postoperative period of dropsy of the testicle in the baby
There are recommendations to limit physical activity and prevent tension in the abdominal cavity, for example, when lifting weights and straining. This applies more to preschool and school age children.
School children are also exempted from physical education for a month.
After the operation, you need to see a doctor a week and a month after the operation, if it was performed on an outpatient basis. For pain, you can take painkillers in consultation with your doctor.
There are options for surgical intervention with hydrocele using endoscopy and a laser, they are less traumatic, but after them there are more relapses.
Complications after surgical treatment of hydrocele can be associated with the characteristics of the body and the technique of the operation. There may be complications from a postoperative wound, such as inflammation, as well as lymphocele.
In this case, testicular edema during the first few days will be a variant of the norm. A relapse of the disease is also possible.
The risk of postoperative complications is significantly higher if the recommendations for the postoperative period are not followed.
Often, methods of alternative medicine are used to treat dropsy of the testicles in children. In some sources, it is recommended to use them in adolescence, in others, on the contrary, only for young children. With hydrocele at a young age, as already mentioned, cure occurs in 85% of cases, and surgical procedures are not used. Popular methods include:
- lotions from a decoction of chamomile,
- chamomile tea,
- receiving a decoction of birch buds,
- taking a decoction of nettle.
Chamomile tea has an immunostimulating, anti-inflammatory and diuretic effect
When it is already necessary to resort to surgical intervention, folk remedies are not only useless, but also not safe! Delaying the moment you see a doctor can lead to complications.
Possible complications after illness and surgery
With a lack of observation and proper treatment, dropsy can cause the most dangerous consequences. A swelling that pains a child for a long time puts constant pressure on the testicle. As a result, blood flow and lymph flow are disturbed, as a result of which underdevelopment or even testicular atrophy is possible.
In addition, dropsy violates the temperature regime, which negatively affects the spermatogenesis process. In the future, problems are possible up to infertility. In the presence of this disease, a testicular hernia may develop in the child with subsequent infringement, causing a danger to the child's life. It is also possible to attach an infection and worsen overall well-being.
Complications of transferred operations are quite rare - about 8%.Their elimination usually does not cause trouble. Initially, it may be bleeding, pain, or infection.
Later consequences - relapse, risk of possible infertility, disorders in the reproductive system, testicular atrophy, scarring at the site of surgery, change in appearance.
A good level of medical equipment and the timely appointment of an operation will help prevent the development of such troubles.
Testicular dropsy in the fetus: unilateral and bilateral hydrocele
Fetal hydrocele is most often caused by genetic causes and can be combined with other diseases.
Since the testes normally descend completely into the scrotum only a few days before giving birth, an increase in the scrotum in the fetus in the third trimester should not cause panic.
- Not always an increase in half of the scrotum determined by ultrasound can be interpreted as a unilateral hydrocele in the fetus. Often, such a condition in the fetus is transient and can pass on its own.
- Sometimes bilateral hydrocele can be observed in the fetus located in the womb, when the scrotum is enlarged on both sides.
In any case, until the baby is born, the diagnosis of hydrocele is presumptive, requires clarification and no medical manipulations are possible.
Also, the results of ultrasound can not be considered one hundred percent reliable:
- the doctor does not deal with the fetus itself, but with reflected ultrasound rays processed by a computer system,
- Each diagnostic study has its own sensitivity and specificity.
The final diagnosis and treatment tactics are determined by the doctor only after birth.
To prevent hydrocele in a newborn mother, it is necessary to abandon bad habits during pregnancy, avoid taking medications and, if possible, protect yourself from infectious diseases.
Eliminate the ailment of the acquired form will allow careful handling of the genital area. Preventing the development of infections will also contribute to this. It is important to remember personal hygiene. For timely detection of a problem, preventive examinations play an important role. In the case of a congenital disease, regular specialist examinations are required to monitor the development of the disease.