Hydroceles: a sign of many dangerous diseases

Hydroceles are the phenomenon of damaged testicular membranes leading to fluid retention, blood or pus between the two leaves of the testicle. Hydroceles are symptoms of many different causes.

Ultrasound image of the testicular membrane fluid (Photo: TTO) The testicle membrane is a membrane made up of the peritoneum that is pushed down during the descending process of the testicle. At first the peritoneum descends into the scrotum into a tube called a covering, then the tube is blocked when the baby is born.

Two-leaf testicle: The viscera leaves stick to the testicles, the outer wall of the leaves. Between these two leaves is a thin layer of fluid that makes the testicles slide up and down very easily.

There are many causes of discharge of testicular secretions such as: infection of pathogenic bacteria in the genitals and urinary tract such as E.coli, gonorrhea, syphilis, streptococcus, staphylococci, especially is tuberculosis, caused by infection with parasites like worms, fungi .; causes from systemic diseases causing testicular effusion such as heart failure, ascites cirrhosis, nephrotic syndrome .

Other causes of cancer, injury or merely a consequence of inflammation in the testes and testicles.

Signs of testicular membrane effusion

Pain: The patient may have severe pain, cramping or may only have a dull, continuous pain in the groin scrotum.

The scrotum gets bigger, goes down, the skin is shiny but the two testicles don't fall down, the scrotum is negative (-). Scanning the flashlight on the light scrotum can pass easily.

The testicles may be swollen, painful or testicular hard like stones.

In the case of orchitis, testicular crest, the testicular membrane is also stimulated and secreted, the patient suffers severe pain accompanied by swollen testes and testicles.

The case of testicular membrane fluid is less difficult to detect by clinical signs. It is recommended to rely on ultrasound to detect quickly and accurately. On ultrasound when this fluid is thicker than 5mm, it is valid (if smaller, it could be normal physiological fluid).

Blood epidemic: Sangs to cancer.

Pus: Acute inflammation caused by bacteria.

Lemon juice: This is usually an exudate due to systemic diseases, possibly due to tuberculosis or cancer.

Epidemiological nourishment: Because the worms only, when there is a balm, the patient has very specific clinical signs of filariasis (elephantiasis, obesity).

Treatment of testicular membrane effusion

For bacterial, genital, genital infections, cefuroxim 2g / day, cefixim 400-800mg / day, ceftriaxon 1g / day, or quinolones such as: ofloxacin, sparfloxacin rotifloxacin can be used. as directed by physician.

Cases of tuberculosis infection are usually secondary TB and should be treated according to the regimen.

For malignant causes, the ability to operate, run, and use chemicals may be considered.

Cases of parasitic infection: Worms use only diethylcarbamazine.

Choking and sucking testicular fluid is both a diagnostic procedure and a treatment technique for many cases of effusion.

Hydroceles are a symptom of many different causes and conditions. The treatment must be based on the cause to be highly effective. The purpose of treatment is not only to reduce the symptoms of the testicle membrane, but also to preserve the function of the testicle, to try to maintain the sexual and reproductive function of the patient afterwards.