Hydrocele is an abnormal collection of serous fluid in the tunica vaginalis that results in swelling of the scrotum or groin area. It can be caused by trauma, systemic edema from conditions like heart or kidney disease, or infections from diseases such as gonorrhea, syphilis, or tuberculosis. The main symptoms are a painless swelling of the scrotum, redness, and a feeling of pressure or fullness.
3. Defination
Abnormal collection of serous fluid in tunica
vaginalis (between visceral and parietal layers
of tunica vaginalis)
May be acute or chronic, congenital or
acquired
Presents as swelling of scrotum or groin area
Common in men over the age of 40.
5. Causes
Exact cause is unknown
May be associated with:
Trauma
Systemic edema: cardiac failure, renal disease
Inflammation of testis and epididymis
Gonorrhoea,
Syphilis
Tuberculosis
Cancers/tumors of testicle or kidney
6. Cause of fluid accumulation:
Defective absorption of fluid by tunica vaginalis:
may be due to damage to endothelial wall by
low-grade infection
Interference with drainage of fluid by lymphatic
vessels of cord
Excessive production of fluid
Communication with peritoneal cavity
7. Mild Pain
Swelling of scrotum
Redness of scrotum
Feeling of pressure at base of penis may be present
Testicular torsion
Infertility
Clinical Features