What to do if a child has testicular effusion

When a child is found to have fluid accumulation in the testicles, no treatment is required as long as the condition is not serious. As the child grows older, the fluid will gradually disappear. However, parents should pay attention to observe the changes in their children's testicular effusion. If it is a long-term chronic testicular effusion and it is serious, it will have some serious effects on the growth and development of the testicles and future fertility. Effective treatment methods should be taken according to the child's situation.

Diagnosis of testicular effusion in children

Children with hydrocele generally have no systemic symptoms. Most of the time, family members discover a lump in the groin or scrotum on one side, or a local lump on both sides. It grows slowly and does not cause pain. When the lump is large, there may be a feeling of heaviness and distension. Because the processus vaginalis is relatively small, the fluid flowing into the patent tunica vaginalis cavity is not easy to flow back into the abdominal cavity, so the mass does not change significantly in size. If the opening of the unclosed sheath is relatively thick, after lying flat all night, you will see that the lump has shrunk in the morning.

The diagnosis can be made by clinical examination of a clearly demarcated cystic mass in the lateral groin or scrotum with no obvious pedicle connecting it to the abdominal cavity and a positive transillumination test. Depending on the location, there are two types of hydrocele: spermatic cord and testicular hydrocele.

1. The mass of hydrocele is limited to the spermatic cord. It is generally small in size and oval in shape. The testicles can be clearly felt below the mass. The mass can be moved by pulling the testicles.

2. The hydrocele of the testicle hangs at the bottom of the scrotum and is oval or round in shape. If the mass has a lot of tension, the testicles generally cannot be palpated. The light transmission test was positive.

Basic Check

The testicular hydrocele is soft, elastic and cystic. The testicles and epididymis cannot be touched, and the light transmission test is positive. The hydrocele is located in the groin or above the testicles, with a clear boundary between it and the testicles. When there is hydrocele of the testicular cord, there is a pear-shaped swelling in the scrotum and the testicles cannot be felt clearly. In case of communicating hydrocele, the sac may shrink or disappear when the patient lies down.

Further examination

B-ultrasound examination can further clarify the diagnosis and is of great significance for secondary testicular hydrocele suspected to be caused by testicular tumors.

treat

Hydrocele in newborn babies usually disappears on its own before the age of two, so there is no need to rush for treatment. If it does not disappear after two years of age. Then perform puncture and fluid extraction. Most cases do not recur after aspiration.

If the above options do not cure the disease, other treatment options may be considered. Miao medicine believes that kidney deficiency will lead to poor qi transformation and internal retention of water and dampness. When the spleen is weak and the liver is depressed, the meridians will be blocked, and water and dampness will flow down and gather in the anterior genitals. This disease will occur when the three organs are weak. Trauma and infection can easily cause blood stasis and blockage of collaterals, and water retention can also lead to this disease.