How to treat right spermatic cord hydrocele in children?

Parents and friends are confused about how to choose the treatment method for right spermatic cord hydrocele in children. After all, the occurrence of these diseases will have a great impact on the health of children. Conservative treatment can be adopted. If it is serious, surgical treatment is recommended to prevent future problems.

1. Hydrocele of the testis in infants and young children is a hydrocele formed when the processus vaginalis vaginalis fails to close before and after birth. It causes the accumulation and expansion of fluid to form a pear-shaped cavity. Some patients with congenital hydrocele have a communicating type of hydrocele because there is a channel connecting the hydrocele cavity and the peritoneal cavity. The fluid can flow back and forth from the hydrocele cavity with changes in body position, and clinically, the scrotum often changes in size.

2. Long-term chronic hydrocele has an adverse effect on the blood supply and temperature regulation of the testicles due to the high tension. Severe cases may cause testicular atrophy. If the effusion is severe and affects both testicles, it is likely to affect the child's future fertility. For hydrocele in children, conservative (non-surgical) treatment should be adopted as early as possible for thorough treatment.

Therefore, taking safe and effective treatment methods in a timely manner according to the specific situation of the child is the key to avoiding the occurrence of sequelae.

3. Children with hydrocele generally have no systemic symptoms. Most of the time, family members discover a lump in one side of the groin or scrotum, 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.

4. Clinical examination reveals 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.