How to treat hydrocele in children?

There are two types of hydrocele, primary and secondary. The cause of primary is not very clear at present. Its course is relatively slow, and it may be related to daily trauma and inflammation. Secondary is caused by primary disease, such as acute orchitis or epididymitis. How should children with hydrocele be treated?

Chronic hydrocele is seen in testicular-epididymal inflammation, syphilis, tuberculosis and tumors. In tropical areas and southern my country, hydrocele is usually caused by filariasis or schistosomiasis. Infantile hydrocele is related to the late development of its lymphatic system. When the lymphatic system of the hydrocele is not fully developed, the effusion can be absorbed by itself.

(1) Hydrocele in newborns 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. This method does not apply to adults. Adults all grew back to normal in a short period of time after the fluid was extracted.

(2) Injection therapy: After the fluid is drawn, irritating drugs such as silanol, sodium morrhuate, etc. are injected into the intrathecal cavity to cause inflammatory adhesion. To eliminate the tunica vaginalis. This method causes a greater reaction, incomplete adhesion, and the formation of multilocular hydrocele. This brings more difficulties to surgical treatment. Currently used less frequently.

(3) Surgical treatment: Congenital hydrocele cannot be treated with the above two methods. Surgery is the main treatment. The purpose of the operation is to perform a high ligation of the hernia neck at the internal ring to block the downward flow of ascites. The following hernia sacs do not need to be treated.

Spermatic hydrocele can completely remove the cyst containing the fluid. If peeling is difficult, the cyst wall can be cut open and turned over and sutured.

The effective surgical method for testicular hydrocele is hydrocele resection and flip suture.

A hydrocele is a cyst formed when more fluid than normal accumulates in the vagina. The disease can occur at any age. When the tunica vaginalis itself or the testicles, epididymis, etc. are diseased, the secretion and absorption of fluid become unbalanced, forming a hydrocele. If fluid accumulates in the tunica sheath for a long time and the internal pressure increases, it can affect the blood supply and temperature regulation of the testicle, causing atrophy of the affected testicle. Depending on the position of the closure of the processus vaginalis, it can be divided into five types: testicular hydrocele, spermatic cord hydrocele, mixed hydrocele, testicular spermatic cord hydrocele (infantile type), and communicating hydrocele.

Postoperative recurrence problem: hydrocele rarely recurs after surgical treatment. We analyzed the cases of postoperative recurrence of hydrocele. It is believed that the main cause of recurrence was the misdiagnosis of congenital hydrocele as simple testicular hydrocele, and testicular hydrocele reversal surgery was performed without high ligation.

The fluid in the abdominal cavity is constantly flowing out, which can easily cause the body's epithelial cells to survive and lead to recurrence of the disease. Other possibilities may be due to multilocular hydrocele, which may not be removed in time, leading to recurrence.