Examination and differentiation of scrotal hernia

Scrotal hernia is actually a reproductive disease. If it is not actively examined and treated, it will have an adverse effect on the patient's reproductive health and will also affect his or her sexual life in the future. Therefore, when we find this phenomenon, we must actively receive treatment. Parents must pay attention to whether their children have this phenomenon.

In fact, in life, no matter what disease it is, only after we understand some of its examinations, can we truly judge whether it is this disease? This can help us get targeted treatment and better ensure our health.

1. Inspection

1. First, we need to check tumor markers, especially AFP and HCG, which provide valuable references for diagnosis, staging, monitoring of treatment response and prognosis of germ cell tumors in the testicles. Usually, the tumor markers of germ cell tumors can be divided into the following two types:

① Carcinoembryonic substances related to embryogenesis (alpha-fetoprotein AFP and human chorionic gonadotropin HCG).

② Certain cellular enzymes (lactate dehydrogenase LDH and placental alkaline phosphatase PLAP).

2. Ultrasonic examination is of great value in the diagnosis of diseases of contents in the scrotum, and its accuracy rate is as high as 97%. It can directly and accurately measure the size and specific shape of the tumor in the scrotum, which plays a very important role in later treatment. In addition, ultrasound examination also has a certain diagnostic value for scrotal hernia lymph node metastasis and abdominal organ metastasis.

2. Identification

1. Hydrocele

Physical examination shows that the mass is cystic, tough, and elastic, and the transillumination test is positive, but it is difficult to identify when the sheath wall is thick or partially calcified. Scrotal hernia may sometimes cause a small amount of hydrocele, but there is a feeling of heaviness and the transillumination test is negative. Ultrasound and CT examinations are helpful for identification.

2. Acute epididymis and orchitis

Epididymis and testicular enlargement can be confused with scrotal hernia, but the patient has chills, high fever, severe local pain, obvious testicular tenderness, and the vas deferens is often involved. Increased white blood cell count.

3. Testicular hematoma

There is a history of trauma, and physical examination shows ecchymosis in the scrotum. B-ultrasound examination showed low echo areas within the testicular echo.

The above is a method of inspection and identification of the scrotum. I hope that after these introductions, everyone can have a more detailed and comprehensive understanding of these diseases. Only if we master more common sense and principles of these diseases,

Only then can you better help yourself prevent it.