Symptoms of hydrocele in children

Pediatric development issues have become an increasingly important topic in recent years, as the incidence of pediatric developmental disorders is increasing, which has had an extremely adverse impact on the development of many children. Among them, hydrocele in children is a relatively common symptom, which can cause extremely serious growth retardation in children. Let’s take a look at the symptoms of hydrocele in children. I hope everyone can understand it.

Hydrocele in children is a common disease in pediatric urology, known as "hydrocele" in traditional Chinese medicine. The incidence of unclosed processus vaginalis in newborns in my country is 80% to 94%, but it can gradually close with age, and the possibility of closure after 6 months after birth becomes increasingly smaller. Long-term chronic hydrocele can have 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. There is currently no specific Western medicine for the treatment of this disease, and surgery is often used to treat hydrocele.

Clinical manifestations

When children develop hydrocele, it is usually a cystic tumor in the scrotum or spermatic cord. Most children do not feel any discomfort. The size can vary greatly, and most are oval. The scrotal skin of primary hydrocele is normal, has high tension and is translucent. Congenital hydrocele can be squeezed out when the patient lies flat, so that the fluid can gradually shrink or even disappear completely. Most hydroceles are unilateral. In the case of secondary hydrocele, we should be alert to the presence of lesions in the testicles and epididymis, such as tuberculosis, tumors, and parasitic infections.

Differential Diagnosis

Hydrocele in children should be differentiated from hernia in treatment. The fluid in most children's hydrocele comes from the abdominal cavity and is not congenital hydrocele. Once the hernia is treated, the hydrocele will naturally heal. Hernia is a typical symptom of hernia that can be seen and felt. A lump will appear. The lump may disappear during sleep but will become larger during crying. Auxiliary examinations can be used for identification: ① The transillumination test is positive, but it may be negative when secondary inflammation and bleeding occur. ②B-ultrasound examination can further clarify the diagnosis. It helps to differentiate hydrocele, varicocele, testicular torsion, etc., and is also of great significance for secondary hydrocele caused by suspected testicular tumors.