Hydrocele testis
From Wikipedia, the free encyclopedia
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| The right testis, exposed by laying open the tunica vaginalis. (Tunica vaginalis is labeled at upper right.) | |
| ICD-10 | N43.0-N43.3 |
| ICD-9 | 603 |
| DiseasesDB | 6137 |
| eMedicine | emerg/256 med/2778 |
| MeSH | D006848 |
A hydrocele testis is an accumulation of clear fluid in the tunica vaginalis, the most internal of membranes containing a testicle. A primary hydrocele causes a painless enlargement in the scrotum on the affected side and is thought to be due to the defective absorption of fluid secreted between the two layers of the tunica vaginalis (investing membrane). A secondary hydrocele is secondary to either inflammation or a neoplasm in the testis.
A hydrocele usually occurs on one side. The accumulation can be a marker of physical trauma, infection or tumor, but the cause is generally unknown.
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[edit] Symptoms
A hydrocele feels like a small fluid filled balloon inside the scrotum. It is smooth, and is mainly in front of one of the testes. Hydroceles vary greatly in size. Hydroceles are normally painless and harmless. Large hydroceles cause discomfort because of their size. As the fluid of a hydrocele is transparent, light shown through a hydrocelic region will be visible from the other side.
Symptoms of a hydrocele can easily be distinguished from testicular cancer, as a hydrocele is soft and fluidy, where a testicular cancer feels hard and rough.
Through diagnostic ultrasound the accumulation of fluids can be diagnosed correctly.
[edit] Treatment
The accumulation should generally be removed surgically. If the hydrocele is not surgically removed, the hydrocele continues to grow. The hydrocele can be drained as a temporary solution but it only removes the symptoms, not the hydrocele's growth process in the vaginalis.
[edit] Fertility
A hydrocele testis is not generally thought to affect fertility. However, it may be indicative of other factors that may affect fertility.
[edit] Historical Sufferers
It is generally accepted that the eighteenth century historian Edward Gibbon suffered from a Testicular hydrocele. In fiction, Mark Corrigan, central character in the British sitcom Peep Show is also a sufferer. Walt McGinnis, the most prolific analytical essayist on women's suffrage and youngest member of the "Cash Money Click," underwent surgery for his hydrocele in November of 2005.
