With dropsy of the testicle in boys, there is an increase in the size of the scrotum on one or both sides. In the case of communicating hydrocele, the enlargement of the scrotum is transient; when isolated, an increase in the scrotum occurs gradually. The size of the scrotum with dropsy of the testicle in boys can reach a goose egg, and in advanced cases - a child's head. The communicating dropsy of the testicle in boys can have a different size and tension during the day: the swelling of the scrotum reaches its greatest size during the day, when the child moves; at night, in the supine position, the tumor may disappear due to the emptying of the contents of the water sac into the abdominal cavity.
Dropsy of the testicle in boys is usually painless and without signs of inflammation. With a secondary infection of the hydrocele, soreness, redness of the scrotum, chills, fever, and vomiting may appear. With a large amount of accumulated fluid in children, urination may be difficult and acute urinary retention may develop. Older children report unpleasant bursting sensations, heaviness in the groin area, and discomfort when walking. The classification of dropsy of the testicles depends on the reasons that provoked the formation of pathology. Dropsy of the testicular membranes can be congenital and acquired. Congenital hydrocele is recognized in about eighty percent of babies. The reasons for the formation of dropsy are a failure in the development of the testicles. The testicle, as the child grows from the abdominal cavity, descends along the inguinal canal, which is enveloped in the vaginal process of the peritoneum. For several months, if the processus vaginalis does not overgrow, then the fluid from the abdominal cavity is poured into the testicular membranes.
Dropsy of the testicular membranes is quite common in newborn boys and in most cases goes away on its own during the first year of life. If the liquid does not disappear on its own, it is recommended to carry out surgical treatment after 1 year 6 months.
If the accumulation of fluid in the membranes of the testicles occurs at the age of 2-3 years and older, then, as a rule, surgery is also indicated. In addition, there are a number of indications in which surgical intervention for dropsy of the testicle is carried out for children from 12 to 18 months: joining of the membranes of the testicle of an inguinal hernia to the dropsy, the presence of too much fluid in the scrotum, which causes excessive tension of the membranes of the testicles, uncomfortable or painful sensations in the scrotum ... The intervention is performed through a small incision (2-3 cm) in the groin area. After the surgical treatment of dropsy of the testicle in a child, the wound is sutured, a sterile bandage is applied. There are no scars on the stomach. An inconspicuous scar remains, 2 cm long. On average, the operation for dropsy of the testicle in children lasts 35-60 minutes.
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