Patient's question:
Hello: One testicle of the child is larger than the other. The hospital examination said it was hydrocele and suggested waiting to see if it could resolve on its own. If not, a more major surgery would be needed. How can you help him recover completely? What kind of assistance is needed: How is hydrocele treated or...Doctor's answer:
When descending, the tunica vaginalis derived from the peritoneum of the sheath has excretory function. The serous surface of the tunica vaginalis can excrete fluid, which can be refined at a constant speed through the internal spermatic vein and lymphatic system. When the excretion is enhanced or the refinement increases, and the accumulated fluid in the tunica vaginalis is less than normal, forming a cyst, it is called hydrocele.Guidance:
(1) In newborn infants, testicular hydrocele often disappears spontaneously before the age of two, so treatment is not urgent. If it does not disappear after the age of two, aspiration and drainage should be performed. Most cases will not recur after aspiration. This method is not suitable for adults. After aspiration in adults, the hydrocele often regrows within a short period.
(2) Anesthetic treatment involves injecting irritating drugs such as silicone oil or sodium selenite into the tunica vaginalis after aspiration to cause recurrent inflammatory adhesion, aiming to obliterate the tunica vaginalis. This method has significant risks, incomplete adhesion, and may lead to multilocular hydrocele, making surgical treatment more difficult. It is currently used less frequently.
(3) Surgical treatment is the primary method for congenital hydrocele, as the other two methods are not applicable. The goal of surgery is to elevate the hernia neck at the internal inguinal ring and ligate the inferior epigastric vessels. The following hydrocele sac can be left untreated. It is recommended that you consult a doctor based on your child's specific condition to determine the treatment method and medication, and seek early treatment. Wishing your child a speedy recovery!