Patient's question:
The child is 7 years old, with a right inguinal cyst for 6 years, which has never shown obvious symptoms. Some say it's intestinal prolapse, while others say it's hydrocele. What exactly is the condition, and how should it be treated? Thank you!Doctor's answer:
Hello: Based on the patient's condition, it can be considered as a hernia. It is recommended to go to the hospital for examination and have a clinical doctor make a definitive diagnosis. Surgical treatment is suitable for larger hydroceles, generally requiring a testicular hydrocelectomy for hydroceles of the spermatic cord, cyst excision for hydroceles of the spermatic cord, and high ligation of the processus vaginalis combined with hydrocelectomy for communicating hydroceles.3. For small hydroceles, cyst puncture and aspiration with medication can be performed. After aspirating the fluid, a hardening agent (such as tetracycline solution) is injected. The treatment effect is good, but the complications are controversial.
Medication principles: Preoperative and postoperative medication is mainly antibiotics, which are used for prevention and treatment of infection to ensure the success of the surgery. For elderly patients, supportive therapy should be strengthened, and blood transfusions or human albumin may be administered as needed. Postoperative use of hemostatic drugs can reduce bleeding from the scrotal wall or tunica vaginalis.