Patient's question:
In the scrotal sacs of my two testicles, there is a significant accumulation of fluid in the tunica vaginalis. When touched, it has a fluctuating sensation. When squeezed, the fluid remains within the tunica vaginalis, and its volume does not change, nor can it be transferred to other places (such as the abdominal cavity). The entire testicles and scrotum do not exhibit symptoms of inflammation, such as redness, swelling, heat, or pain, and there are no other discomforts. Additionally, there is no occurrence of infection due to skin damage, so it does not seem to be caused by inflammation. How should the treatment for hydrocele (testicular hydrocele) be best approached?Doctor's answer:
Experts point out:1. In neonates, hydrocele of the tunica vaginalis often resolves spontaneously before the age of two, so treatment is not urgent. If it does not disappear after two years, puncture and aspiration should be performed. Most cases do not recur after aspiration. This method is not suitable for adults. After aspiration in adults, the hydrocele often regrows within a short period.
2. Injection treatment: After aspiration, irritating drugs such as silicone or sodium selenite are injected into the tunica vaginalis to induce inflammatory adhesion, aiming to obliterate the tunica vaginalis. This method causes significant reactions, incomplete adhesion, and may lead to multilocular hydrocele, making surgical treatment more difficult. It is currently used less frequently.
3. Surgical treatment: Congenital hydrocele cannot be treated with the above methods and is primarily treated surgically. The goal of surgery is to ligate the inguinal hernia at a high position near the internal ring to block the downward flow of abdominal fluid. The above is the answer to the treatment methods of hydrocele of the tunica vaginalis.