Hydrocele is a collection of fluid in tunica vaginalis.It can develop after an injury or infection.Gonococal infection is the most common cause,but with reduction in gonococcal incidences,these hydrocele are becoming rare. Any other non-specific infection causing urethritis may cause hydrocele.
Usually the only indication of hydrocele is painless swelling of one or both testicles.
Adult man with hydrocele might experience discomfort from the heaviness of a swollen scrotum.pain generally increases with the size of the inflammation.sometimes,the swollen area might be smaller in the morning and larger later in the day.
A hydrocele can develop before birth.Normally ,the testicles descend from the developing babies abdominal cavity into the scrotum.A sac acompanies each testicles,allowing fluid to surround the testicles.Usually ,each sac closes and the fluid is absorbed.
Sometime ,the fluid remains after sac closes(non communicating hydrocele).The fluid is usually absorbed gradually within first year of life.But occasionally,the sac remains open(communicating hydrocele).The sac can change size or it can flow back into the abdomen.Communicating hydrocele are often associated with inguinal hernia.
OLD MALES-In A hydrocele can develop as a result of injury or inflammation within the scrotum.Inflammation might be caused by an infection in the testicles or in the small,coiled tube at the back of each testicles(epididymitis).
RISK FACTORS
Most hydroceles are present at birth.At least 5 percent of newborn prematurely have a higher risk of having a hydrocele.
Risk factor for developing a hydrocele later in life include:
A hydrocele typically is not dangerous and usually does not affect fertility.But a hydrocele might be associated with an underlying testicular condition that can cause serious complications,including
*Infection or tumor:Either might reduce sperm production or function.
*Inguinal hernia: The loop of intestine trapped in the abdominal wall can lead to life-threatening complications.
CONIUM MACULATUM : Very usefull for ill-effect of suppressed sexual desire.Usefull for prostitis with dribbling of prostatic fluid.Most suited to old age debility,urinary troubles,weakened memory and sexual debility.
PULSATILLA : Usefull for swelling in the scrotum.There is pain from the abdomen to the testicles.Very usefull for Epididymitis.Also usefull for thick and yellow discharge from urethra
RHODODENDRON : Usefull for hydrocele in young boys after birth.There is drawing pain from spermatic cord to the abdomen and thigh.Given when testicles feel crushed,worse in left side.Usefull for swollen and painfull testicles.Very usefull for itchy,sweaty and wrinkled scrotum.
STAPHYSAGRIA : Usefull for hydrocele,especially after self-abuse.There is voluptous itching of the scrotum.
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