Hydrocele Flashcards
1
Q
What is a hydrocele?
A
Collection of serous fluid that results from a defect or irritation in the tunic vaginalis
2
Q
Aetiology of hydrocele?
A
- Usually idiopathic
- 5-10% of testicular tumours
- Ass/w trauma, infection
3
Q
Communicating v non-communicating hydrocele?
A
Communicating: patent processus vaginalis, changes size during day (peds)
Non-communicating: non-patent processus vaginalis (adults)
4
Q
Exam features hydrocele?
A
- Non-tender intrascrotal mass
- Cystic
- Transilluminates
- Testis not separable from hydrocele
- Cord palpable
5
Q
Ix in hydrocele workup?
A
-U/S to r/o tumour
6
Q
Treatment hydrocele?
A
- Conservative
- Needle drainage
- Surgical
7
Q
Differential diagnosis of benign scrotal mass?
A
HIS BITS
- Hydrocele
- Infection (epididymitis/orchitis)
- Sperm (spermatocele)
- Blood (haematocele)
- Intestines (hernia)
- Torsion
- Some veins (varicocele)
