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Congenital hydrocell

Congenital hydrocell

Congenital hydrocell is a condition of birth specific to boys that is characterized by a painless, fluid-filled formation, located around one or both testes or scrotum. This condition causes volume increase of scrotum or groin area.

What are the types and causes of congenital hydrocele?

The hydrocell is a condition that can occur at any time throughout the life, but in the case of the congenital one, the boys still develop it from the intrauterine cavity or at birth. Normally, the baby's testicles descend into the scrotum before birth. Each testicle is accompanied by a pouch (the vaginal process) to allow fluids to surround the testicles.
In most cases, this pouch closes until the age of 2 years, and the fluid is absorbed. The hydrocellus appears when the fluid remains there even after the bags are completely closed (it is non-communicating). The medical condition in which the saculetes remain open or their closure is incomplete, and the fluid flows between the scrotum and the abdominal cavity, is called the communicating hydrocele.
Another type of hydrocele is that of the spermatic cord. It is located somewhere above the scrotum and is often confused with an inguinal hernia. The vaginal process or sprain closes sequentially, and some of the fluid remains in the spermatic heart.
There is also a type of hydrocellus - abdominal scrotal, but it is extremely rare and is located very close to the inner ring of the abdominal cavity.
The hydrocell that most often occurs in children and infants is the communicant, which means that the patent of the vaginal process allows peritoneal fluid to flow into the scrotum.

What are the symptoms of congenital hydrocellus?

The most frequent and noticeable symptom is the increase in volume of one or both testicles or of the entire scrotum. In infants, this edema is painless, and if the pain does appear it means that there may be other problems associated (probably a groin hernia).

How is the diagnosis of congenital hydrocellus performed?

In any case, if your baby has a swelling in the groin area, especially the testicles, you should go to the doctor to determine the exact diagnosis. The doctor will determine whether or not this condition is based on a physical examination, but also after performing other analyzes, to exclude other causes of edema. Differentiating between hydrocycles and other problems of the scrotum is essential for choosing the right type of therapy.
The doctor can also use simple ultrasound, Duplex ultrasound and other blood tests to establish the most accurate diagnosis.

What is the treatment of congenital hydrocele?

No matter how serious the hydrocellus may look, it does not pose a health problem to the child. Some cases do not even require any medical treatment. Most of them withdraw by themselves until the baby completes 1 anisor. Doctors will only ask you to carefully monitor the volume of swelling and changes that occur in the area. In general, edema may be recurrent, but after a period of time it should decrease and disappear. If you notice that the hydrocellus looks worse, continues to increase in volume or does not pass at all, you should go to the doctor with your child.
The only way to treat the hydrocell is surgery. The purpose of the intervention is the removal of the fluid and can be done if:

  • the little one also presents with edema at the age of 2 anisors;
  • the swelling appears and disappears several times;
  • it is painful;
  • it worsens and gives rise to complications.

The intervention is performed under total anesthesia and involves a small incision made in the groin area. During this intervention, the doctor can explore and investigate the area and for other health problems located at this level. For example, if the baby is suspected of having inguinal hernia, the doctor may not only discover it during the procedure, but may also correct it in the same procedure by which the hydrocellus is corrected. The incision is closed with the help of stitches or stitches.
Even with surgery, there is always the risk of recurrence or recurrence of the hydrocell at some point in the child's life.

Tags Diseases from birth