Dropsy of testicles in newborn boys: why it appears and how it is treated (photo)
Hydrocele is a fairly common pathology among men of all ages, and in the absence of timely treatment becomes a cause of serious complications. According to statistics, about 30% of cases are registered in children under one year. Consider the main causes, symptoms and methods of therapy for dropsy testes in nursing boys.
The disease is characterized by the accumulation of transparent serous (serum) fluid in the scrotum. Each testicle is protected by seven muscle membranes, the edema usually develops in the inner layer, so at the initial stage it is not always possible to diagnose the disease. In most cases, the accumulation of fluid occurs only on one side, and the affected organ deforms and acquires a pear-shaped form.
Depending on the type of development, the causes and localization of the following types of hydrocele:
- Congenital – is formed during intrauterine development of the fetus because of the lack of timely infection of the vaginal process after the testicle is lowered into the scrotum.
• communicating (the affected area contacts the abdominal cavity);
• non-communicating (the affected area is isolated from the abdominal cavity).
In severe cases, when the edema is large or tends to grow, small patients are prescribed surgical treatment. Surgical intervention for dropsy of testicles in newborns is usually not performed. Children are operated on reaching the age of two years, if there are no complications. In the surgical practice of treating hydrocele, several types of operations are used:
- By the method of Winckelmann. A longitudinal incision is made of the anterior part of the scrotum and all layers of tissue surrounding the affected testicle until access to the cavity occurs. Removal of its contents is performed with a syringe, after which the shells are turned to the wrong side and sutured around the testicles with self-absorbable surgical threads. In the last place external cosmetic sutures in the groin area are superimposed. The operation eliminates the risk of further accumulation of serum in the tissues of the body: the residual fluid is absorbed by surrounding tissues.
- By the method of Bergman. The method is used in the isolated form of pathology, when the swelling reaches a large size. In the groin area a deep incision is carried out, accompanied by excision of the inner layer with subsequent elimination of its contents. The edges of the cavity are sutured, the patient is fitted with drainage or a pressing surgical dressing.
- By the method of the Lord. Gentle surgery is indicated for newborns or infants with a small amount of swelling. After dissecting the scrotum, the testicle is partially removed, and the edges of the wound are cleaned and corrugated with a surgical thread along the contour. Then, the integrity of the tissues is restored by layer-by-layer closure. To stop bleeding superimposed sterile pressing bandage.
- By the method of Ross. It is used for the communicable form of the disease. The inguinal ring, through which the cavity is connected with the peritoneum, tightens tightly, and the accumulated serum is carefully removed. Layered seams are superimposed on the edges of the cleared wound.