Hydrocele

Question 1

Define:

Answer 1

The excessive collection of fluid within the tunica vaganalis

Question 2

Aetiology:

Answer 2

Congenital 
Idiopathic 
Tumour
Infection 
Trauma 
Underlying testicular torsion 
Testicular appendage

Question 3

Risk factors:

Answer 3

Indirect inguinal hernia in children
Epididymo-orchitis
Filarias

Question 4

Symptoms:

Answer 4

Scrotal swelling
Usually Asymp
Pts may complain of pain or urinary symptoms due to the underlying cause.

Question 5

Signs:

Answer 5

Scrotal swelling

POSSIBLE TO GET ABOVE THE SWELLING AND IS TRANSILLUMINATES (fluctuant)

Difficult to separate the swelling from the testicle

Question 6

Investigations:

Answer 6

Ultrasound- exclude tumour

Urine - dipstick and MSU for infection

Blood - markers for testicular torsion - a-fetoprotein, b-HCG and lactate dehydrogenase