Dropsy of the testicle: treatment of hydrocele in men without surgery
Hydrocele puncture or testicular dropsy - This is one of the options for intervention, which is performed to temporarily eliminate dropsy of the testicle. This intervention is performed on an outpatient basis and allows you to quickly and painlessly evacuate the fluid accumulated in the scrotum.
Indications and contraindications for puncture hydrocele (dropsy of the testicle).
Hydrocele puncture shown in cases where surgical treatment is contraindicated for the patient, but there are the following problems:
1. if the enlargement of the scrotum is so pronounced that it causes domestic and aesthetic inconvenience,
2. If surgical treatment has already been carried out, but the fluid continues to accumulate (this happens with an "open" hydrocele).
Hydrocele puncture is contraindicated against the background of acute inflammatory processes of the organs of the genitourinary system, or in the presence of inflammatory changes on the skin of the scrotum, due to the high probability of infection with hydrocele and the development of a purulent inflammatory process.
The technique of puncture hydrocele (dropsy of the testicle).
Hydrocele puncture is best performed under the supervision of ultrasound or diaphanoscopy, which avoids trauma to the testicle and large vessels. First, a syringe with a thin needle anesthetizes the skin of the scrotum at the puncture site. For this, 1.0 ml of a 1% solution of lidocaine is injected intradermally and subcutaneously. After anesthesia of the skin, a thick needle with a silicone tube attached to it performs a hydrocele puncture, and the discharge of the released liquid into the tray, located somewhat lower, by gravity.
After the fluid ceases to be secreted, the wound remaining on the skin at the puncture site is treated with an aqueous solution of an antiseptic and an aseptic sticker is applied. After a puncture, to reduce the likelihood of re-accumulation of fluid or to slow down its re-accumulation, wearing a suspension or dense swimming trunks for 2 to 4 weeks is indicated. If there is an "open" dropsy of the testicle, it is necessary to consult a cardiologist, and if possible, adjust therapy aimed at reducing the severity of heart failure.
Feedback with the doctor, answers to questions on hydrocele puncture (dropsy of the testicle).
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Max (Monday, 26 January 2015 16:17)
Hello! After passing the ultrasound, dropsy of the testicle was detected, the doctor sent for surgery. testicle size was the size of a fist. Dropsy began at the beginning of the year 2014. Uzi did in September. But the operation did not dare. Already the end of January 2015 but the size of the testicle remained the same! Can I just do a testicular puncture? Can dropsy dissolve itself at such a confluence as it is now. Maybe you should use ointments or something else !?
Dr. Kuzma Milenin (Saturday, 31 January 2015)
Hello max Cases when dropsy of the testicle dissolves on its own, if it is not open or communicating dropsy in my practice was not. Puncture of a hydrocele with evacuation of liquid contents, as a rule, does not give a lasting effect.After 1-2 months, and sometimes earlier, the fluid in the testicle shells accumulates again. Therefore, if the preservation of spermatogenesis is important for you, it is better to perform an operation - plastic testicular membranes. If the preservation of spermatogenesis is not relevant, and the volume of hydrocele does not increase in dynamics, if the presence of dropsy of the testicle does not create domestic and aesthetic inconvenience for you, there is no pain, then you can do anything, and once every six months, and then, once a year, do an ultrasound scrotum. That is, you can choose and observational tactics. Because hydrocele puncture is rare, but it happens that is complicated by infection and suppuration.
Vladimir (Tuesday, 12 January 2016 17:40)
they pumped 250 g of liquid from the left testicle, I’m 56 l, I think there were no injuries, I prescribed ciprofloxocin, wobenzine tablets, Repeated dropsy? How to prevent it from happening again?
Dr. Kuzma Milenin (Monday, 01 February 2016 21:56)
Hello Vladimir Whether you repeat the dropsy or not, I naturally can not say. In general, according to statistics, after a puncture, the probability of recurrence of hydrocele is more than 90%. What to do to prevent dropsy? It is necessary to do an operation - plastic testicular membranes.
What is dropsy of the testicle in men
Hydrocele (dropsy of the testicle) is urological disease, which is accompanied by an accumulation of fluid between the leaves of the parietal and visceral membrane of the testis. The volume of liquid varies from 20 to 200 ml, in some cases reaches 3 liters.
Almost all age categories of both adults and children suffer from this pathology. In childhood, congenital edema is diagnosed, which is characteristic of the vast majority of newborn boys.
In the adult male population, this pathology is acquired.
Why does fluid accumulate in the scrotum?
The causes of the appearance of hydrocele in a newborn boy, a child up to a year and an adult male are significantly different.
The genitals begin to form in the fetus in prenatal development, but they are located at this moment in the abdominal cavity of the child. Before the baby is born, the testicles descend into the scrotum through the abdominal process. If this passage does not close in time, the fluid will begin to flow to the testicles, resulting in dropsy. In the future, throughout the entire first year of the baby’s life, specialists monitor the condition of his scrotum. As a rule, by this time the edema disappears on its own.
In an adult male, hydrocele can appear due to lymph outflow disorders from the testicle. This happens for the following reasons:
- The pathological process in the testicle and its appendages: epididymitis, orchoepididymitis, orchitis and inflammation of the spermatic cord,
- injuries to the external genital organs, which can occur, for example, as a result of strikes in the groin area or playing sports (wrestling, weightlifting, cycling, etc.),
- some infectious diseases provoked by a specific microflora (gonorrhea, tuberculosis, etc.),
- severe heart failure
- filariasis - damage to the lymph nodes located in the groin area with parasites, as a result of which there is a violation of the outflow of lymph from the testicles and dropsy develops,
- tumorous growths in the scrotum,
- complications after surgery in the scrotum (e.g. after treatment of a groin hernia),
- severe liver failure. This can be, for example, with cirrhosis of the liver, when fluid accumulates in the abdominal cavity, which gradually spreads to other body structures, including the testes.
What is the problem
Dropsy testicles can be described as a sac surrounding a testicle filled with liquid, which is why the scrotum is enlarged in volume on one or both sides.In newborn boys, this problem is quite common and usually it disappears by itself in the first year of life. In the stronger sex, older than a year and a half, dropsy can form due to various factors, including injuries of the scrotum and groin, as well as inflammatory processes in the genitourinary system.
Doctors, answering parents' questions regarding how to cure dropsy, say one thing: if a problem is found in a patient before the age of 1 year and 6 months, you can try to defeat it with conservative methods, without resorting to surgery, but only under conditions:
- not too big
- lack of tension
- painless touch
- lack of signs of inflammation in the analyzes.
If the education does not meet these requirements and continues to progress, and the patient is an adult, only surgical treatment is indicated.
The reasons why a male dropsy testicle develops are as follows:
Dropsy can be described as a sac surrounding a testicle filled with fluid
- congenital anomaly - in newborn children, which appears due to the accumulation of a large volume of excess fluid through a protrusion of the peritoneum that has not overgrown in a timely manner into the cavity of the scrotum,
- inflammation of the testicle or its appendage,
- impaired functioning of the lymph nodes in the inguinal or pelvic region, due to which there is a violation of the outflow of lymph,
- scrotum injuries and its mechanical damage,
- severe course of heart failure,
- recurrence of varicocele, if varicose veins of the testicle were operated on incorrectly or inaccurately.
Dropsy of the testis in men may be more likely to require treatment if the patient has physical damage to the groin and genitals, as well as if he regularly experiences increased sports or workloads. These factors make the male body more prone to developing this health problem.
Symptoms of hydrocele: how is the disease manifested?
The symptomatology of the disease is determined by the type of dropsy, but there are also common symptomsamong which are the following:
- the absence of pain during palpation of the testicles,
- enlargement of the scrotum.
The congenital form of dropsy is characterized by changes in the size of the scrotum depending on the time of day: during the night, the fluid accumulated in the testicle membrane leaves, and during the day, on the contrary, accumulates in the scrotum. The appearance of such symptoms should serve as a reason for seeking medical attention.
It should be noted that hydrocele can be either unilateral or bilateral. In the first case, dropsy most often develops against the background of inflammatory processes in the testes and appendages. The second option is a manifestation of chronic pathologies of the genitourinary system or general edematous syndrome, developing as a result of liver or heart failure.
An acute hydrocele is suddenly developing, starting with a sharp soreness of the scrotum and a significant increase in the size of its affected half. In some cases, patients complain of signs of general intoxication (weakness, fever up to 38-39 degrees, lack of appetite, etc.).
In the absence of treatment, acute dropsy takes a chronic form, but often a chronic course is acquired initially. In this case, the patient complains of sensations of heaviness in the scrotum, as well as changes in its size during the day: an increase in the daytime and a decrease at night.
In the chronic form of the disease, the fluid between the testicle shells accumulates gradually, slowly, however, in the absence of medical care for a long time, the size of the scrotum may reach gigantic proportions (with a soccer ball), which significantly affects the quality of life of the patient, making it difficult to have sexual intercourse and urination, interfering with movement, and also creating problems when wearing underwear.
In addition, a significant increase in the volume of the scrotum leads to a violation of spermatogenesis and hypertrophy of its structures. The chronic process is characterized by a mild pain syndrome (dull aching pain) or its complete absence.
The lack of treatment or other adverse factors entail the development of complications of dropsy. The consequences may be as follows:
- Testicular atrophy. The cause of the pathology is the compression of blood vessels that provide the testicle with blood, as a result of which its tissues are deficient in nutrients.
- Accumulation of blood between the membranes. A complication develops as a result of unsuccessful dropsy puncture, with hemorrhagic diathesis, or as a result of mechanical damage to blood vessels.
- Scrotal hernia.
- Erectile disfunction.
- Suppuration in the scrotum. At the same time, the general condition of the patient worsens, body temperature rises, the inflammatory process spreads to surrounding tissues.
- Rupture of the testicles. This is due to their excessive stretching under fluid pressure.
- Male infertility It develops as a result of a violation of spermatogenesis, which is caused by compression of the testicles.
Modern medicine involves treating dropsy of the testis in men in the following main ways:
- puncture of fluid
- sclerotherapy of the membranes,
- surgical intervention
The puncture procedure is a manipulation that is more useful for diagnostic purposes, and also allows you to achieve an exclusively temporary (from 1-2 weeks to 6 months) effect of alleviating the condition with hydrocele. During puncture, a puncture is made in the scrotum, through which excess fluid is sucked out with a syringe. Such therapy is mainly recommended for people for whom full-fledged surgery is contraindicated for health reasons, which is most often associated with age. Puncture with dropsy of the testicle is also carried out in cases where men refuse surgery to maintain an aesthetic effect (for example, before filming or vacation). Cured in this way, the edema is guaranteed to return by relapse, however, this treatment option can be useful if there is an urgent need to remove the fluid that quickly accumulates due to orchitis or epididymitis.
During the puncture, a puncture is made in the scrotum, through which excess fluid is sucked out with a syringe
Treatment of dropsy of testicles in men by sclerotherapy of the membranes is a relatively new procedure, which is widely used only in the United States and Europe. The manipulation itself is carried out similarly to the puncture procedure - by piercing the scrotum and pumping out the liquid contents from the testicle shells. The difference lies in the fact that after removing the liquid, special medications are introduced into the membranes that suppress the production of dropsy due to non-infectious inflammation of the tissues and their fusion, which helps to avoid relapses. Sclerosis allows you to achieve a quick (for 1-2 procedures) and a fairly long-lasting effect, however, this procedure is considered traumatic, damaging the tissue of the seminal gland. That is why he is preferred in cases with patients aged, for whom full surgical treatment is strictly contraindicated.
The maximum positive effect and lasting result is achieved if dropsy of the testicles is treated by surgery. The official name of the operation is the plastic of the shells of the testicle, its implementation is usually carried out according to one of several common options:
- Winkelman operation
- Bergman’s operation
- operation of the Lord.
How to treat dropsy of the testicle with the choice of a specific type of intervention, the attending physician (surgeon) chooses in the process of performing the procedure. So, for example, Bergman’s operation is performed in cases when the edema has reached large sizes, so it is necessary to remove not only excess fluid, but also excess shells. It allows you to completely excise the tissues forming the papillary sac, then if you remove the entire cavity in which the liquid could accumulate again.
Any surgical procedure should only be performed by an experienced specialist.
It is rational to choose the Lord’s operation during planned interventions, when the dropsy was "caught" at a relatively early stage, and Winkelmann - with a chronic dropsy with hard shells, if necessary, not only get rid of the problem, but also maintain the aesthetic appearance of the scrotum. Both varieties of the procedure make it possible not to completely remove the membranes after opening the water sac, but to place them outside and either connect as a whole or sew around the testicle.
The fight against dropsy by endoscopy is the simplest and least traumatic for the patient. When this procedure is performed, excess fluid in the dropsy is removed and the membrane is excised without cutting the skin, and through its puncture in the scrotum wall. Under the influence of local anesthesia, a specialist with the help of a surgical endoscope will perform the necessary manipulations, after which the patient will be able to go home on the same day. After endoscopy, traces of surgical intervention on the scrotum are not noticeable.
Any of the listed procedures is performed after a thorough examination of the patient; only an experienced specialist should do it. Both puncture and surgical intervention are performed under local or general anesthesia. According to statistics, interventions are well tolerated by patients, do not require their hospitalization and practically leave no traces. A specific technique is chosen by the doctor depending on the age of the patient, the volumes of the dropsy increased in size and the condition of the shells of the affected testicle.
The sooner the need to treat dropsy is detected, the more successful the treatment process will be. In the case of children, the maximum allowable age is 1.5 years, with adult men - as soon as the edema is detected, especially if its appearance was preceded by a traumatic effect. You must pay close attention to such a problem, since leaving dropsy without proper therapy will lead to a whole range of complications, including loss of reproductive function.
Types and causes of the disease
The main classification is the division into congenital and acquired species.
The disease appears either in the womb, or during adulthood. Sometimes the formation of clusters is not characterized by external causes and is manifested even in healthy adult men.
The main reason for congenital edema is when the testicles descend in the womb, the place that formed as a result of their movement should be overgrown. However, sometimes this does not happen. In the resulting pocket, dropsy develops. Usually this process occurs around the ninth month of pregnancy.
Preparation for surgery
To clarify the diagnosis, the doctor can prescribe the following studies:
- Diaphanoscopy. Through an enlarged testicle shine a flashlight. Water transmits light in almost unchanged form. Through a denser formation (tumor), it does not pass. The procedure is not performed after a recent surgery on the scrotum or testicular inflammation. In this case, blood can accumulate in the space between the membranes, which also does not allow light to pass through.
- Ultrasound It is prescribed when there are difficulties with the diagnosis. Ultrasound helps distinguish dropsy from a tumor or hernia.
Before general anesthesia (for surgery, small children) undergo a standard list of procedures:
- ECG (electrocardiogram).
- General analysis of blood and urine.
- Research on a number of infections - hepatitis, HIV, etc.
- Blood chemistry.
- Clinical blood test - determination of blood flow velocity, coagulation and other parameters.
- Visiting specialist doctors in the presence of chronic diseases and obtaining their permission for surgery.
- Reception of the therapist and issue of the conclusion.
Before the operation, it is necessary to cure all existing inflammatory reactions - colds, tooth decay, etc. If the patient is unwell, surgery should be delayed.
Before surgery for dropsy of the testicle, men need to shave the pubis and scrotum, take a hygienic shower. Starting in adolescence, the intervention is performed under local anesthesia. You can return home a few hours after the operation.
Children are sometimes left in the hospital overnight.
This is one of the new modern methods that is actively practiced in Europe and the United States. In Russia, it has not yet been mastered by all clinics and medical centers. It is indicated for older people who have already lost their reproductive function.
The doctor sucks the liquid contents from the space between the testicle shells and injects a gluing agent there. It affects the tissue of the scrotum, as a result of which the secret ceases to be produced.
The doctor cuts the skin and outer shell of the testicle. The length of the wound is about 5 cm. After this, all tissues and membranes are cut up to the innermost, vaginal. The doctor performs a puncture of the accumulated fluid.
The edges of the wound are turned out and sutured behind the organ. As a result, the shell area is reduced. Subsequently, the tissues will absorb the resulting liquid. Ice is applied to the scrotum for 2 hours. Threads can be absorbable or not. In the second case, the stitches are removed after 10-14 days.
This operation to remove the hydrocele is very similar to the previous one. The only difference is that excess tissue is not bent, but cut. A temporary drainage is installed. Fabrics are sutured in layers, then sutures are applied to the skin. A bandage is placed on the scrotum.
Bergman's operation is carried out with a large testicle, with a chronic disease, thickening of the membranes. It is somewhat more traumatic than the Winkelmann modification, but it avoids the accumulation of tissues and the unaesthetic appearance of the testicle.
This type of intervention is indicated for congenital hydrocele of the testis in children older than 2 years. The patient is lying on his back.
The doctor after the onset of anesthesia disinfects the inguinal zone and makes an incision in the lower abdomen. This is necessary in order to visualize the spermatic cord and not to touch it during further surgical intervention.
After that, the doctor discovers the vaginal process of the peritoneum, which is the cause of congenital hydrocele. He crosses education and bandages the stump. A hole (“window”) is formed in the inner shell of the testicle.
It is necessary for the outflow of the resulting liquid. After this, stitches and an aseptic dressing are applied. Operation Ross has a fairly large number of varieties.
The technique of its implementation is constantly being upgraded to increase safety and efficiency.
As noted in the Operational Urology manual (written by F. Hinman), “Lord's plication of the membranes is considered the most effective way to treat acquired testicular dropsy, with minimal trauma to the loose connective tissue of the scrotum.”
The patient is in a supine position. A doctor or nurse treats the lower abdomen and scrotum with an antiseptic. The surgeon stands on the right and pulls the affected testicle down to loosen the muscle that is lifting it.With the fingers of his left hand, he squeezes the spermatic cord and injects a solution of lidocoin into it. It serves to anesthetize.
The skin on the scrotum is stretched, and the doctor makes an incision about 4 cm long at the place farthest from the testicle. Affected blood vessels coagulate. Next, an incision is made to the inner (vaginal) membrane of the testicle. External tissues are pushed apart and fixed with clamps to prevent bleeding.
The wound has a rounded appearance, along its edges there are skin wrapped like a roller, subcutaneous tissue, and the outer (fleshy) membrane. After that, the surgeon makes a puncture of the vaginal membrane to evacuate the liquid contents. The vaginal membrane is also cut and squeezed into the wound testicle.
The doctor will examine it in detail to exclude concomitant pathologies. After this, the testicle rises and the membranes undergo plication (folding) - this is a feature of the Lord's operation. They are sutured with absorbable thread, which is then pulled. Then the testicle returns to its place, and additional necessary sutures are applied.
Consequences of the intervention
The following complications are possible depending on the type of operation:
- Hematoma (internal hemorrhage). As a rule, does not require treatment. A hematoma can occur when the sutures are loose.
- Relapse. Minimally invasive methods most often lead to repeated accumulation of serous fluid, if the cause of its formation is not eliminated. Some authors call the relapse rate up to 100%. In operations involving suturing of the testicle, such an accumulation is possible only if a pocket has remained around the parenchyma (loose tissue of the organ).
- Cosmetic defect. Acquired tissue with a strong hydrocele can have an unpleasant appearance of the so-called nodule. This can be avoided by resorting to excision surgery (Bergman). They are more traumatic, but nevertheless advisable when stitching a large area of tissue is required.
- Swelling of the scrotum. It can be observed for several months and is not a cause for concern. The testicles should be soft to the touch.
- Excision of the spermatic cord. Such damage is very dangerous because it leads to infertility. The spermatic cord is practically not recoverable. Crucial is the speed of going to the doctor.
- Testicular atrophy. With this consequence of the operation, the organ gradually decreases in size, its ability to sperm is violated. Atrophy is not subject to treatment, testicular removal is indicated.
Important! You should immediately consult a doctor if the testicle became hard to the touch, increased in size, reddened or acquired a bluish tint.
Recommendations for the recovery period are as follows:
- Wearing loose clothing. It is necessary to abandon swimming trunks and tight boxers. It is advisable for small children not to wear diapers. This is important so that the testicle does not overheat. Important! The exception is puncture hydrocele. In this case, on the contrary, the wearing of tight underpants or a suspensory (supporting bandage) is shown.
- Water procedures can be resumed after 1-2 days. It is preferable to use only a shower for the first time.
- With minor pain, analgesics are indicated. Also, the doctor may prescribe anti-inflammatory drugs.
- Regular monitoring of testicular function and a visit to a urologist are required.
- Lead a healthy lifestyle.
- Abstinence from sexual intercourse for 2-3 weeks.
- Sitting at first is not recommended. It is better to spend several days in bed. The exact date should be indicated by the doctor, depending on the operation.
- If the patient had drainage, then after 2-3 days it is necessary to see a doctor to remove it.
- At home, it is necessary to smear the seam with a solution of diamond greens or anti-inflammatory ointment on the recommendation of a doctor.
Most reviews are left by mothers of children suffering from congenital dropsy. For parents, son surgery becomes a real stress.
Children, as a rule, endure all medical procedures relatively easily and quickly forget them. Dropsy of the testicle in a child sometimes disappears, therefore, mothers who have encountered this, in their reviews, advise not to rush the operation if the doctor does not see a health hazard. The most difficult thing is to entertain the little patient in bed after anesthesia. For some time it is undesirable to get up, and a catheter will be in the boy’s hand. Basically, the prognosis after surgery is favorable. But some mothers write in reviews that they had to go through surgical intervention several times, as the testicle continued to grow in size. Men often leave feedback only if complications arise after surgery: inflammation, relapse. Some adult patients have difficulty diagnosing and choosing the optimal treatment strategy. This is possible due to concomitant diseases - prostatitis, varicocele. In this case, the optimal solution is to contact highly qualified specialists, possibly visiting several doctors. It is necessary to conduct a number of studies, including general ones, a detailed study of the medical history. Surgical intervention can be performed according to the compulsory medical insurance policy or in a private clinic. The average price of operations related to tissue dissection is 10,000 - 30,000 rubles. With bilateral intervention, the cost, as a rule, increases by 60-80%. During the operation, children may increase the price due to the use of general anesthesia. Puncture is the cheapest type of intervention. The price for its holding is from 800 to 3000 rubles. Sclerotherapy will cost 4,000 - 7,000 rubles. Hydrocele surgery can finally solve the problem. With the skillful actions of the surgeon, the likelihood of relapse and complications is minimal. It is important to follow all the doctor's recommendations after the procedure and conduct regular examinations by a urologist. Hydrocele, or dropsy of the testicle, is one of the rare, but still unpleasant pathologies of the male reproductive system. Dropsy is characterized by the accumulation of fluid in a volume of 30-200 ml between the membranes of the testis (testis). As a result, the scrotum increases in size, while there is no pain even when moving. They treat pathology in most cases promptly. How is the surgical intervention, and what consequences after the dropsy operation in men can be, we analyze below in the material. It is important to understand that testicular dropsy surgery is not indicated for all male patients. So, the hydrocele formed in the baby congenitally, as a rule, goes away by itself at 1.5 or 2 years and does not require surgical removal. At the same time, the causes of the formation of pathology in children and adults differ. So, in newborn babies, dropsy is formed for the following reasons: Important: most often, dropsy surgery in these cases is not needed. Pathology is simply observed until it passes on its own. Surgery is used only as a last resort. In boys from 3 years old and in adult men, hydrocele develops for the following reasons:
Dropsy of the testis in men: consequences after hydrocele and recovery
Causes of testicular dropsy
Dropsy of the testicle in a child sometimes disappears, therefore, mothers who have encountered this, in their reviews, advise not to rush the operation if the doctor does not see a health hazard.
The most difficult thing is to entertain the little patient in bed after anesthesia. For some time it is undesirable to get up, and a catheter will be in the boy’s hand.
Basically, the prognosis after surgery is favorable. But some mothers write in reviews that they had to go through surgical intervention several times, as the testicle continued to grow in size. Men often leave feedback only if complications arise after surgery: inflammation, relapse. Some adult patients have difficulty diagnosing and choosing the optimal treatment strategy. This is possible due to concomitant diseases - prostatitis, varicocele. In this case, the optimal solution is to contact highly qualified specialists, possibly visiting several doctors. It is necessary to conduct a number of studies, including general ones, a detailed study of the medical history. Surgical intervention can be performed according to the compulsory medical insurance policy or in a private clinic. The average price of operations related to tissue dissection is 10,000 - 30,000 rubles. With bilateral intervention, the cost, as a rule, increases by 60-80%. During the operation, children may increase the price due to the use of general anesthesia. Puncture is the cheapest type of intervention. The price for its holding is from 800 to 3000 rubles. Sclerotherapy will cost 4,000 - 7,000 rubles. Hydrocele surgery can finally solve the problem. With the skillful actions of the surgeon, the likelihood of relapse and complications is minimal. It is important to follow all the doctor's recommendations after the procedure and conduct regular examinations by a urologist. Hydrocele, or dropsy of the testicle, is one of the rare, but still unpleasant pathologies of the male reproductive system. Dropsy is characterized by the accumulation of fluid in a volume of 30-200 ml between the membranes of the testis (testis). As a result, the scrotum increases in size, while there is no pain even when moving. They treat pathology in most cases promptly. How is the surgical intervention, and what consequences after the dropsy operation in men can be, we analyze below in the material. It is important to understand that testicular dropsy surgery is not indicated for all male patients. So, the hydrocele formed in the baby congenitally, as a rule, goes away by itself at 1.5 or 2 years and does not require surgical removal. At the same time, the causes of the formation of pathology in children and adults differ. So, in newborn babies, dropsy is formed for the following reasons:
But some mothers write in reviews that they had to go through surgical intervention several times, as the testicle continued to grow in size.
Men often leave feedback only if complications arise after surgery: inflammation, relapse. Some adult patients have difficulty diagnosing and choosing the optimal treatment strategy. This is possible due to concomitant diseases - prostatitis, varicocele.
In this case, the optimal solution is to contact highly qualified specialists, possibly visiting several doctors. It is necessary to conduct a number of studies, including general ones, a detailed study of the medical history.
Surgical intervention can be performed according to the compulsory medical insurance policy or in a private clinic. The average price of operations related to tissue dissection is 10,000 - 30,000 rubles. With bilateral intervention, the cost, as a rule, increases by 60-80%. During the operation, children may increase the price due to the use of general anesthesia.
Puncture is the cheapest type of intervention. The price for its holding is from 800 to 3000 rubles. Sclerotherapy will cost 4,000 - 7,000 rubles.
Hydrocele surgery can finally solve the problem. With the skillful actions of the surgeon, the likelihood of relapse and complications is minimal. It is important to follow all the doctor's recommendations after the procedure and conduct regular examinations by a urologist.
Hydrocele, or dropsy of the testicle, is one of the rare, but still unpleasant pathologies of the male reproductive system. Dropsy is characterized by the accumulation of fluid in a volume of 30-200 ml between the membranes of the testis (testis).
As a result, the scrotum increases in size, while there is no pain even when moving. They treat pathology in most cases promptly.
How is the surgical intervention, and what consequences after the dropsy operation in men can be, we analyze below in the material.
It is important to understand that testicular dropsy surgery is not indicated for all male patients. So, the hydrocele formed in the baby congenitally, as a rule, goes away by itself at 1.5 or 2 years and does not require surgical removal. At the same time, the causes of the formation of pathology in children and adults differ. So, in newborn babies, dropsy is formed for the following reasons:
Important: most often, dropsy surgery in these cases is not needed. Pathology is simply observed until it passes on its own. Surgery is used only as a last resort.
In boys from 3 years old and in adult men, hydrocele develops for the following reasons:
Important: testicular hydrocele operation is mandatory and urgent if the total volume of accumulated fluid is 50 ml or more. Symptom of such a pathology is the scrotum is too enlarged on one side and the testicle is not palpating.
Testicular dropsy operation in men
Surgery for dropsy of the testicle in adults is performed only in the hospital (municipal or commercial). The operation can be carried out by one of several methods:
- Winkelman’s technique. In this case, the surgeon dissects the testis membrane, removes the fluid and turns the membrane out. Then the membrane tissue is sutured in the reverse order, and a temporary rubber drainage tube is inserted into the wound lumen.
- Technique of the Lord. It is less traumatic, since in this case the testis itself is not excreted into the wound lumen during the operation. The shell of the body is simply corrugated and sutured. As a result of this intervention, the tissues and blood vessels surrounding the testicle suffer the least.
- Bergman's technique. It is indicated with a large accumulation of fluid and with too thick testis membranes. Here, the doctor performs a hydrocele operation by cutting off the shell at the very base and stitching its residues with specialized sutures. After this, the testis is immersed back into the scrotum and all surrounding tissues are sutured in the reverse order.
- Ross technique. Here, during the operation, the surgeon undertakes to remove the fluid by the method of accurately ligating the process in the area of the inguinal inner ring and then carefully cutting it off. Drainage is placed in the membrane, and the wound is sutured.
Important: if a hydrocele occurs due to a scrotal injury, then the operation is performed approximately 2-6 months after the injury. All this period, pathology is observed. In most cases, it resolves on its own.
The consequences of the operation
It is important to understand that dropsy of the testis after surgery requires close monitoring by the surgeon, since the manipulation in some cases can lead to various kinds of complications. The most common are:
- Soreness in the groin area lasting about a week (manifested during walking),
- Swelling of the joints,
- Retention of urine outflow
- Inflammation of the sutures and purulent discharge from the wound,
- Decreased libido
- Allergic reactions to medication.
- The formation of a hematoma in the area of surgical intervention,
- Decrease in general sensitivity from the inside of the thigh (suggests that the inguinal nerve is affected).
Important: relapse may occur after testicular hydrocele. But this is only possible if a puncture was performed to remove the accumulated fluid, and not a full operation.
The rehabilitation period after surgery is approximately 30 days. But for each patient, the recovery period is individual, depending on the general condition of the body, age and characteristics of the immune system. In general, recovery after hydrocele operation includes a number of such recommendations and measures:
- Wearing a sterile antiseptic dressing for a week after surgery with its constant daily replacement,
- Removing sutures from mylar threads a week after the intervention,
- Treatment of the wound surface with a diamond solution or a solution of manganese to form a protective scab, which will then fall off,
- The ban on taking hot baths and bathing in public reservoirs until the wound is completely healed and a cosmetic scar is formed,
- Refusal of sexual activity for a month until the pain syndrome and wound healing completely disappear,
- A ban on physical activity with weight lifting for a period of up to a month,
- Observation by the attending physician in the first six months after elimination of fluid from the scrotum.
It is important to understand that the operation itself to remove dropsy is not complicated and takes only 20-30 minutes. However, in the postoperative period, it all depends on the patient himself. Exact observance of all recommendations allows you to avoid complications and return to your usual lifestyle as soon as possible.
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Testicular dropsy treatment (hydrocele)
calendar_today April 19, 2016
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Dropsy testicle, or hydrocele, is a disease in which between the leaves of the so-called vaginal membrane of the testicle an excess of fluid is formed and delayed.
This occurs quite often, both in adult men and young boys.
The volume of accumulated liquid can be different: from insignificant (several milliliters) to substantial (in rare cases - even up to 3 l).
The concept of "hydrocele" is derived from the Greek words hydor, which means "water, liquid," and kele, which translates as "swelling, swelling."
Testicular dropsy: causes
Distinguish between congenital, acquired and acute dropsy of testicular membranes. In this case, the causes of the disease are different. For example, in the last century, hydrocele was most often the result of gonorrhea.
Today most often testicular swelling due to injuries. Moreover, these injuries are usually so insignificant that no one attaches importance to this.
However, after a time after such a minor injury, a complication begins: in a few weeks one of the half of the scrotum swells and hurts, swelling slowly increases. Sometimes the process can go completely without pain and other disorders for several years. This means that there is a chronic dropsy of the testicle.
When the size of the scrotum has become very large (in exceptional cases, it may have the size of a baby's head), difficulties arise when urinating and sexual disorders.
- Also hydrocele can occur as a complication after a kidney transplant or treatment for varicocele (testicular varicose veins).
- About what is varicocele, and its treatment, read:
- Acute form often occurs against a background of more serious diseases: gonorrhea (purulent inflammation of the urinary tract), epididymitis (inflammation of the epididymis), tuberculosis.
Dropsy of the testicle in the newborn
Dropsy in a child
Hydrocele in newborn boys occurs when an excess of fluid forms in one of the membranes of the testicle, ensuring its free movement in the scrotum.
Such congenital dropsy develops when the child is still in the mother’s stomach. Why? The norm is the lowering of the boy's testicles into the scrotum through the inguinal canal from the peritoneum before the baby is born. After the testicles have lowered, the lumen formed in the peritoneum should overgrow. If this does not occur, hydrocele develops due to fluid coming from the abdominal cavity.
As a rule, treatment is not required and during the first year of the baby’s life, the disease goes away on its own.
What if not treated
By itself, a small accumulation of fluid in the cavity of the testicles does not cause complications. Another thing is if the volume of the organ has increased significantly. In this case, difficulties in movements are noted, in men, difficulties in sexual life are possible.
In addition, if the disease is neglected, there is a risk of rupture of the testicle wall due to its gradual thinning. Fluid from the testicle cavity will inevitably fall into the scrotum and cause its swelling.
Erectile dysfunction may occur
So, the possible serious complications of hydrocele are as follows:
- erectile dysfunction,
- decreased sex drive,
- testicular atrophy followed by impaired sperm production and male infertility,
- premature ejaculation,
- testicular necrosis. With testicular necrosis, only its removal is indicated (orchiectomy).
Even if the edema itself does not bother you in any way, you should definitely visit a urologist in order to exclude the risk of other serious diseases, which may cause hydrocele. These include: various inflammations, sexually transmitted diseases, etc. And perhaps this is not dropsy at all, but a more complex pathology (for example, a tumor). If "something is wrong," do not pull - go to the doctor.
For a competent specialist to determine this disease and prescribe adequate treatment is not difficult. First, the doctor performs an initial examination, for even more information, an ultrasound of the scrotum is performed. An ultrasound study provides data on the volume of accumulated fluid, as well as on the condition of the testicle and its appendages.
In order to establish the exact cause of hydrocele, the testicles are also translucent with a narrow beam of light (diaphanoscopy), so that you can examine their inside.
The doctor according to the results of ultrasound and diaphanoscopy can prescribe additional tests and studies.
Dropsy of the testicle: how is the operation
Surgery is the only effective way to treat dropsy of the testicles. Moreover, this getting rid of dropsy can be carried out in the following ways:
1) puncture (puncture) of the testicle with a special needle and through it pumping out the fluid accumulated in the shells. Advantages: convenience, low injuries. Disadvantages: the most basic - 100% relapse of the disease after some time (for example, after a few months),
The operation will relieve hydrocele
2) Winkelman operation. One of the techniques for reliable disposal of hydrocele. With such surgical intervention, the doctor cuts one of the leaves of the shell of the diseased testicle, turns inside out and stitches it behind the testicle. As a result, the liquid no longer accumulates,
3) Bergman operation. Such an intervention involves the removal of part of the patient’s own testicle shell and stitching of the remaining. After the operation, you will need to take antibacterial drugs and wear a suspensory (supporting bandage for the scrotum) for some time,
4) Lord's operation. With hydrocele, eliminated in this way, the shell of the diseased testicle is dissected, the accumulated fluid is released, the vaginal membrane around the testicle is “corrugated” (compressed). The testicle itself is not released from surrounding tissues and does not dislocate into the wound, which reduces the trauma of its vessels and adjacent tissues.
Despite the presence of several radical (reliable) techniques for getting rid of hydrocele (according to Winkelmann, Bergman and Lord), there is no fundamental difference between them. Most often, how the operation will be performed, the doctor decides during the intervention.
For example, if the dropsy is significant and, therefore, there is an excess of membranes, it is rational to perform the Bergman operation. Another case is if the hydrocele is old, then the Lord’s operation will not work. Due to the rigidity of the shells, their corrugation will not give a good aesthetic result.
One of the most common methods is the Winkelmann operation, since after it does not require long-term rehabilitation, it will not be necessary to wear suspensories. Although the operation is performed under general anesthesia, if it was successful, then after a few hours the patient will be able to go home.
After the operation, you must follow all the doctor’s instructions.
The main methods are as follows:
- regular examination of the genitals for any abnormalities,
- prevention of injury to the scrotum, with injury - a timely trip to the urologist,
- prevention and timely treatment of cancer processes,
- prevention and timely treatment of inflammatory (including sexually transmitted) diseases.
Treatment of dropsy of the testicle in men
- What is the problem
- Hydrocele treatments
The abnormal accumulation of fluid in the membranes that make up the cavity around the male seminal gland or glands is called dropsy of the testicles (or hydrocele) by specialists. This condition can trigger various reasons - from traumatic effects on the groin organs to one of the options for the course of inflammatory diseases.
Treatment of dropsy of the testis in men is mainly carried out by radical rather than therapeutic methods. The main procedures are puncture, puncture with the introduction of tissue sclerotizing substances, as well as a full surgical intervention.
Drug therapy of acute (reactive) dropsy on the background of acute inflammatory or infectious diseases implies treatment of underlying pathology.
Antimicrobials, syndromic therapy, blood-flow-improving agents, physical and sexual rest, wearing a retention bandage. As you recover with normalization of lymph and blood flow, the volume of exudate returns to normal.
This variation of the disease in question is rare. With the ineffectiveness of drug treatment, it needs surgical intervention.
All other cases require surgical treatment!
Preparation for surgical treatment includes blood and urine tests, individual selection of pain medications (anesthesia), determination of the need for drainage. Immediately before the operation, the surgical field is prepared - the pubis and scrotum are shaved.
With different sizes of hydrocele, various techniques are used. The meaning of all of them is to prevent re-accumulation of exudate: removal of fluid, resection of the membrane of the organ and elimination of the interlaminar bag.
There are several options for surgical intervention:
- Winkelman Operation. A water sac with a testicle is removed into the skin incision, the capsule wall is cut, freeing the testicles, and the cerebrospinal fluid is poured out. Then the membrane is turned outwards with a serous layer, suturing its edges behind the testicles and spermatic cord. The testicle is immersed in the scrotum and the incision is stitched.
- A variation of the previous method is surgery for Clappu: after emptying the sac, the fascia is not turned out, but sutured around the testicles.
- Operation Lord. The testicle is not removed through a skin incision, the capsule walls are cut and corrugated around the testicles with special sutures. This technique less injures nearby tissues and blood vessels.
- Indication for surgery according to Bergman is a large hydrocele when it is not rational to leave the testicle shell. After dissection of the sac, the shells are not turned out, but excised.
Clinical observations and patient reviews indicate that the testicle is able to fully function if its vaginal fascia is removed. The quality of life after surgery is greatly improved.
Complications and contraindications
Typical complication these manipulations – scrotum swelling and inflammation in the testicle due to mechanical stress during surgery.
They are observed in about half of cases, do not require special treatment and return to normal two weeks after surgery.
However, if the general condition worsens, febrile temperature and local redness should seek medical help.
Less common complications are scrotal hematoma and hemorrhage due to not sutured small blood vessel. Large bruises drain, small ones resolve spontaneously.
Contraindications to surgical procedures is a violation of blood coagulation, senile age and chronic diseases in the stage of decompensation. In this case, alternative methods are used.
Features, causes and symptoms
Dropsy of the testicle is a pathology caused by the accumulation of serous fluid between the seminal membranes. Very often, the disease is found in infants and children up to 1 year old.
The problem is caused by non-closure of the appendix of the abdominal wall, as a result of which fluid from the peritoneum freely enters the seminal membranes.
In more rare cases, doctors remove the accumulated fluid with a puncture or surgery, which is done under general anesthesia.
The disease can occur in quite adult men. There are many reasons, sometimes several factors influence the occurrence of a hydrocele.
The most common cause is:
- mechanical damage (due to shock, unsuccessful fall or sports injury),
- reaction to medication
- urinary tract infection
- severe heart failure
- surgery to remove varicocele, inguinal hernia, prostate tumor.
At the beginning of the disease, the patient can feel only slight discomfort. With the accumulation of serous fluid, the scrotum increases in size, with palpation, you can find that the testicle has become larger and denser. If the fluid or the enlarging testicle presses on the spermatic cord, premature ejaculation is possible, the patient feels a pulling pain, discomfort in the lower abdomen, and difficulty urinating.
With dropsy of the testicle, which developed as a result of infection, pus enters the lymph that has accumulated between the seminal membranes. This can provoke severe inflammation and subsequent tissue necrosis. Constant squeezing of the spermatic cord threatens to reduce sperm motility and a decrease in sperm count.
The most unpleasant consequence is infertility, in some cases it is necessary to completely remove the testicle along with the affected tissues of the seminal cavities.
The causes of dropsy of the testicles in men and treatment are determined by the doctor, timely treatment of which will help to avoid unpleasant complications.
The treatment is carried out by a urologist, dropsy resulting from chlamydia, gonorrhea or other sexually transmitted diseases is treated with the participation of a venereologist.
Before making an accurate diagnosis, the doctor prescribes an ultrasound or diaphanoscopy with scans of the scrotum using a special device. After this, analyzes are possible to determine the nature of the hydrocele.
How to treat dropsy of the testicles in men, read on.
Dropsy of the testis in men: treatment
Is it possible to cure testicular dropsy without surgery? It turns out yes. There are two alternative treatments: sclerotherapy and puncture.
The simplest and fastest way to treat dropsy without surgery is puncture. The procedure is performed under local anesthesia on an outpatient basis. First, the skin of the scrotum is anesthetized with a local anesthetic and then a puncture is made. Using the inserted needle, the fluid is removed. The procedure is considered one of the safest methods of treating hydrocele, which is associated with a minimal risk of complications, in particular, scrotum hematoma, as well as its infection. However, this method is ineffective, since after a while the liquid accumulates again. Puncture is used for contraindications to surgery or emergency relief.
This method of treatment consists in the evacuation of fluid from the testicle membranes and the introduction of sclerosing substances (for example, betadine, alcohol, etc.) into the scrotum. This is done in order to provoke the development of aseptic (non-infectious) inflammation of the membranes of the testis and their subsequent fusion.
As a result, the cavity in which the liquid accumulates completely disappears. According to studies, this method of treating hydrocele without surgery has a very small percentage of relapses (only 1%).
In addition, patients are advised to abandon physical activity and wear tight underwear.
Hydrocele: drug treatment
Drug therapy consists in taking antibacterial and anti-inflammatory drugs, the action of which is aimed at destroying the virus that caused the development of the disease. If hydrocele is provoked by testicular injury, a treatment course is conducted to improve lymph circulation and blood flow, which helps to normalize fluid outflow.
Symptoms, examinations and diagnosis
The main symptoms of dropsy of the testicle:
- Swelling of the genital area. Sometimes edema occurs, and then disappears for no particular reason. If we are talking about dropsy, then the problem will manifest itself at night. During the day, fluid is distributed throughout the abdominal cavity, releasing channels. Therefore, an increase may not be observed for some time, but later it appears again.
- Pain. In the scrotum, pain appears, which are expressed slightly. Rather, severe discomfort is characteristic, especially when you click on a problem area.
- Often, dropsy accompanies the inflammatory process. It is characterized by the presence of severe redness. When the skin and internal cavities become inflamed, the pain becomes more distinct and brings a lot of discomfort. Inflammatory processes with dropsy should be removed, this requires a visit to a doctor and the appointment of adequate therapy.
- If the dropsy is not red, but it hurts a lot, we can talk about an injury that was previously received. Because of this, fluid accumulation and edema occurred.
- If dropsy is accompanied by fever, we are talking about the development of concomitant infection. In this case, there is a feeling of heaviness in the groin.
Diagnosis begins with a visit to a urologist. He will conduct an external examination of the genitals, compare the symptoms, determine the exact location of the problem and its nature development. Diaphanoscopy, which is a painless procedure, will also be prescribed.
As part of its implementation, the organs are illuminated with a special device, with which it is possible to extract light with the necessary indicators.
Ultrasound (ultrasound) is also prescribed. It will help with high accuracy to establish how the dropsy proceeds, where exactly it is concentrated, and what its size.
Other methods are also used for diagnosis, which depend on the doctor’s suspicions of developing other diseases, since in some cases edema is formed as a result of abnormal deviations.
Video: "What is testicular dropsy"
How to treat dropsy of the testicle in men folk methods
If dropsy is not started and does not develop further, it can be successfully treated with folk remedies without surgery, which were used by our ancestors. However, it should be remembered that any independent treatment of hydrocele should be carried out under the supervision of a specialist, otherwise it can lead to very sad consequences.
Parsley and peas in the treatment of swelling of the scrotum
A good efficiency in the treatment of dropsy of the testicle without surgery showed a pea compress. To prepare it you will need:
- a small piece of cotton
- water 0.5l.,
- dry peas.
Peas put on the bottom of the pan and pour cold water, leave to swell for 1 hour. Then put the container on the stove and bring the peas to a boil, simmer for 15 minutes. After cooling the pea broth, moisten the tissue in it and apply a compress to the swollen scrotum for 15-20 minutes. The procedure is carried out 1-2 times / day until the swelling completely disappears.
This folk remedy can keep in the refrigerator for up to 48 hours, before use it should be warmed up to body temperature. Such a compress quickly relieves swelling of the testicle. If after two or three days no improvement has occurred or the volume of the scrotum has become even greater, you must refuse to use this method and go to the clinic.
For the treatment of dropsy, a decoction of parsley is also used.For its preparation, you need to take fresh unpasteurized milk (1 l) and parsley leaves (800 g). At the bottom of the pan put the washed leaves of the plant and pour milk. Place the container in the oven where the milk should languish for 3-4 hours. As soon as the milk volume is halved, remove the pan from the oven, cool the contents and strain. Received product 15-30 ml every hour.
In addition, there are many recipes for treating hydrocele with folk remedies such as herbs and juices.
But no matter what method of testicular dropsy treatment you choose, you should first of all consult a doctor about the correctness of treatment and, following his recommendations, you will very quickly get rid of this problem without any consequences.
How to cure dropsy without surgery
The method of treatment of dropsy depends on the characteristics of the disease. If we are talking about a newborn, then dropsy can pass on their own. In this case, the pediatrician should give recommendations.
In some cases, in infants, part of the intestine enters the lumen that has formed. When a child begins to eat solid food, it can cause serious difficulties, characterized by acute pain.
This situation is very dangerous, and parents and doctors will have several hours to correct the situation, since it can lead to death.
Medicines for dropsy (hydrocele) are also used. The need for their appointment should be due to some features. So, dropsy is always accompanied by any disturbances in the functioning of the genitals due to the bacterial load.
This is explained by the fact that the contents press on healthy tissues, friction constantly occurs, and blood circulation worsens. This causes the development of a pathogenic environment. If you do nothing, inflammation may occur.
Also, in addition to antibacterials, anti-inflammatory drugs are prescribed.
They help to cope with swelling, especially with the infectious nature of the development of the disease. Anti-inflammatory drugs generally alleviate the condition with a complex course of the disease and a gradual increase in dropsy.
With the help of physiotherapy, it is possible to achieve a relief of the syndrome if dropsy is not in the active phase of development. If it is constantly growing, procedures are prescribed that allow you to slow down and subsequently completely stop the increase in the problem area for the subsequent fight against the disease.
Instead of tea, you can use a decoction of watermelon seeds - this tool will help improve blood circulation, help get rid of edema, remove excess fluid from the body. Such a drink will become a natural anti-inflammatory agent.
Onion juice also helps a lot.. You can take one onion, chop it finely, cover it with a few tablespoons of sugar. After a few hours, when a sufficient amount of juice is formed, you need to drink it (get 2-3 tablespoons).
Black radish juice with honey will also help. First you need to take a third of the glass, and divide this technique into two. Next, gradually, you need to increase the amount of drink consumed. Maximum - drink two glasses a day (again, divide by two - in the morning and evening, regardless of food intake).
Half a glass pumpkin juice you can drink a day - this will help the body strengthen and cope with dropsy.
Video: "Treatment of dropsy of the testicle"
How is the treatment going?
Non-surgical treatment does not only mean taking medications orally, while alternative medicine is not always sufficient. If dropsy does not grow, if there is no inflammation, you can limit yourself to these methods. But in cases where the situation does not change, you have to act more dramatically.
So, sclerotherapy is one of the most popular ways to solve a problem.However, this technique does not always help to completely get rid of the disease. With the help of certain manipulations, which are carried out under local anesthesia, all the excess is pumped out into the cavity where the fluid has accumulated.
The effect can be maintained for six months, but the advantage is that during this time a person has every chance to strengthen his health through the use of folk methods and think about how to proceed.
Also, in some cases, the operation simply cannot be performed.. This usually happens for medical reasons or in the elderly. Then, periodic sclerosis becomes the solution. Once every six months, the patient visits a doctor and carries out appropriate manipulations.
You must understand that the operation nevertheless gives a more lasting effect, in addition, it allows you to once and for all get rid of both the disease and its consequences. In this case, the fluid is not just pumped out, but the channel leading to the pocket is sutured, where the contents are accumulated.
That is, after such manipulation and passing the recovery course, the patient no longer waits for the dropsy to appear again and everything will happen again.
Why does testicular hydrocele occur
Dropsy in the vast majority of cases develops only on the left or right side of the scrotum. Testicular fluid in men builds up for a variety of reasons. The most common are mechanical injuries of the testis and various infections, trippers, trichomoniasis, chlamydia are the leaders. The consequence of injuries in men more often is dropsy in acute form, and bacterial diseases - a chronic ailment.
In addition, dropsy of the testicle in men sometimes becomes a complication of such diseases and pathological conditions:
- heart failure,
- damage to lymph nodes during operations with inguinal hernias, varicocele (varicose veins of the spermatic cord),
- cirrhosis of the liver.
How does the scrotum appear?
Often the symptoms of this testicular disease in men are either subtle or completely absent. A small accumulation of fluid at the initial stage of the pathology does not cause pain or discomfort, however, the inflammatory process with dropsy of the testicle can accelerate and lead to a clear increase in the scrotum. Another characteristic: soft tissue of the scrotum becomes dense, like a lump. In advanced cases, stagnant fluid suppurates, and hydrocele develops into a piocele.
Symptoms with which dropsy of the testicle makes itself felt in men:
- wearing swimming trunks causes discomfort when walking,
- noticeable enlargement and densification of the scrotum,
- urination becomes difficult or involuntary,
- there is discomfort during sexual acts,
- worried about aching or severe pain in the perineum or testicle, the contours of which cannot be determined by touch,
If dropsy occurs in men in an acute form, then the symptoms can manifest themselves very clearly. In chronic hydrocele, the signs of the disease are smoothed out: swells, taking the form of a pear, left or right half, or the entire scrotum. Often, the swelling decreases when lying down, but increases again when the man moves. When walking, pulling or bursting pains appear.
How is dropsy diagnosed in men
Previously, the stage of the disease is detected during examination, palpation of the scrotum and samples, the purpose of which is to identify the state of the veins. The vessels may be swollen, but invisible, or expanded and protruded. In many men, venous pathology is visible visually when the patient strains the abdominal press. Urine tests reveal the work of the kidneys with dropsy of the testicles.
The doctor clarifies the data obtained by conducting an ultrasound scan, which helps to establish whether the patient has venous hypertension. Ultrasound scanning along with dopplerography allows you to find out the state of blood circulation in the testes, kidneys. In healthy men, venous reflux is not observed (reverse blood flow when valves are damaged).By analyzing the seminal fluid, one can judge the viability of sperm. Dropsy disease is determined only by the doctor, independent appointments are excluded.
How to treat dropsy of a man’s testicle
There is an opinion that the disease will go away by itself, without medical intervention. Indeed, this happens, but not always. If dropsy of the testicle is not cured, the disease will progress slowly. Years will pass - and pathology will go into a much more difficult stage. Two options for medical care are possible: conservative treatment and surgery.
- If dropsy of the testicle in men is of an infectious nature, antibiotics and anti-inflammatory drugs help recover. With scrotal edema caused by trauma, the primary task is to restore blood circulation and accelerate the resorption of the hematoma. For this, in addition to medicines, prescribed massage of the injured organ and therapeutic exercises. With the help of drugs, sperm production and quality can be improved.
- If dropsy in men is not started, sometimes attempts are made to cure the ailment with folk remedies. Children’s cream is mixed equally with calendula ointment, impregnated with gauze and applied to the scrotum overnight. Another folk remedy for dropsy of the testicle is fresh flowers of pharmacy chamomile. Using a meat grinder, the raw materials are turned into gruel and half-hour compresses are made. In this case, you should drink a glass of pumpkin juice daily. However, if the veins are dilated, neither therapy nor folk remedies will help to cure the disease completely.
Surgical removal of dropsy of the testicle
With congenital dropsy of the testicle in men, operations are performed according to the method of Dr. Ross. A puncture is performed in the shells, due to which the liquid is able to flow out through the hole formed. During operations according to a less traumatic scheme developed by Dr. Lord, the bag with exudate is excised and a channel is formed for its outflow. However, more often practice operations according to Bergman or Winkelman. The first technique differs from the second in that the membranes are not sutured, but excised near the diseased testicle.
Non-surgical treatment of hydrocele
If there are contraindications to the operation, puncture with a needle in a bag of liquid and pump it out. However, this measure brings temporary relief, since the exudate accumulates again. The sclerosing method is more effective. After pumping the liquid, ethyl alcohol or Betadine solution is introduced into the bag - the membranes grow together with the passage, and the exudate no longer accumulates.
Video: what is dropsy of the testicle
Aleksey, 27 years: A year ago, I drove football and got a strong blow in the groin. In the evening, the temperature rose, the scrotum was swollen, I had to call an ambulance. The doctor said dropsy of the testicle. They offered to go to surgery, but I refused. A few days later it got worse. Then I agreed and regretted that I did not do it right away. I feel great now.
Cyril, 24 years old: I had a dropsy of a testicle in my childhood, from birth. At first they said inguinal hernia, but then it turned out to be dropsy. Doctors told their parents that they had to wait until I was 3 years old. This dropsy passed with me even earlier, by two years. Recently I got married, my daughter was born, nothing bothers me, everything is okay about sex!
Vladimir, 34 years: Five years ago, I picked up a trepak. When the pain became unbearable, my friends advised me on antibiotics. It’s easier, and then the scrotum is so swollen that I still had to go to the doctor. It turned out dropsy of the testicle. They made me punctures, but the benefit from them is temporary - only the operation will help. I experienced it myself, it is better not to delay.
Treatment of dropsy of the testicle in men with folk remedies
Dropsy of the testicle is a pathological formation. Hydrocele is a disease in which the cavity between the membranes inside the testicle is filled with fluid. If this problem is found, it is necessary to consult a doctor who will prescribe treatment.In the early stages, it is recommended to supplement the treatment of dropsy of the testicle in men with folk remedies.
Brief description of the disease
Most often, dropsy of the testis is diagnosed in boys during the neonatal period, because the abdominal lumen is not overgrown, by which the testicle is lowered into the scrotum, through which fluid enters the testicle. In this case, dropsy passes on its own and does not require treatment. In men, the occurrence of testicular dropsy is a consequence of inflammatory diseases of the scrotum, hormonal disruptions, and trauma to the testicles. Sometimes hydrocele leads to a cyst of the spermatic cord - the accumulation of fluid above the testicle in the spermatic cord. With the accumulation of serous fluid in the testicles, the scrotum increases in size, discomfort occurs, which increases with movement. Sometimes body temperature may rise.
Methods for treating testicular dropsy in men:
- Surgical intervention to remove the accumulated fluid and the reasons for its accumulation.
- Taking medications to suppress inflammatory processes in the scrotum. Medications are also prescribed after surgery.
- Herbal medicine or treatment using folk recipes.
Treatment of dropsy of the testicle without surgery is possible only in the initial stages when the disease is not started. Untreated hydrocele with the help of folk recipes is subject to medical and surgical treatment.
Treatment of testicular dropsy with lotions
Treatment of dropsy of the testicle without surgery in men includes many methods using traditional medicine. All components can be purchased at the pharmacy or prepared independently and, following recipes, get rid of the disease.
How to cure hydrocele using folk recipes is described below.
Belema-based lotions must be applied 2 times daily for two weeks
Lotions using ordinary reposhka. To do this, you need a liter of white wine and 100 g of grass. Mix the components and warm for 8-10 minutes. Insist for an hour, express. For lotion, moisten a cotton pad or gauze in infusion and attach to the damaged testicle 2 times a day. The course of treatment is two weeks or more.
The lotion-based lotions must also be applied 2 times daily for two weeks. To do this, chopped bleach must be filled with vegetable oil in a ratio of 250 g of grass and 750 ml of oil. Put the resulting mixture on a small fire and simmer for two hours.
Another method of treatment that has become widespread is beer tincture on peas. The necessary components are peas and beer, which are taken in a ratio of 1: 100. Mix, insist for about an hour or two and put on fire for an hour. Ready means to soak a tissue or gauze dressing and apply to the testicle. Duration of herbal medicine month. The lotion is applied twice a day. You can also cook pea infusion simply on the water, observing the specified proportions.
Treatment with folk remedies also involves the use of fresh plants. For these purposes, you will need chamomiles, which are crushed using a blender or meat grinder. Put the finished product on a cloth or gauze and put on a testicle with hydrocele. The dressing is applied several times a day whenever possible.
You can be treated with an herbal decoction of sage, blackcurrant leaves, chamomile and jaundice
Hydrocele treatment with decoctions and infusions
An infusion of sweet clover and coltsfoot will help to cure dropsy of the testicle. For cooking, you will need 10 g of each herb and 300 ml of boiled water, which is filled with medicinal plants. Insist until cool. Take 30 g five times a day.
Hydrocele can be treated with a herbal decoction of sage, blackcurrant leaves, chamomile and jaundice. Grind the dried grass of each component and pour boiling water. Need 2 tbsp. tablespoons of grass in 500 ml of water.Drink this broth three times a day before meals for a month. It is recommended to repeat a week after a course of treatment.
Bearberry leaves are an excellent medicinal herb for preparing a decoction, which should be taken 1 l. every day in five sets. The broth should be drunk warm. For one day of treatment, 1 liter is required. cold water and 100 g of leaves that are infused at night.
Another traditional way to get rid of dropsy of the testicles is a decoction of elderberry bark. For harvesting, you need a young bark (20 g), which must be crushed and filled with 1 liter. boiling water. After placing in the oven and simmer for 5-6 hours. Drink broth every 30 minutes for 100 g. Elderberry bark will turn out an effective remedy if you insist on alcohol.
50 g horseradish pour juice of one lemon, insist and drink daily for 2 tsp. on an empty stomach. Also useful is the infusion of birch leaves and buds, which are taken in a ratio of 2: 1. Pour the mixture with 500 ml of boiling water, insist. Take 100 ml twice a day.
Onion juice is useful as an anti-inflammatory and decongestant
Treatment of dropsy of the testicle with folk remedies is impossible to imagine without parsley and milk. After all, these products will help to cope not only with hydrocele, but also contribute to the overall strengthening of men's health. A broth with parsley is prepared with the addition of milk. To do this, mix 1 liter. milk and 800 g of chopped fresh parsley. Place in the oven and simmer at low temperature for 4 hours. Cool, decant and take 50 ml every hour. It is important to use only fresh broth, so it is recommended to cook for only one day.
Juices for the treatment of dropsy of the testicle
Folk remedies, like vegetable juices, are widely used to treat dropsy of the testicle and to strengthen immunity:
- Pumpkin juice and pumpkin help remove excess fluid from the body. Drinking 100 ml of juice daily is recommended.
- Onion juice is useful as an anti-inflammatory and decongestant. To obtain it, you need to chop onions and sprinkle with sugar, hold for a day in the refrigerator. Received juice to take 2 tbsp. l in the morning on an empty stomach.
- Honey with the addition of radish will help to cope with the disease and is a preventive measure. To make a drink you will need a large root vegetable radish and 1 tbsp. l honey. In the radish, you need to make a hole and add honey, put in the refrigerator in a saucepan for a day. Received radish juice with honey is used for 1 tbsp. l before each meal.
- Cucumber juice will help relieve puffiness and remove papillary pus. You can add carrot or beet juice.
- Viburnum juice. Rinse the berries and squeeze the juice, add honey. Take in a warm form.
Testicular dropsy massage
Effective massage with dropsy of the testicle. It is necessary to do it in a warm bath or by immersing the scrotum in a basin with warm water. Use three fingers to massage until the testicle swells. The procedure can be performed several times a day.
You can massage the testicle with tincture of Kalanchoe leaves. For the treatment of dropsy of the testis, it is recommended to massage with baby cream and tincture of calendula. Mix the ingredients in equal proportions and rub overnight daily for a month.
Hydrocele or dropsy of the testis in men can be cured using traditional medicine. To do this, you need to do lotions and massage, drink decoctions, infusions and juices. However, before treatment with folk remedies, it is necessary to consult a doctor.
Dropsy of the testicle in men: symptoms, treatment, surgery
Dropsy of the testicle in men occurs when fluid accumulates in a thin saccular mass in the scrotum around the testicle. The disease manifests itself as a painless increase in the size of the scrotum on the diseased side due to a violation of the outflow of the produced fluid.
Dropsy, or hydrocele, often develops on one side of the scrotum, but bilateral fluid accumulation is not excluded. Congenital dropsy is observed in approximately 10% of boys and in 1% of men over the age of 40 years.
Moreover, in most of them, the disease goes away on its own within 1 year. The second peak incidence in men is over 40 years old. In this case, the disease occurs due to inflammatory diseases and injuries of the scrotum.
In the absence of timely treatment, hydrocele can progress for years, taking on enormous dimensions (10 cm in diameter or more).
According to statistics on the incidence of hydrocele in the UK, 99% of patients with hydrocele were hospitalized in specialized hospitals, with 9% of them requiring emergency care. The average hospital stay for a patient with dropsy was 1.9 days. 43% of patients are men from 15 to 59 years old. The average age of patients hospitalized with a diagnosis of dropsy of the testicle was 39 years.
Treatment of dropsy of the testicles in men
Operation does not necessarily require surgery: dropsy of the testicle in men can go away on its own in the absence of a provoking factor. For this purpose, it is necessary to accurately determine the cause of the development of the disease and exclude its further impact.
If the cause of the dropsy is epididymitis or another inflammatory disease, then the treatment is aimed at eliminating the inflammatory manifestations and fighting the infection. Such patients are prescribed a course of antibacterial drugs and non-steroidal anti-inflammatory drugs.
In case of testicular injuries, accompanied by swelling of the surrounding tissues, therapeutic measures are aimed at normalizing blood and lymph circulation to improve fluid outflow. Often, hydrocele passes on its own without additional intervention. If the manipulations are ineffective or the severity of the symptoms of the disease increases, patients are indicated for surgical treatment of testicular dropsy. For this purpose apply:
There are several operational techniques, among which the methods proposed by Winkelmann and Bergman are the most common. These are simple surgeries performed under regional anesthesia. During the operation, the surgeon makes an incision on the scrotum or lower abdomen, after which the condition of the canal connecting the abdominal cavity with the scrotum is assessed, and the hydrocele is removed. During surgery, you may need to install a drainage tube to prevent postoperative recurrence of dropsy. This tube retracts after a few days. Cold is also applied topically to reduce swelling.
- Puncture aspiration of fluid
This manipulation involves the removal of accumulated fluid through a needle inserted into the scrotum. This method is not widespread, as it has a temporary effect and does not provide a complete recovery of the patient. To increase efficiency after aspiration of the fluid, a sclerosing drug is introduced into the needle, which allows to reduce the amount of fluid produced. This method is used to treat patients with severe contraindications for surgical treatment.
With improper puncture of the testicles, serious complications in the form of bleeding or infection with the development of inflammatory diseases can be observed. With surgical treatment, the risk of damage to the vessels of the testis is reduced, since the surgeon performs careful visual control and adjusts the size of the incision based on the state of the tissues in the area of intervention.
The recovery period does not require long-term monitoring of the patient's condition. Patients who have undergone surgery for hydrocele can lead a previous life, without functional limitations, almost immediately after treatment.
Immediately after the operation, the patient is transferred to the observation chamber, where his vital signs are evaluated and the state of the postoperative wound for bleeding is monitored. Extract is made on the day of surgery with recommendations for monitoring at home.
A control primer is prescribed a few weeks after surgery to assess wound healing over time and to prevent infection. Swelling of the tissues can persist for several months after removal of the hydrocele. If at the same time a deterioration of the patient’s condition, an increase in body temperature, redness in the area of the operation is noted, you should immediately consult a doctor.
The prognosis of dropsy in men is favorable. In most cases, the disease goes away on its own. Postoperative relapses are very rare and occur only in the treatment of large hydrocele.
The risk of infection during surgery does not exceed 2%. However, a possible complication is trauma to the spermatic cord, accompanied by impaired reproductive function. In most cases, the operation has a positive effect, completely eliminating the defect of the membranes and preventing the development of relapses.
A return to a full life occurs within 10 days after the operation, although hard work and sexual activity are prohibited for a period of 4-6 weeks. There are no data on the death associated with surgical treatment of hydrocele.
Is it possible to treat dropsy of the testicles without surgery
When fluid accumulates directly in the membrane located around the testicle, edema occurs. It is called dropsy. The methods of treating such an ailment are now different. They depend on the type of disease. Dropsy is acute, chronic, congenital or acquired. The disease manifests itself in different forms, but the result is always the same.
All methods for the treatment of hydrocele of the testis are focused on eliminating the root causes of the manifestation of the disease. They prevent the occurrence of complications, as well as relapses. Such medical manipulations should be carried out by a qualified doctor.
The process of treating dropsy of the testicle begins with a thorough diagnosis, as well as an examination by a specialist. The doctor will evaluate the patient's condition using the methods of palpation, diaphanoscopy and ultrasound examination. Palpation is carried out by a urologist. Diaphanoscopy is a transillumination of the scrotum. The doctor uses a special flashlight for this. This action allows you to identify indications for the operation. However, the main diagnostic criterion for making a final diagnosis is still an ultrasound examination.
- Methods for eliminating the ailment
- Radical therapy
- Winkelman surgery for dropsy of the testicle
- Bergman Method
- Lord's method
- Radical therapy
- Possible complications of hydrocele
Dropsy of the testis in men (hydrocele) is a disease characterized by excessive accumulation of fluid in the scrotum. The volume of exudate varies in a significant range from 10-20 ml to 3 liters. Pain symptoms of pathology are often absent. Hydrocele in men without appropriate therapy can lead to infertility.
Dropsy of the testis is diagnosed in approximately 1.5-2% of men who have reached the age of 40
Tip. If swelling and discomfort are found in the intimate area, do not engage in self-diagnosis and self-medication, it is better to immediately contact a specialist.
Although the pathogenesis of the disease is not completely deciphered, it is proved that the accumulation of fluid in the scrotum occurs due to a violation of its outflow. Doctors distinguish a number of factors that provoke the development of the disease:
- genetic predisposition
- mechanical injuries in the scrotum,
- congenital malformations of the reproductive system,
- cardiovascular dysfunction,
- infectious sexually transmitted diseases (chlamydia, trichomoniasis),
- the formation of malignant or benign tumors in the testes,
- inflammation of the testes and their appendages,
- increased pressure in the renal and lower genital veins,
- inguinal hernia
- fever in the scrotum,
- hormonal imbalance,
- autoimmune diseases
- edema of neighboring organs and lower extremities,
- parasitic damage to the inguinal lymph nodes, as a result of which the outflow of lymph into the groin is disrupted (filariasis, vuchereriosis),
- cirrhosis of the liver,
- biosynthesis of antisperm antibodies,
- excessive physical activity.
Often, dropsy in men is diagnosed after performing unskilled surgical operations in the genital area
Important! Without providing the patient with qualified care, there is a risk of transformation of the pathology into a chronic form. The same applies to the treatment of hydrocele by alternative methods.
In the early stages of development, the disease does not manifest itself. Most patients turn to the clinic for help only during an exacerbation of pathology. In adult patients, dropsy of the right testis is more often detected. This is due to the anatomical and physiological characteristics of the human body.
The most characteristic signs of the disease include the following:
- discomfort in the intimate area,
- scrotum enlargement,
- the contours of the testis are not determined,
- slight aching pain in the area of localization of the process,
- palpation of the scrotum is dense, with a noticeable splash inside the membranes,
- difficulty urinating
- problems in sex life,
- difficulty walking,
- general weakness
- drowsiness, dizziness,
- decreased appetite.
Palpation examination of the scrotum does not cause pain in the patient
Methods for eliminating the ailment
Treatment of hydrocele of the testis is carried out operatively or medically. With timely contact with a specialist, it is possible to treat dropsy of the testicle in men without surgery.
To eliminate the clinical signs of pathology, doctors prescribe decongestant and anti-inflammatory therapy
Conservative therapy is aimed at eliminating the factor that provoked the development of the disease, symptomatic treatment is prescribed to improve the general condition of the patient. To do this, use:
- antibacterial drugs (sulfonamides, antibiotics, nitrofurans),
- blood flow normalizing agents in the localization zone of the process,
- non-steroidal anti-inflammatory drugs.
Treatment of hydrocele of the testis without surgery is performed in cases where there is no possibility of surgical intervention. The fluid from the scrotum is removed by puncture.
Important! After this manipulation, relapses of the disease are often observed. It is also worth noting that during a puncture there is a high risk of infection and the development of various complications.
After removing fluid from the scrotum, sclerotherapy is recommended. Betaine or ethyl alcohol can be used for this.
Pumping fluid from the scrotum is carried out using a needle and syringe
Many patients are interested in the question: how do surgery for dropsy testicle? There are several types of surgical treatment for dropsy in men. The most popular are the methods of Winkelmann and Bergman.
Each type of surgical intervention allows you to achieve a positive result in individual cases. As a rule, surgery for dropsy of the testicle in men is done under regional anesthesia. A few hours after the procedure, the patient is sent home. Full recovery of the body is observed after about 1.5-2 weeks. The type of plastic surgery is determined by the doctor during the surgical intervention, taking into account clinical signs and localization of the pathological process.
Before choosing a particular treatment tactic, the doctor must prescribe diagnostic tests
This operation is indicated for adult patients who have large dropsy testicles. The technique of performing surgery for dropsy of the testicles in men is identical to the above technique. The difference from Winkelman’s operation is that in the process of performing the surgical intervention, the surgeon excises the testicle shells, removing some of them. The rest of the shells are sutured.
This is the least traumatic intervention in terms of preserving the tissues surrounding the testis and the vessels supplying it. In the process of removing pathological contents, a corrugated inner shell is synthesized that synthesizes testis lubricating fluid. This type of operation is recommended at the initial stages of the development of the disease.
Tip. Doctors do not recommend that men wear tight underwear that compresses the genitals for two weeks after surgery for dropsy of the testicle in men.
In the postoperative period, the patient should wear a special bandage that supports the scrotum in the anatomically correct position and relieves the load on the spermatic cord. Also during this period it is very important to follow all the recommendations of the attending physician.
Special brace helps relieve stress on the spermatic cord
Possible complications of hydrocele
Untimely or inadequate therapy can provoke the following undesirable effects:
- impotence, infertility,
- inguinal hernia
- testicular atrophy,
- hematocele (accumulation of blood between the layers of the testis membrane),
- sperm dysfunction,
- piocele (suppuration),
- rupture of the testicles
- psychoemotional trauma,
- testis cancer.
Dropsy of the testicle in men 25-35 years of age is one of the key causes of infertility
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- Gynecomastia treatment in men without surgery
- Varicocele treatment without surgery
- Phimosis treatment without surgery
Hydrocele treatment at home
Testicular hydrocele treatment at home is as follows:
- The use of herbs.
- Treatment with vegetable juices.
- Compliance with the diet.
- Compliance with medical recommendations.
The use of these methods is an alternative to inpatient treatment and operations if the disease in a man does not progress and does not have a neglected form. It should be remembered that all recipes should be used only with permission and under the supervision of a physician.
The use of folk remedies for the treatment of hydrocele
Among natural herbal remedies that can relieve puffiness of the scrotum and reduce pain, peas, dill, calendula, and others have proven themselves. With their help, compresses are rubbed or rubbed into the scrotum. Among the most effective recipes, the following are noted:
- 50 g of dried peas pour 500 ml of cold water and leave for 1 hour to swell. Then cook the peas for 20-25 minutes and allow to cool. In a decoction, moisten a cotton cloth and attach to the scrotum for 15-20 minutes. Apply 1-2 times until puffiness subsides. Pea broth can be stored in the refrigerator for 2 days,
- 50 g of dried peas pour 500 ml of dark beer. Leave the infusion for 1 hour, and then boil for 20 minutes. Cool the broth and make a lotion, keeping it on the scrotum area for 20 minutes. The procedure is done 2 times a day for 4-5 days,
- Pour 800 g of parsley with 1 liter of fresh unpasteurized milk and put in the oven to simmer for 3-4 hours. When the milk volume is reduced by half, remove the dishes from the oven and cool. Strain the resulting solution and drink 30-50 ml every hour, consume during the day. The next day, repeat the treatment. Relief of symptoms gradually comes, swelling of the scrotum subsides,
- mix 1 teaspoon of calendula ointment and baby cream. Rub into the scrotum 1 time per day,
- 50 g of chopped belena pour 200 g of olive oil. Boil the mixture in a water bath for 2 hours and insist.After 2-3 hours, strain the solution. Rub oil into the scrotum 1 time per day. The course of treatment is 5-7 days. When taking the remedy, you should be especially careful and observe all proportions, since the plants are poisonous!
Using herbs to treat hydrocele
For the treatment of dropsy of the testicle, as well as in the period after the operation, the use of herbs is widely used to relieve inflammation and strengthen the general condition of the patient. They are used internally or in the form of compresses:
- in equal proportions mix the grass of coltsfoot and dried clover flowers. One tablespoon of the mixture pour 200 ml of boiling water and leave for 30 minutes. Strain the resulting liquid and take 60 ml 3-5 times a day for 10-12 days,
- mince fresh or dry chamomile flowers through a meat grinder. Wrap chopped gruel in gauze and apply to the inflamed area 2-3 times a day, keeping for 20 minutes. The course of treatment is 10 days,
- Pour 100 g of repeshka with 1 liter of white wine and boil for 5 minutes. The resulting solution is infused for 1 hour, and then strain. In the broth, moisten the gauze, put on the scrotum and stand for 15-20 minutes.
Vegetable Juice Treatment
Another addition to the treatment of testicular hydrocele at home is the use of freshly squeezed juices from some vegetables:
- pumpkin juice. This vegetable helps to remove excess water from the body. For the treatment of dropsy, it is recommended to drink 100-150 ml of juice daily,
- juice of black radish with honey. Drink juice in 3 divided doses, 80-90 ml in the first day. Daily, it is recommended to increase the volume by 50 ml until it reaches 400 ml per day. This tool is contraindicated for people with gastrointestinal tract diseases,
- onion juice. 2 onions covered with sugar and incubated for 10-12 hours, until the onions let the liquid. The resulting juice is poured into a glass and take 2 tablespoons in the morning.
Diet for dropsy of the testicle
For the treatment of dropsy, it is recommended to follow a vegetarian diet, excluding foods and seasonings that contribute to the retention of fluid in the body due to increased thirst. The menu should contain cucumbers, pumpkin, raw cabbage, eggplant, parsnip, watercress and other vegetables that help eliminate fluid.
Every morning you need to eat 10 grapes, after which do not eat for 2-3 hours. This berry helps to remove fluid from the scrotum.
Instead of tea, it is recommended to take decoctions of watermelon peels, which have a good diuretic effect.
Compliance with the treatment of testicular hydrocele
Medical recommendations include taking medication, observing good hygiene and diet. All traditional medicines are also taken under the supervision of a doctor.
The period after surgery also requires compliance with the recommendations at home, which include wearing special supportive clothing, taking antibacterial and anti-inflammatory drugs, and monitoring.
Thus, treatment of dropsy of the testis at home is possible if the disease is not in the late stages and does not progress. In these cases, an operation cannot be dispensed with, by which the cause of the dropsy is eliminated and the liquid removed. The use of alternative methods at home is possible both for the treatment of dropsy of the testicles, and in the period after surgery as a prophylaxis.
"Azithromycin" with prostatitis: features of use
Many men had to take Azithromycin for prostatitis. For most patients, this medicine helped to cope with the inflammatory process in the prostate gland. A positive result of drug treatment is achieved only if the rules for taking the drug are observed. The patient learns about everything related to the characteristics of therapy at a urologist's appointment.
Composition and form of release
"Azithromycin" contains the following components:
- Azithromycin (active substance),
- Microcrystalline cellulose,
- Magnesium stearate,
- Sodium lauryl sulfate,
- Polyvinyl alcohol,
- Iron oxide.
Other auxiliary substances are present in the medicine that enhance the action of the active component.
The drug goes on sale in several dosage forms. It is presented as:
- Readily soluble tablets,
- Granules for suspensions,
- Powder for solutions,
- Gelatin capsules.
The most popular is the tablet form of Azithromycin. Sometimes it is replaced by capsules.
As soon as the components of "Azithromycin" get into the tissue, they immediately begin to suppress the active reproduction of pathogens. Thanks to the drug, protein synthesis and other processes that are necessary for the normal functioning of pathogenic microflora slow down. As a result of such exposure, bacteria die quickly.
Indications for use
There are a huge number of factors that can lead to the development of prostatitis. In almost 90% of cases, it is necessary to blame pathogenic microorganisms for the appearance of the inflammatory process in the prostate gland, which enter the structure of the genitourinary system. If the cause of the disease is precisely this, then Azithromycin will help to cope with the pathology.
The drug helps to deal with the rapid growth of pathogenic microflora. It also facilitates the well-being of a man who is disturbed by signs of inflammation in the prostate. Treatment of prostatitis with Azithromycin eliminates pain in the lower abdomen and in the perineum. It effectively fights not only bacteria and infection, but also fungi.
Instructions for use
Positive reviews for the drug “Azithromycin” were left by patients who achieved recovery with its help. This result is achieved if the patient adheres to all recommendations regarding the rules for its admission.
The dosage of the drug and the duration of therapy should be determined only by an experienced specialist. For problems with the prostate gland, this treatment scheme is suitable:
- The first 3 days you need to take 1000 mg of the drug per day,
- The next 3-6 days, you need to take 500 mg per day.
It is advisable to take pills 1 hour before you start eating. The option of using the medicine 2 hours after a meal is also allowed.
By the intravenous method, the drug is administered into the body during exacerbation of prostatitis of different genesis.
Contraindications and side effects
Acute and chronic prostatitis, which is provoked by pathogenic bacteria, doctors recommend that not all patients be treated with Azithromycin. In some cases, the tool is prohibited. This applies to those situations when the patient has contraindications to taking this medication.
A pharmacy drug is prohibited for patients who have a high sensitivity to macrolide type antibiotics. Also a number of contraindications include hepatic and renal failure in acute form.
If the rules for the use of the drug are not observed, the patient may experience side effects. They are expressed as the following states:
- Increased activity of liver enzymes,
- Nausea with gagging
- Cholestatic jaundice,
- Colitis pseudomembranous type,
- Allergic reactions
- General weakness
- Hearing impairment that passes over time.
There are a lot of side effects of a medicine that treats the prostate. To prevent their occurrence, you must first coordinate with the doctor the day you start taking "Azithromycin", and deal with questions about how to take and how many days to take pills.
In no case should you exceed the prescribed dosage of a medication. If this recommendation has not been followed, the patient may open up vomiting, significantly impair hearing, and chronic diarrhea may begin. In case of an overdose, the patient should immediately rinse the stomach. After it should be shown to a specialist.
"Azithromycin" can be purchased at any pharmacy. Its cost is on average 70 rubles.
How to treat male infertility: general principles
Methods of treating male infertility are selected depending on the cause of the disease.
We advise you to read: Is the diagnosis of male infertility so terrible?
At the initial stages, the andrologist will recommend the man to adjust his lifestyle:
- relax from physical and mental stress,
- to establish the regime of falling asleep and sleeping - to go to bed and get up at the same time,
- eat fully: first, second, vegetables and fruits, fish and meat without excess fat, smoked meats, fried,
- stop drinking alcohol, especially beer,
- often do not visit baths and saunas in order to prevent overheating of the testicles,
- Do not overcool, choose comfortable thermal underwear,
- Avoid strenuous exercise, but maintain daily physical activity.
Before choosing effective methods of treatment, the doctor determines the causes of infertility in men according to the results of analyzes: spermogram, MAP test, ELISA, PCR, hormone levels, etc. Having determined what provoked male infertility, the andrologist will prescribe conservative or surgical therapy.
If conservative treatment has not shown results, surgery is prescribed. The technique depends on the diagnosed problem:
- advanced form of varicocele - use the Marmar microsurgical technique,
- inguinal hernia - laparoscopically, hernioplasty or according to Martynov,
- cryptorchidism - undescended testicles are treated with scrotum and fixation,
- dropsy of the testicle - hydrocele treated with Winkelman surgery,
- obstruction of the channels - obstructive infertility is eliminated by the removal of tissues that block the ejaculatory tract.
Modern surgical techniques shorten the recovery period, using microsurgical and minimally invasive methods, in which you do not need to stay in hospital for a long time.
Assisted reproductive technology - ART - this is the collective name of all the methods that a doctor will offer a man with diagnosed infertility to conceive a child. The most famous method is IVF. Suitable technology is also selected depending on the cause of the disease in the man, and the sexual health of the woman is taken into account.
This is an intrauterine injection of sperm mechanically. Indications for appointment:
- premature ejaculation
- sperm motility,
- scrotum injuries, impaired sperm exit from the canal.
The procedure is performed with the sperm of a man or after taking material from a donor. Donor sperm is offered for immunological infertility in men. General algorithm:
- examination of women and men,
- Ultrasound of the ovaries and uterus in a woman, scrotum in men,
- hormone monitoring
- sperm puncture,
- preparation of material
- introduction to the uterus,
- observation in a hospital.
Pregnancy is diagnosed by analysis for hCG in the blood. If three attempts of insemination in a row did not show a result, choose the technology of in vitro fertilization.
In Vitro Fertilization - IVF is an in vitro conception procedure. An egg is taken from the ovaries after hormonal stimulation or in the natural cycle; sperm is taken from a man for fertilization.
Further, in laboratory conditions, the oocytes are fertilized, the doctor selects the embryo and transfers it to the woman’s uterus. After embryo implantation, a diagnosis of pregnancy is performed after 3-7 days.
We advise you to read: What is the difference between conventional IVF and IVF with ICSI
ICSI is an addition to IVF. Sex cells do not just connect for fertilization.A motile and high-quality sperm is selected and introduced into the cytoplasm of the egg. Unlike conventional IVF, the sperm has no "rivals" - an injection allows you to fertilize the cell immediately.
Treatment of testicular hydrocele in a hospital and at home
How to treat dropsy?
Conservative treatment of dropsy of the testis is carried out at home, but under the supervision of a doctor.
Self-medication is excluded, improperly selected drugs can remove some symptoms of dropsy, but treatment will be ineffective.
So, how to treat dropsy? With infectious hydrocele, therapy begins with a course of antibiotics.
The patient is prescribed drugs from the macrolide group, as well as penicillin or tetracycline drugs, which suppress the activity of most types of bacteria.
Well established themselves:
How to cure dropsy at home? Depending on the condition of the patient, the course lasts 4-5 days, drugs in the form of tablets or capsules are taken 3 times a day on an empty stomach, washed down with plenty of clean water. Antibiotics not only suppress the vital activity of pathogenic flora, but also relieve inflammation and swelling.
After the end of the course, it is possible to take immunomodulators and vitamin complexes. The patient should always wear a suspension or dense, elastic underwear that keeps the scrotum in a comfortable position.
The attending physician monitors the patient's condition and tells what to do with dropsy of the testicles. If the hydrocele does not pass, surgery is possible.
Traditional medicine: how effective is it?
How to treat dropsy of a man’s testicle with folk methods? They should be used in the initial form of the disease or as rehabilitation therapy after surgery.
The main task is to ensure a natural outflow of fluid and reduce swelling of the scrotum.
- Most often, home decoctions use herbal decoctions, fortifying teas, and alcohol tinctures.
Fresh squeezed juices from vegetables and fruits give a good effect.
Fruits rich in potassium, sodium, vitamin C, lycopene are recommended.
Try fresh apples, pears, watermelons, melons, red and black berries.
Juice of celery, cucumber, tomato, carrot, white cabbage possess excellent urinary properties.
To remove swelling and remove excess fluid will help decoctions of herbs: chamomile, nettle, lingonberry leaf, sage.
A tablespoon of raw materials is poured into a glass of boiling water and infused under a lid or in a thermos.
On the day they drink 1 glass of freshly prepared broth, breaking it into 3 servings. Healing tea will help strengthen immunity. In a separate container, dried mint, lemon balm, currant leaf, rose hips are mixed. 2 tbsp. tablespoons of the mixture are poured with 2 glasses of boiling water and infused in a thermos. Infusion can be sweetened with a teaspoon of honey and drink warm or cold after eating.
An unusual but effective recipe is lotions from beer.
50 g of dry peeled peas are washed and poured into 500 ml of dark beer.
The mixture is left for half an hour, brought to a boil and simmered for 20 minutes.
The broth is filtered, cooled and used for lotions 2 times a day.
Full course - 1 week of daily procedures.
Compresses from fresh or dried chamomile have a good effect.
The crushed raw materials are brewed with boiling water so that a thick slurry is obtained.
The mixture is insisted for half an hour, distributed over gauze and applied to the scrotum.
The compress should be kept for 15-30 minutes, it is best to do it before bedtime and combine it with drinking medicinal herbal decoctions. Self-massage of the scrotum is useful to reduce edema. Previously, a mixture of baby cream with alcohol tincture of calendula or eucalyptus is applied to the skin. Homemade ointment is rubbed with light circular motions from the center to the periphery.
The best methods of getting rid of the disease
Conservative therapy is not able to cope with a large amount of fluid. If the disease is caused by an injury or is the result of an unsuccessful operation, other methods of treatment of dropsy, involving surgical intervention, are needed. And how to treat hydrocele in an operable way? Depending on the patient’s condition and stage of the disease, the doctor may suggest a classic operation with scrotal dissection or puncture.
The latter option is faster, but after some time, serous fluid again begins to accumulate between the membranes. However, if it is impossible to perform a more complex operation and extensive swelling that deform the scrotum and causes pain, puncture will be the best solution. It is recommended for people who cannot tolerate general anesthesia, as well as for elderly patients who do not plan to have children.
- Hydrocele puncture carried out under local anesthesia, for the operation does not have to go to hospital.
After processing the scrotum with antiseptics, a neat puncture is made with a thick needle, to which a bypass tube is connected.
When treating hydrocele with this method, the fluid accumulated between the shells is pumped out, the puncture site is closed with a sterile sticker.
The recovery period takes several days. After the procedure, you must visit the doctor according to the proposed schedule, at least 1 time in 3 months. In relapse, a second operation can be performed. Classic operation when treating dropsy, the scrotum passes under general anesthesia in a hospital setting. Through the incision on the scrotum, the testicle is carefully removed and the fluid accumulated in the cavity is completely removed. Then the testicle returns to its place, the seam is made with lavsan or self-absorbable threads.
After surgery, the patient remains in the hospital for 3-4 days, the recovery period takes 4-5 weeks. In the early days of the wound, the sterile dressing changes daily, with pain, analgesics or anticonvulsants are prescribed. During rehabilitation, a sparing diet is required, sexual contacts, visits to the sauna and gym are prohibited.
This is the most complete answer to the question: "What to do with dropsy on the testicle?"
How to prevent relapse?
How to cure dropsy of the testicles and prevent relapse? After treatment, the patient should be especially attentive to his health. It is necessary to refuse to lift weights and traumatic sports, walk, swim, do gymnastics more. A balanced diet and proper drinking regimen are very important.
Young, sexually active men need to pay attention to the first symptoms of inflammation, which can talk about sexually transmitted diseases.
Chlamydia or gonococci can provoke a hydrocele, and the secondary manifestations of the disease are more severe and often result in complications.
How to get rid of dropsy once and for all? Follow hygiene, use barrier contraceptives and prophylactic drugs for disinfection after accidental contact.
Hydrocele is a pathology fraught with unpleasant complications, from pain and a feeling of heaviness and general discomfort to tissue necrosis and infertility.
Now you know what a hydrocele (dropsy) is, how and how to treat it at home and in a hospital. We hope our article was useful to you.