Some parents of young boys are sometimes faced with such a disease like hydrocele. If a child hydrocele, treatment should begin as soon as possible, but, alas, it turns out do not in all cases of the disease in a child. If the edema is detected in newborn boys still in the hospital more often, then the older kids can be diagnosed late.
Many parents noticed something was wrong, just do not pay attention to changing the size of the testicles, believing that this age-related changes. It is only when one or both testicles have become excessively large, parents are beginning to sound the alarm. But the sooner the disease is detected, the more effective it is treated. Hydrocele boys nowadays, with timely diagnosis, adequate treatment and care of the child, is not for the health of the child absolutely no negative effects.
This disease is characterized by the testes kid is a violation of the normal outflow and, as a consequence, the formation of excess fluid. Dropsy is of two types - congenital and acquired. Described in more detail below both types of the disease, its symptoms and treatment. After all, just knowing about the disease all the information, it is possible to successfully fight. And doctors, unfortunately, often do not consider it necessary to devote parents the details of the disease and its treatment, and often do hold back on this, believing that parents know it's just not necessary.
The cause of dropsy is a violation of the normal development of the testes. Fetus descends into the scrotum is not only the egg, but also part of the peritoneum, which bears the name of the processus vaginalis. Normally the processus vaginalis into the existing hole grows. But if this does not happen in the scrotum child begins to accumulate water. The fluid may reside in the scrotum, and can circulate and in the peritoneum child. In some cases, the disappearance of such hydrocephalus occurs spontaneously, without the intervention of surgeons, when the hole is overgrown.
Of course, such violations of the fetus do not arise just from scratch. The reasons for such a deviation of development, certainly known to physicians, not too little. In particular, these include:
- The presence of a pregnant woman of bad habits
The use of the future mother drinks containing alcohol, smoking, being in smoke-filled rooms - all this greatly increases the risk of various complications in the baby, including hydrocele.
- The use of certain pharmacological agents
Certain medications, if they would take a pregnant woman can disrupt the normal development of internal organs of the fetus. Including such as cleft peritoneal process and, consequently, the occurrence of congenital hydrocephalus.
- Infection of a pregnant woman with rubella
In that case, if a pregnant woman contracted rubella, there is a very high risk of the child developing the most flagrant violations. That is why the doctors in this situation is pressing for abortion. If the infection occurred on the big stage of pregnancy, the risk of gross pathology is significantly less than in their pregnancy. But ovarian dropsy arises in such cases is very, very often.
- Infection of a pregnant woman with chickenpox
The disease of the pregnant woman to varicella does not entail severe consequences such as infection with rubella. However, hydrocele occurs very often.
Hydrocele is often the result of genetic inheritance baby. And as the disease can be transmitted through one - two generations, and in ten - twelve.
The amount of fluid that accumulates in the hydrocele in the scrotum, can vary greatly. In mild cases, it may be only a few milliliters and in advanced form of the disease - the one to three liters! Moreover, these figures relate newborn children - older children upper limit may be even higher. Sometimes, the scrotum may be so strong increase in size that the child is no longer even walk and sit properly. And only in the prone position the child comes transient improvement. You understand what discomfort the disease brings a child, no matter, whether the newborn is a pipsqueak, and the older boy. Despite the fact that the threat to the life of a child like state does not carry, lead a normal life baby just can not.
Despite the fact that the child is, as mentioned above, undergoes considerable discomfort, pain hydrocephalus usually causes no. However, if too much liquid accumulates, the child can experience some pain, the intensity of which varies in each case. The accumulation of fluid can occur in waves, but often does occur gradually. When palpation of the testes palpable pear-shaped seal, the upper part of which is directed towards the inguinal canal.
His form this kind of hydrocephalus in children than - that resembles an hourglass. Dropsy size will depend on the amount of accumulated fluid. Water-cooled large size can sometimes make it difficult urination and lead to the development of complications such as acute urinary retention. That's why pediatricians highly advised not to proceed with the operation and conduct it as soon as it becomes available.
Causes of hydrocele in infants
Faced with your child the phenomenon of dropsy, a doctor interested in what was the impetus for the development of the disease. Nowadays, doctors identified a number of causes of hydrocele:
- Not completely overgrown with peritoneal process
As mentioned above, if during fetal development peritoneal process has not overgrown sufficiently occurs communicating hydrocephalus. Distinguish communicating hydrocele is very simple. When a child is in a vertical position, the symptoms of dropsy there. But should the child go, dropsy completely or almost completely disappear, as the fluid moves into the abdominal cavity.
Parents of children suffering from communicating hydrocephalus, should be particularly attentive to the health of its crumbs - very often the disease is accompanied by a hernia. This happens because in the process of peritoneal nezarosshy often fall into the scrotum organs crumbs, such as an egg, a strand of omentum or bowel loops.
The second reason for the development of a child hydrocephalus are inflammatory processes in the testis or its appendages.
This type of disease occurs most rarely, usually after surgery for inguinal hernia. Such a cause of the disease occurs in only 2% of all cases.
Dropsy of testicular membranes
Dropsy of testicular membranes also is both innate and acquired. Congenital hydrocele as the testicles themselves can also be reported and not reported. The acquired form of hydrocele is symptomatic and idiopathic.
In that case, if the hydrocele diagnosed in newborn babies with medication, doctors usually try not to rush. They explain their decision by the fact that in many cases, as they grow older crumbs overgrowth occurs peritoneal process and, as a consequence, the disease runs its own, without any medical intervention was. However, if the doctor has taken a wait and see position, at all times it will be very carefully monitor the state of the crumbs, and at the least possible deterioration of the operation.
Acquired hydrocele occurs as a result of various inflammatory processes, scrotal trauma, disruption of the normal outflow of lymph fluid. Typically, in this case for the treatment of hydrocele sufficiently cure the underlying disease. After that, the edema disappears on its own.
The occurrence of hydrocephalus
In addition to the nature of the origin of hydrocele disease doctors are divided into two sub-categories, the nature of the disease:
- The acute form of the disease
The acute form of hydrocele is caused by the development of an inflammatory disease or the baby getting injured. Also, more rarely, in children older acute hydrocele can be seen as a complication of acute respiratory infections, influenza, mumps and other childhood infections.
Symptoms appear suddenly and once in a pronounced manner. The egg swells strongly enough - the swelling can be seen even without a medical education. Finding the symptoms of dropsy by his son, parents should immediately consult a pediatrician or pediatric surgeon.
- The chronic form of the disease
The chronic form of the disease in all cases is nothing more than a consequence of the acute form, is not diagnosed in a timely manner or have not received adequate treatment for one reason or another.
Diagnosis and treatment of hydrocele
Diagnosis of the disease for a pediatrician is not absolutely no difficulty. It starts diagnosis, usually from visual inspection. If during the inspection that the doctor - or seem suspicious, he would send a child on ultrasound examination, during which time you can exactly determine not only the presence of the disease itself, but also the nature of its origin. During the ultrasound the doctor not only to learn the condition of the testicles and appendages, and the nature and volume of the liquid.
In addition, an ultrasound can also detect or exclude the presence of a child's potential co-morbidities, such as a cyst of the spermatic cord or inguinal hernia. But often these comorbidities are just the primary sources of the disease hydrocele in children.
In some cases, doctors diagnose hydrocele must resort to the help of parents. Sometimes it is possible to detect the symptoms of dropsy only when the child is in a horizontal position - especially at night when the baby sleeps. In such a case would be a good tool Photo testicular tumors, parents do at a time when it is visible visually.
As mentioned above, hydrocele or shells rarely happens independent disease. Most often it is a result of the underlying disease. Listed below are the main ones:
- Undescended testis in before the end of the scrotum. This phenomenon is called cryptorchidism.
- Have the child false hermaphroditism.
- The presence of the baby ventriculo - peritoneal shunt.
- The birth of a premature crumbs with low weight.
- The presence of the crumb of liver diseases, particularly ascites.
- Birth defects of the abdominal wall of the child.
- Genetic predisposition to the emergence of the baby hydrocele.
As a rule, faced with a similar ailment older brothers, father or uncle of the baby. Such inheritance equally often passed both the maternal and paternal lines.
- Possible testicular torsion crumbs.
- Injuries perineum and scrotum boy. And often trigger the development of the disease can even the most minor injury - for example, not strong punch toy. Therefore, parents of small boys need to be extremely careful and cautious.
If found hydrocele boys, treatment should be timely
. Hydrocele requires constant medical supervision, regardless of whether it comes to a small child or even a teenager. Child suffering from hydrocele, put on the account in the pediatric urologist - andrologist. In the case where there is an excess accumulation of fluid and, consequently, the voltage egg shells, the physician usually resorts to puncture. The purpose of the puncture in this situation is to remove the excess liquid, to avoid complications. Sometimes doctors have carried out a number of similar punctures to stabilize the condition of the child.
As a rule, acquired hydrocele older children most doctors prefer to treat surgically. The situation with newborn babies suffering from congenital hydrocele, is a little different - doctors prefer to observe the child for at least the first six months of life, without resorting to surgery. Ideally, if the child's condition allows, it is desirable to have recourse not before the child reaches the age of two.
The exception to this is the emergence of the baby the following complications:
- Joining the hydrocele inguinal hernia.
- The presence in the scrotum too much liquid, which causes excessive tension of testicular membranes.
- The child begins to regularly complain of intense pain in the scrotum. Or, if it is too small to show constant concern.
- For hydrocele joined what - or a secondary infection.
In children, the elderly monitoring the course of the disease without surgery is usually performed in the event that a child diagnosed with a form of traumatic hydrocephalus. The child's condition is assessed by doctors for three months, during which doctors monitor the dynamics of the disease. And only if the improvement does not occur, doctors resort to surgical intervention. However, you should pay attention to the fact that this expectant management in traumatic hydrocephalus is only possible if the resulting injury was not compromised the integrity of the testicle.
The most difficult case is the treatment of dropsy dropsy, arising as a complication of surgery to remove an inguinal hernia. In this case, the disease is very important to carry out the operation on time - if it is done too early, it will not bring the kid almost no help.
That is why doctors usually carefully monitor the condition of the child do regular ultrasound tests to adequately assess the dynamics of the disease, as well as how effective the treatment. And only on the basis of comprehensive studies and supervision of a physician decides to proceed with the operation.
Hydrocele disease in adolescents
A bit more complicated is the identification of the disease in adolescent boys. From a physiological point of view, of course, the diagnosis is simple and is carried out in the normal way. But the difficulty lies in the psychological characteristics of adolescents in the transition to adulthood. Parents usually naked at this age of his son no longer see - a child goes to the toilet on their own, in the bathroom and does not need the help of parents. Thus, self-detect the presence of hydrocele parents can not afford.
In adolescence, many teens sharpened sense of modesty is particularly strong. And even in the case when the child discovers that he is a tumor, it does not always go for help to the parents, even if they have a great relationship.
Parents can guess that their son is something not only by relying on indirect evidence, such as:
- The child is increasingly locked in a closet or bathroom, spending too much for a long time.
- Also, parents may notice that the child's gait has changed, has become more "Utko shaped."
- The child became interested in a variety of prints and books on human health.
- The magazine Internet browser you suddenly find traces of specific medical visits to various sites.
If you see two or more of the above traits in his son, you should ask the child - whether all in his order. There is an opinion that these topics should talk with the boy's father. However, child psychologists in this regard have a slightly different opinion - to talk with the child must be the parent who has a close contact with the child.
If a child is when you try to call out the answer, do not play a friendship with a teenager. In this situation, it comes to a child's health. Of course, do not try to forcibly remove the linen from the teenager, but parents must insist on the need to campaign to the doctor.