What causes effusion in the membrane

The causes of hydrocele are very complicated. Many patients still don't understand the specific cause of their disease after the onset of the disease, so they can't prescribe the right medicine. They can only find relief measures based on some of their symptoms. It is difficult to cure this disease, so the most important thing for patients after the onset is to do a series of routine examinations to clarify the cause of their disease.

There are two types of hydrocele: primary and secondary. The primary cause is unclear and the disease progresses slowly, possibly related to trauma and inflammation. Secondary cases are caused by primary diseases, such as acute orchitis, epididymitis, spermatic cord inflammation, trauma, hernia repair, scrotal surgery, or secondary to systemic symptoms such as high fever, heart failure, peritoneal effusion, etc., which manifest as acute hydrocele. Chronic hydrocele is seen in testicular-epididymal inflammation, syphilis, tuberculosis and tumors. In tropical areas and southern my country, hydrocele is usually caused by filariasis or schistosomiasis. Infantile hydrocele is related to the late development of its lymphatic system. When the lymphatic system of the hydrocele is not fully developed, the effusion can be absorbed by itself.

A hydrocele is a cyst formed when more fluid than normal accumulates in the vagina. The disease can occur at any age. When the tunica vaginalis itself or the testicles, epididymis, etc. are diseased, the secretion and absorption of fluid become unbalanced, forming a hydrocele. If fluid accumulates in the tunica sheath for a long time and the internal pressure increases, it can affect the blood supply and temperature regulation of the testicle, causing atrophy of the affected testicle. Depending on the position of the closure of the processus vaginalis, it can be divided into five types: testicular hydrocele, spermatic cord hydrocele, mixed hydrocele, testicular spermatic cord hydrocele (infantile type), and communicating hydrocele.

The clinical manifestation of hydrocele is more common on one side, with a cystic mass in the scrotum that is chronic, painless and gradually enlarges. A small amount of fluid accumulation may be asymptomatic; when the amount of fluid accumulation gradually increases, the affected side of the scrotum may have a feeling of falling, pulling, or swelling and pain. If the fluid accumulation is huge, the penis will retract into the foreskin, affecting urination, sexual life and walking.

When examining a hydrocele, different types of hydrocele have different manifestations:

1. Hydrocele

There is a large amount of fluid in the testicular vaginal cavity, which is oval or spherical in shape, with a smooth surface, a cystic feeling, and no tenderness. The testicle and epididymis cannot be clearly felt, and the light transmission test is positive.

2. Spermatic hydrocele

Cystic effusion is located above the testicles in the scrotum or in the groin. It is oval or fusiform, with a smooth surface. It moves with the spermatic cord. The transillumination test is positive, and the testicles and epididymis can be felt below.

3. Mixed hydrocele

The coexistence of testicular and spermatic hydrocele without communication with each other may lead to complications such as inguinal hernia or undescended testicles.