Hydrocele - a disorder in which the testicles between the shells accumulated serous fluid. It is common in newborns, but usually goes away without treatment in the first year of life. With the older boys and men hydrocele can develop as a result of injury or inflammation of the scrotum.

Symptoms

Usually, the only symptom of a hydrocele is painless swelling of one or both testicles. Men with the hydrocele may experience discomfort due to the severity of swollen scrotum. In rare cases, a hydrocele causes pain in the scrotum.

If you notice an increase in the size of the scrotum, as soon as possible pass a medical examination. If the scrotal tumor was found in the child, talk about it with a doctor during your next visit to the doctor.

Causes

Most hydrocele develop in utero. Normally, the testicles descend from the developing abdomen into the scrotum; around each egg is a fluid-filled cavity. In most cases, these cavities are closed and liquid is absorbed. Sometimes serous fluid remains after the cavity is closed, and gradually absorbed during the first year of life.

In adult male hydrocele is caused by various injuries and infections that affect the testicles.

Hydrocele is usually diagnosed during a fairly simple medical examination. However, to rule out other diseases, such as benign or malignant tumors, it is also used for diagnostic medical imaging methods.

Methods for solving problems

Young children treatment of hydrocele is shown only if the symptoms of the disorder does not go away within the first year of life, or if the scrotum is constantly increasing. The adult hydrocele often passes itself for about six months. If it does not, for the treatment of hydrocele can be used the following methods:

• Surgical excision is performed under general anesthesia on an outpatient basis. The surgeon makes an incision in the scrotum or lower abdomen, and removes the fluid-filled cavity. Within a few days after surgery may be advised to wear loose clothing and a special device that supports the scrotum. With operations involve the risk of blood clots and damage to the scrotum.
• Aspiration. Another treatment option hydrocele - withdrawal of fluid from the scrotum with a thin needle. Injection into the scrotum special preparations after surgery to prevent the re-accumulation of fluid. Normally aspirated Aspiration: the main thing - do not get confused   prescribed for a patient factors that increase the risk of various complications after surgery.

Signs of acute hydrocele

Acute inflammation (gonorrhea, tuberculosis) are often complicated by bleeding of liquid to form an acute hydrocele. Acute hydrocele is characterized by a sudden onset of pain, swelling and redness of the skin in one half of the scrotum. When probing is determined by tumor formation tightly-elastic consistency with a distinct fluctuation (undulation, which is characteristic of fluid accumulation). Egg pushed aside backwards and downwards. The membrane covering the testis, reddened with blood vessels to dilate.

Symptoms of chronic hydrocele

Chronic hydrocele develops slowly over several years. As a result of the gradual accumulation of fluid scrotum becomes pear-shaped. The skin of the scrotum is not flushed. But she stretched without wrinkles and shiny. Egg with a large and tense hydrocele may not be palpable. In addition, a large hydrocele accompanied by weeping groin difficulty urination, intercourse, decrease in testicular volume and sperm production violation.

In the testis occurs thickening covering his shell whose surface becomes rough. Pear-shaped cavity dropsical sometimes takes the form of an hourglass - it happens in the fusion of egg shells, between which the liquid. The amount of fluid can be from a few milliliters to 1-3 liters in rare cases it can be up to 20 liters or more. Dropsical fluid is a clear, amber-yellow.

Diagnosis of hydrocele

The diagnosis is based on data from the inspection and physical examination of the scrotum. Of great importance are features such as the emergence of education on one side, and distinct fluctuation. In the supine position the amount of fluid in the scrotum or decreases it disappears completely. In some cases, further diagnosis produces a puncture (puncture) of the scrotum for taking liquids on laboratory testing.

Treatment

Acute hydrocele successfully treated with conservative therapy (pain, wearing a special sling - jockstrap, antibiotics Antibiotics - whether they will help you in the foreseeable future? Initially cold and then heat treatment).

All treatments are divided into chronic hydrocele puncture, injection and operational. Puncture only the removal of the liquid, while injections - after removal of the liquid injected, different substances cause scarring of the shell (alcohol, formalin, tincture of iodine, etc.), and hormones Hormonal treatments - not only contraceptives . But these two methods because of the possibility of various complications (such as bleeding) were not widely.

Surgical treatment of hydrocele is to eliminate the cavity in which fluid accumulates. Complications after this operation (suppuration, clusters of blood clots) are rare, the prognosis after such treatment is usually favorable.

Hydrocele is better not to run and seek help in time.

  Galina Romanenko

Herpes men may proceed differently. If a person receives early treatment and recurrence of the disease are rare, it does not affect the quality of life. If relapses are frequent and systematic treatment is not carried out, it is possible to pass an infection in the testes and reduced fertility.

Reasons for herpes in men

Herpes in men is caused by the herpes simplex virus Herpes simplex - in fact, not so simple . There are two types of herpes simplex viruses: HSV-1 - it mainly causes Herpes on the lips and face and HSV-2 - causes herpes of the skin and genital mucosa. In some cases, HSV-1 can also be a cause of genital herpes Genital Herpes - Causes .

The herpes virus in men with HSV-1 enters the body most often in childhood and good immunity may be a long time did not manifest itself. By reducing the immunity it manifests itself "cold" on the lips. If during acute herpes on the lips Herpes on the lips - problems with immunity   do not observe the rules of personal hygiene, the infection with dirty hands can be transferred to the genitals - developing sexual (genital) herpes. HSV-1 can cause genital herpes well as oral-genital sex.

But still the main cause of genital herpes in men is HSV-2. Infection thus occurs through sex. In this case, with a good immune disease also may be asymptomatic, and a man can not speculate about the presence of a genital infection.

In order to begin the recurrence of genital herpes, you want to decrease the immune system. It can be caused by hypothermia, any sexual infection, acute general infectious disease, chronic disease, intoxication (alcohol abuse, frequent smoking, drug use), high loads, insomnia, stress and so on.

If recurrences of genital herpes occur frequently (more than 6 times a year), you should get tested and find out the cause of this phenomenon.

Male herpes can manifest itself in many ways - it all depends on whether this process is a primary or secondary, that is a chronic recurrent herpes.

How does the primary genital herpes in men

Heavier usually occurs the primary genital herpes. The disease usually develops after a few days after sexual contact with women suffering from this infection (incubation period - from one day to three weeks). The man with the high temperature can be raised, accompanied by chills, malaise, headache.

Against this background, on the external genitals, often on the penis and foreskin, there are areas of redness and swelling, accompanied by intense itching and burning. Within one day, and the swelling increases on the surface of bubbles appear multiple transparent content. Within hours, the bubbles can merge together to form larger bubbles, which opened with the formation of extensive erosion.

Simultaneously, the confluence of several days may appear new rashes on other parts of the skin and mucous membranes: the skin of the trunk of the penis, scrotum, perineum, inner thighs, buttocks. Erosion may gradually blend with each other, forming a shallow but painful ulcers. Healing of such ulcers usually occurs within dyuh four weeks without the formation of crusts on the mucous membranes. The former site of the rash may be whitish spots.

With a significant inflammatory process in men often have pain in the back of the thigh, in the course of the sciatic nerve. Pain can last the entire acute period of the disease and subside only at improving the condition of the skin and mucous membranes.

Sometimes there are also frequent painful urination, indicating involvement of the mucous membrane of the urethra. At the height of the disease (usually a week after it started) increase and become painful inguinal lymph nodes Lymph nodes - what keeps our immune system .

The manifestation of recurrent herpes in men

After undergoing a primary infection in about a month produces immunity to the pathogen virus, which protects the body from heavy inflammation. But the immune system is unable to completely eradicate the viral infection - the pathogens become inactive her "hiding in the nerve ganglia. By reducing immunity (in men is often the case on a background of alcohol abuse), the herpes virus is activated, proliferates, moving along the nerve fibers to the skin and mucous membranes of the genitals and cause a relapse of the infection. It was found that HSV-1 causes less recurrences of genital herpes than HSV-2.

In chronic herpes exacerbation (relapse) diseases occur much easier and not so long. Frequency and duration of relapse is dependent upon the general condition of the body and primarily on the immune system. Manifestation of herpes in women in this case, are rarely accompanied by severe pain and impaired general condition. Characteristic symptoms as redness, swelling, rash, and a bubble appears in a limited area of ​​the skin or mucous membranes. Lasts recurrent genital herpes is usually no longer than two weeks, and sometimes ends earlier.

During the first year after the onset of herpes symptoms in men appear more often, but gradually they are becoming increasingly rare.