Evaluación médica
Clasificación
Congénito: dentro de las hidroceles congénitas tenemos:
It is produced by an incomplete closure of the vaginal tunic during development, maintaining communication with the peritoneal cavity. This causes fluid to flow from the abdomen to the scrotum and vice versa.
On examination, it can be observed how this accumulation of fluid can increase in size during crying, the Valsalva maneuver or exertion and fluctuates during the day and night.
It usually appears in children older than one year, after an action that has increased their intra-abdominal pressure. It does not heal spontaneously, for this reason the conduct is surgical, since its persistence could alter the testicle by compression or become an inguino-scrotal hernia.
It is the most frequent hydrocele , it occurs when the vaginal tunica closes with a large amount of fluid from the peritoneal cavity and it cannot be absorbed, it is typical of the newborn, in most children it heals spontaneously before the first year of life, since the liquid trapped between the two layers of the testicular vaginal tunic is reabsorbed and there is no communication with the peritoneal cavity.
It is that idiopathic hydrocele, it does not have a known cause, it is attributed to an imbalance between the secretion and reabsorption capacity of the visceral and parietal layers of the vaginal tunic; it usually occurs in older adults.
Se produce como consecuencia de un evento traumático o infeccioso a nivel testicular, como: hernia inguinal, cirugía inguinal, Filariasis, epididimitis, orquitis y otras causas traumáticas.
Se forma por una persistencia muy delgada del conducto peritoneo vaginal, lo cual provoca una colección de líquido en el conducto inguinal, que no llega afectar el testículo. Clínicamente se observa como masa móvil, redonda, irreductible e indolora en la parte superior del escroto o en el canal inguinal, por lo general aparece en los primeros meses de vida, se recomienda una conducta expectante ya que suelen desaparecer espontáneamente.

Por lo general se presenta desde el nacimiento y de progresión durante el tiempo, al examen físico se puede observar que al comprimir la masa abdominal se produce agrandamiento de la masa escrotal y viceversa.
Su resolución es quirúrgica, debido al carácter compresivo del hidrocele a la masa testicular.
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