Can hydrocele of testicular sheath cause infertility? What are the main types of hydrocele

The hydrocele of testicular sheath can lead to male infertility. With the increase of the incidence rate of testicular hydrocele, more and more male friends began to pay attention to this disease. Experts are invited to introduce relevant knowledge:

There is a small amount of serous fluid in the tunica vaginalis of testis for free movement of testis, which plays a smooth role. Under normal conditions, it can maintain stable secretion and absorption. If the lesion of the tunica vaginalis itself and surrounding organs or tissues causes the secretion and absorption function of the tunica vaginalis to be unbalanced, various types of hydrocele of the tunica vaginalis will be formed.

The prognosis is generally good after treatment. The clinical importance lies in the long-term accumulation of fluid in the tunica vaginalis and the increase of internal pressure, which leads to testicular ischemia, poor testicular spermatogenesis and infertility. At the same time, adult hydrocele affects normal sexual life and can also lead to infertility.

The main types of hydrocele are as follows:

1) Hydrocele of testicular sheath: the most common is that the sheath has no obvious lesions, but the sac is filled with fluid, and the scrotum is spherical or pear-shaped. The period of infancy is about 1. 75% of the hydrocele of the testicular sheath is just born, and 1/4 is bilateral. Most of the hydrocele gradually subsides with the growth of the child.

2) Congenital hydrocele of the tunica vaginalis: also known as communicating hydrocele of the tunica vaginalis, is due to the fact that the sheath process of the spermatic cord is not closed after birth, resulting in the connection between the fluid in the abdominal cavity and the fluid in the tunica vaginalis sac, and the hydrocele of the tunica vaginalis large or small. Congenital inguinal hernia can occur if there are many channels connecting the sheath process and the peritoneal cavity.

3) The hydrocele of testis can occur simultaneously with the hydrocele of spermatic cord and inguinal hernia, but the two are not connected. Sometimes, cystic hydrocele of testis and epididymis can be seen.

4) Hydrocele of spermatic cord sheath: Hydrocele is limited to the spermatic cord, usually above the scrotum, above the testis, or in the groin. It can be long oval or angular, and is not connected with the testicular sheath and abdominal cavity. The hydrocele of the tunica vaginalis is manifested as a cystic mass at the scrotum or spermatic cord, which is generally not unwell and has a large difference in size, mostly oval. When the congenital hydrocele of the tunica vaginalis lies flat, the hydrocele can gradually shrink or even disappear completely. The hydrocele of the tunica vaginalis is mostly unilateral. The scrotal skin of primary hydrocele of testicular sheath is normal, with high tension and light transmission. If the tension of tunica vaginalis is small and soft, it should be considered that it may be secondary hydrocele to be alert to testicular and epididymal diseases, such as tuberculosis, syphilis, inflammatory diseases, tumors, filariasis, etc.