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testicular pain in 14 yr old
by ANDREW94, Jul 20, 2008 07:17PM
I have a 14 yr. old with testicular pain in the left side, have been to the emergency room 3+ times and have had ultrasounds, found cysts on the epididymis, born with hydrocycle. One doctor says to stitch to some cord so it can't move, and drain the cysts, and another says to leave it alone. Was checked for infection and std's both are neg. he is always at a 7-9 on pain and hurts continually, even to walk. We have changed his boxers to hold them higher and tighter and a sports jock and have had no relief. Any help would be appreciated, or advice maybe there is something that is being over looked, that we can point towards trying.
Post Comment
A hydrocele testis is an accumulation of clear fluid in the tunica vaginalis, the most internal of membranes containing a testicle. A primary hydrocele causes a painless enlargement in the scrotum on the affected side and is thought to be due to the defective absorption of fluid secreted between the two layers of the tunica vaginalis (investing membrane). A secondary hydrocele is secondary to either inflammation or a neoplasm in the testis.
A hydrocele usually occurs on one side. The accumulation can be a marker of physical trauma, infection or tumor, but the cause is generally unknown.
Contents
[hide]
* 1 Symptoms
* 2 Treatment
* 3 Fertility
* 4 Footnotes
[edit] Symptoms
A hydrocele feels like a small fluid filled balloon inside the scrotum. It is smooth, and is mainly in front of one of the testes. Hydroceles vary greatly in size. Hydroceles are normally painless and harmless. Large hydroceles cause discomfort because of their size. As the fluid of a hydrocele is transparent, light shone through a hydrocelic region will be visible from the other side.
Symptoms of a hydrocele can easily be distinguished from testicular cancer, as a hydrocele is soft and fluidy, where a testicular cancer feels hard and rough.
Through diagnostic ultrasound the accumulation of fluids can be diagnosed correctly.
[edit] Treatment
The accumulation should generally be removed surgically. The procedure is called hydrocelectomy, the tunica vaginalis is excised, the fluid drained, and the edges of the tunica are sutured to prevent the reaccumulation of fluid.
If the hydrocele is not surgically removed, it may continue to grow. The hydrocele fluid can be aspirated, the procedure is less invasive but recurrence rates are high.[1] Sclerotherapy, the injection of a solution following aspiration of the hydrocele fluid may increase success rates.[2] In many patients, the procedure of aspiration and sclerotherapy is repeated as the hydrocele recurrs.[3]
[edit] Fertility
A hydrocele testis is not generally thought to affect fertility. However, it may be indicative of other factors that may affect fertility.