What looks like dropsy of the testicles in newborn boys: photos, symptoms of hydrocele in children, treatment of the testicles in a child 2 years of age and older, as well as methods for removing pathologies in infants and the restoration of babies after surgery and children at 2 years old
Hydrocele is another medical name for testicular dropsy. The disease occurs in 8-10% of newborn boys, but it can occur at any age. Testicular dropsy is not considered a dangerous diagnosis. In 85% of cases, it goes away without any treatment, but some forms of the disease require surgery.
If fluid accumulates between the membranes in the scrotum, the boy is diagnosed with hydrocele. Because of this, puffiness appears on one or both sides at once - parents can determine it themselves. The swelling is expressed in different ways: its volume and shape are affected by the volume of fluid accumulated in the scrotum.
This is a more common form of testicular dropsy. Fluid builds up in the space that connects the scrotum and the anterior abdominal wall.
Normally, this channel should overgrow before birth, but sometimes this does not happen, which is why a communicating dropsy of the testicle develops.
Accumulated fluid can easily move towards the scrotum or abdomen. For this reason, hydrocele is also called unstressed. With it, there is no fluid pressure inside the scrotum. In the morning, puffiness is less pronounced, in the evening it intensifies. The scrotum also increases with tension on the background of crying or coughing.
With this form of dropsy, there is no canal between the abdominal cavity and the scrotum, since it is overgrown before birth. Fluid builds up between the testicles. It turns out that it is in a separate cavity, so the swelling does not change during the day.
Since the fluid in the scrotum does not have an outlet, with an isolated hydrocele, you cannot recover without surgery. This form of dropsy of the testis is characteristic of adolescents and adult men, but it is rare.
There is an isolated funicular - cyst of the spermatic cord. With it, the upper and lower parts in the canal, which connects the scrotum and the abdominal cavity, overgrow. In the center there is a cavity where fluid accumulates.
Physiological dropsy of the testicle is more common. It is associated with disorders that occur at the developmental stage inside the womb, therefore it is also called congenital. How is the scrotum formed:
- The testes of the baby begin to develop in the 3rd month of pregnancy. Initially, they are located in the abdominal cavity, at the bottom of the kidney.
- Normally, at 28 weeks of gestation, each testicle of the fetus descends into the scrotum.
- Behind it stretches the front surface of the abdominal wall. How its continuation forms the scrotum.
- As a result, a vaginal peritoneal process is formed - a cavity that connects the scrotum with the abdominal cavity. Its middle part normally grows, and the end becomes one of the shells of the testicle.
If the vaginal process is not overgrown before birth, then a channel remains between the abdominal cavity and the scrotum.
This occurs in 80% of newborns. Peritoneal fluid can accumulate in the scrotum of the baby. It is a substance that moisturizes the internal organs and abdominal wall to reduce friction between tissues. Due to the accumulation of fluid, dropsy of the testicle develops.
In most cases, the peritoneal process overgrows by 1.5 years, but for several reasons it remains open. Unlike congenital, acquired hydrocele cause factors that act during life.
This condition is also called secondary hydrocele.
Dropsy of a testicle in a boy can cause a severe pregnancy or problems during childbirth. This group of reasons includes:
- risk of miscarriage,
- childbirth injuries
- viral infections.
Due to such complications, one or both testicles may not descend into the scrotum (cryptorchidism).
There is still a risk of developing urogenital system defects. More often, hypospadias leads to dropsy, in which the opening of the urethra is shifted from its normal position. It can be located on the scrotum, in the perineum, on the body of the penis, etc.
Over the age of 3 years, the disease is more often caused by infections or injuries in the groin area, including burns and bites. Because of this, reactive dropsy of the testicle occurs. Acquired causes of the disease:
- tumors in the scrotum,
- testicular torsion,
- scrotum surgery
- inflammation of the testicles, kidneys, or bladder.
Diapers do not play a role in the development of hydrocele. If they are sized, they do not pose any threat. If the diaper is squeezed or seldom changed, diaper rash and inflammation can occur in boys, which increases the risk of dropsy.
Hydrocele can occur after acute respiratory viral infections, influenza or mumps, but this rarely happens.
In a separate group of causes include diseases in which closed body cavities accumulate fluid. Examples of such pathologies:
- heart and vascular insufficiency,
- chronic kidney disease
- liver failure.
In adolescents, hydrocele can cause sexually transmitted infections. This is gonorrhea, chlamydia or trichomoniasis - diseases that support inflammation in the testicles.
They worsen the flow of blood and lymph, due to which their liquid part seeps through the shells of the scrotum, where it then accumulates.
Diseases that are accompanied by increased pressure inside the abdomen can also lead to dropsy of the testicle.
Congenital and acquired dropsy of the testis in a child has the same symptoms. The child becomes moody, and with severe pain often cries. There are problems with sleep - the baby often wakes up at night or cannot fall asleep. Body temperature sometimes rises to 37–38 degrees and is accompanied by chills.
The most common signs of testicular dropsy:
- Scrotum enlargement - The main symptom of hydrocele. Due to swelling, it can reach the size of an egg. In severe cases, the diameter of the scrotum increases to 10–20 cm. If fluid accumulates in the inguinal canal, the swelling becomes like an hourglass.
- Redness of the skin. They become elastic and hot to the touch, there may be seals. In boys of the first years of life, such symptoms are very pronounced.
- Pain. Her parents notice during bathing and in other cases when they touch the inguinal area of the child. Adolescents in the scrotum may experience feelings of heaviness and discomfort.
- Urination disorders. They appear when dropsy of the testis is associated with diseases of the genitourinary system. In a very young child, anxiety and crying during urination can be noticed. Older children often ask for a toilet. With the advanced form of the disease, urine is excreted in small portions.
With isolated hydrocele, a puncture is performed - excess fluid is removed from the scrotum. Another treatment option is an operation to remove the membrane in which fluid accumulates. This method is considered more effective, since relapses after it are very rare.
- Medications do not eliminate the cause of the disease, but relieve symptoms - temperature, pain.
- If an infection develops against the background of dropsy, the doctor prescribes antibiotics.
- Medicines are also used in the reactive form of hydrocele, because it occurs due to other acute diseases of the genital organs.
In boys under 1–1.5 years of age, hydrocele is considered a variant of the norm, but this only applies to a communicating form. Up to about 2 years, in 95% of cases, the gap between the lower abdomen and the scrotum overgrows. Up to this point, the child needs to undergo regular examinations with a pediatric andrologist and pediatrician. They monitor how the disease develops.
If too much fluid accumulates and there is pressure inside the testicle, tense dropsy occurs. With it, a puncture is performed - a puncture of the formed cyst with a needle. The procedure is effective for isolated hydrocele, when the fluid has no exit from the closed cavity.
- For puncture, doctors do local anesthesia.
- During the procedure, the doctor monitors the actions using ultrasound.
- Puncture is performed only if surgery cannot be performed. The following disadvantages are taken into account:
- Risk of infection. Because of this, pus may form in the testicle.
- High probability of re-accumulation of fluid. Because of this, repeated puncture is required.
The operation is prescribed when the hydrocele causes inflammation or the child suffers greatly from acute symptoms of the disease. Ross's surgery, which is allowed from 2 years, is considered the best method of radical treatment.
It is prescribed if the boy has a communicating dropsy of the testicle. The doctor bandages the vaginal process, and the canal between the scrotum and the abdominal cavity becomes closed.
This helps to eliminate the cause of the disease, so the fluid in the testicle no longer accumulates.
With an isolated form in a teenager from 12 years old, other operations are allowed:
- According to Bergman. Intervention is indicated when the swelling has reached a large size and acquired a dense shell. The doctor excises the vaginal membrane. The method helps to keep the testicle healthy, so infertility does not occur.
- Winkelman Method. The doctor cuts the cyst, removes the fluid, and the shell of the testicle turns inside out. They are stitched, which eliminates the recurrence of the disease. With large hydrocele, this method is not used - the shell of the cyst is too stretched, it is difficult to turn it out.
- According to the Lord. The doctor first removes excess fluid from the testicle. The difference between the operation - the sutures are applied so as to create folds in the vaginal membrane. They provide the outflow of fluid, so it ceases to accumulate. The method minimizes the risk of injury to the vessels that feed the testicle, so the organ remains completely healthy.
Physiological dropsy often occurs in the first year of life itself, without treatment. If the doctors have indicated that they had a successful operation, the child will fully recover. With chronic hydrocele, the possible consequences are:
- testicular size reduction (atrophy),
- disturbances in the formation of male germ cells.
To prevent the disease, it is necessary to adhere to the recommendations:
- Protect the child from inguinal injuries and infections (genitourinary and viral).
- Regularly bathe the newborn, and to eliminate redness in the inguinal region, use decoctions of calendula, string or chamomile.
- Call a doctor immediately if swelling of the scrotum occurs.
- With the congenital form of hydrocele regularly visit the child andrologist with the child.
Operation for dropsy of the testicle in children
Dropsy of the testicle is a pathological accumulation of fluid around the testicle. In young children, hydrocele is represented by a communicating type. In older children and adolescents, an isolated dropsy of the testicle may also develop. The method of surgical intervention is chosen by the urologist depending on the type of hydrocele. You can read about the indications and timing of the operation for dropsy of the testicle in children in the articles “Hydrocele in newborns” and “Dropsy of the testicle in boys”.
If a child has a cold a week before hospitalization, be sure to notify your doctor. In this case, the operation will be delayed. The child must fully recover from the disease, since anesthesia and surgery on the background of the disease can cause serious infectious complications up to pneumonia.
After hospitalization, your child must be examined to exclude the presence of an infectious disease.
Blood and urine tests are given either upon admission to the clinic or on an outpatient basis several days before the planned surgical intervention.
These analyzes enable the doctor to exclude the presence of an infection in the child, and, therefore, ensure a safe course of anesthesia, the surgical and postoperative period.
Before the operation, you will be interviewed by the operating surgeon and anesthetist, who will explain in detail to you and your child everything that will happen during the operation and anesthesia.
After the conversation, you will need to sign an informed consent for surgery and anesthesia. Before you sign a consent, make sure that you fully understand all the information about treatment and its possible risks that is presented to you.
Feel free to ask your doctor questions.
Your child should not eat or drink at least six hours before surgery. This means that even a sip of water is not allowed. Your baby’s stomach should be empty to ensure a safe course of anesthesia
The operation is performed under general anesthesia. Parents often ask, “Is my child required general anesthesia or can I have surgery under local anesthesia?”
General anesthesia is not only safer, but also more humane in relation to children in need of surgical treatment.
Despite the fact that an anesthetist can provide pain control during surgery without general anesthesia, it helps to avoid the child developing psycho-emotional stress caused by the appearance of needles, surgical devices, sounds and smells.
General anesthesia implies that the doctor will use a pediatric anesthetist who will cause the child to quickly relax and ensure a lack of consciousness throughout the operation. Thanks to this, the child will not have any unpleasant memories.
To perform anesthesia, a mask is most often used through which the child inhales anesthetic gases. After the child falls asleep, an intravenous catheter will be placed in him. Anesthetics are administered intravenously to provide balanced anesthesia. Respiratory support and oxygen delivery to the child are provided by the anesthesiologist; the entire period of the operation is monitored for vital functions of the body (heartbeat, blood pressure, etc.).
Thus, the anesthesiological aid performed by a qualified doctor is practically not dangerous for the child. After the operation, the supply of anesthetic gases is turned off, and after a few minutes the child regains consciousness.
In children with communicating dropsy of the testicle, Ross is performed. After your child is completely asleep, the surgeon will make a small incision in the inguinal region in order to visualize the spermatic cord.
After the surgeon sees the spermatic cord, he gently selects the vaginal process among other elements of the spermatic cord, bandages and excises it at the internal opening of the inguinal canal.
The vaginal membrane of the testicle is excised or a “window” is formed in it for the outflow of fluid, the wound is sutured, and a sterile dressing is applied. This ends the operation.
If the hydrocele is not communicated with the abdominal cavity, the operation is performed by scrotal access.
In this case, the surgeon makes a small incision in the projection of the hydrocele on the scrotum, through which plastic surgery of the membranes of the testicle of one of the techniques is performed. After which the wound is sutured.
Sometimes the surgeon may leave rubber drainage in the wound, which is removed one day after the operation.Testicular sheath repair can be performed according to the methods of Winkelmann, Lord or Bergman.
During Winkelman’s surgery, the testicle is excreted into the wound, the contents of the hydrocele are aspirated, after dissection of the vaginal membrane, it is turned around around the testicle and stitched.
During Bergman's operation, the vaginal membrane is excised as close to the base as possible, and its remains are sutured.
Unlike Winkelman and Bergman operations, in which it is necessary to remove the testicle into the wound, Lord's operation is less traumatic, since the vaginal membrane of the testicle is corrugated in place.
- Surgery for dropsy of the testicle in children lasts 20-30 minutes.
- After the operation - in the clinic
- A few hours after the operation, the child will be allowed to drink, and eat in the evening.
- As a rule, you can go home the same day or the next morning.
After the surgery, your child will most likely not experience pain. If necessary, you can stop the pain with a non-steroidal anti-inflammatory drug (paracetamol or ibuprofen). After a few days, the wound will not cause any discomfort or pain.
After surgery - at home
At home, try to limit your child’s physical activity in the first few weeks after surgery, especially if the baby is less than five years old. You must explain to the child that he should not touch the wound. Since sometimes it can not only cause pain, but also lead to infection and bleeding.
If the surgeon sutured the wound with absorbable sutures, then the sutures will disappear on their own over time. If the wound was sutured with non-absorbable sutures, then 5-7 days after the operation, you will need to visit the clinic where the surgeon will remove the sutures. In our practice, we try to use only absorbable material to avoid such an unpleasant procedure as removal of sutures.
- The first two days there may be slight redness around the wound, which should not bother you, but if this persists for more than two to three days, you should consult a doctor, since such redness may indicate infection of the wound.
- The child can wash, but, nevertheless, try to keep the wound as dry as possible until the seams are removed.
- Possible complications of the operation
- Since the operation is performed under general anesthesia, one way or another there is a low risk of complications of anesthesia that even an experienced anesthetist cannot foresee.
- Complications of the operation develop extremely rarely.
Bleeding is an uncommon problem, usually resolved by creating pressure in the wound area. In extremely rare cases, surgery may be necessary to stop the bleeding.
Infection is also an infrequent complication that is eliminated by prescribing antibiotic therapy for one to two weeks.
Relapse of hydrocele after surgical treatment is very rare. Sometimes after surgery, the testes may be slightly higher than before the operation. Consult your urologist if you notice this.
Other extremely rare complications can develop during surgery in case of damage to the structures of the spermatic cord, namely, the vas deferens or blood vessels of the blood supply to the testicle.
In the future, this may affect fertility (the ability to conceive a child), especially if the second testicle is also compromised, in addition, a violation of blood supply can lead to unpleasant consequences, up to necrosis (death) of testicular tissues.
Features dropsy testicles in boys
Dropsy of a testicle in a child or hydrocele is a congenital or acquired disease in which serous fluid accumulates in the scrotum. In this case, the testicles increase, and the boy has difficulty urinating.
Most often, this disease occurs in infants. What looks like dropsy of testicles can be seen in the photo.
Hydrocele most often appears in newborns. The causes of the disease are as follows:
- prematurity, birth defects (if the baby was born ahead of schedule, the testicles might not yet form completely),
- testicular injury at birth,
- urological infections and inflammations,
- congenital pathologies,
- the testicle did not descend into the scrotum.
- cardiovascular failure.
The appearance of the disease can also be promoted by an incorrect lifestyle of the pregnant woman, including smoking and alcohol. The causes of dropsy of the testicle in older children can be:
- acquired injuries
- complications after colds and flu
- problems after surgery.
- All of this can also lead to another form of dropsy, called hydrocephalus.
What is dangerous dropsy?
Dropsy of the testicles occurs in every second newborn boy. Parents, looking at a photo of dropsy, panic, and require surgical intervention. But most often this is not required, and the disease goes away by itself. However, turning to the pediatrician is still worth it to prevent the consequences in adulthood.
Dropsy of the testis in boys is diagnosed quite quickly. First, you need an examination by a urologist who palpates the scrotum and performs diaphanoscopy, and urine and blood tests are also taken.
After examination by a doctor, the child is prescribed an ultrasound of the scrotum, which allows you to see inflammation and other pathologies in the testicles. After that, doctors decide how to treat the disease.
Testicular edema can be cured at any age. If dropsy is detected in newborns, observation by a pediatrician and urologist is necessary.
Most often, edema in infants occurs naturally in the second year, parents of babies are given recommendations on care to alleviate the disease.
In some cases, medications are prescribed to relieve inflammation, for treatment without surgery. Dropsy of the left testicle and the right testicle is treated the same.
We recommend watching a video from Dr. Komarovsky:
In situations where the child is already 2 years old, and the disease does not go away, doctors advise removing the dropsy with surgery. The method of exposure is chosen by doctors, in consultation with parents. The choice of treatment method is affected by:
- the age of the child with dropsy,
- the severity of the disease
- form of edema.
A hydrocele is operated in a day hospital (operation is pictured), an incision is made in the groin area and fluid is removed from it. After this, the incision is sutured with absorbable sutures. A safe removal method can be seen in the video.
When isolated dropsy develops, that is, fluid from the abdominal cavity does not flow into the scrotum, an operation is performed to remove the dropsy of the testicle in the child according to the Winkelman method.
An incision is made on the testicle, in the place where the disease is projected. The fluid is drained, and the dissected vaginal membrane is turned inside out. Thus, the fluid does not accumulate in the testicle.
This method is used for communicating hydrocele. Ross's operation for dropsy of the testicle is done by ligation of the scrotum inside the inguinal ring, then the vaginal process is cut off. Liquid is removed from the obtained hole and the incision is sutured.
Reviews for this operation are the most positive.
Surgeons after removal of dropsy recommend:
- children need to be calm, not run, avoid active games,
- the scrotum cannot be injured,
- to walk outside,
- you can’t wet the wound until the stitches are removed,
- Do not wear uncomfortable underwear.
After surgery, it takes two to four weeks to recover. A urologist at this time monitors how the dropsy of the testicle was cured.
Infusion of herbs
Herbs help well in healing. To prepare the broth, you need to mix two tablespoons of bearberry and 200 ml of cold water. Infusion must be insisted for a day, then filtered.
Drink this broth after meals, 3 times a day for half a glass.
A disease in a newborn can be treated with ointments. Fresh calendula flowers are taken, then juice is squeezed out of them, a baby cream is added to it. The dosage is one to one.
The ointment is applied to a sore spot, put on tight underwear from above. After applying the ointment, you can not wet the scrotum until one day has passed. Apply until the scrotum ceases to look swollen.
For a speedy recovery, the child must follow a diet. Pumpkin juice is very useful, it must be consumed fresh every day for 100 ml. During treatment, boys should eat vegetables and fruits, and avoid:
- fatty and fried foods.
When newborns are sick, mothers need a diet.
Prevention and Hygiene
In order not to encounter the appearance of dropsy, it is important for parents to remember:
- the child needs to avoid infections and injuries of the scrotum,
- kids need regular pediatrician examinations,
- adolescents need to be warned about the disease,
- thorough hygiene is needed.
Thus, the pathology in question can be eliminated independently at an early age or due to therapeutic effects.
However, in spite of such positive prospects, it is by no means possible to let the disease go by itself, and if it is detected, immediately seek medical help. In the worst case, the child is threatened with surgery.
Testicles in newborn boys: one more, omitted and other problems
Are you waiting for the birth of a son or have already become the happy mother of a tiny gentleman. Caring for a newborn is not only a pleasant duty, but also a great responsibility. What does the boy’s parents need to know, what should they pay special attention from the first days of his life?
The difference in size and edema is the norm
In the first trimester of pregnancy, testicles (testicles) are laid. This process occurs in the abdominal cavity of the fetus. In children born on time, the testicles should descend into the scrotum. In premature babies, they are usually located in the inguinal canal and eventually independently occupy the desired position.
A slightly enlarged scrotum in a born boy is considered the norm. Small swelling, and slight pigmentation of the skin of the scrotum, is the result of a hormonal crisis, inevitably experienced by the body of the baby who has left the womb of the mother.
To the touch, the testicles of the newborn are elastic. The testicles are a paired male sex gland, but their sizes are slightly different: one (usually right) is larger than the other.
Lack of testicle in the scrotum
For various reasons, the omission of the testicles does not always end at the time of birth. And cases when a baby has one or both testicles by the time of birth did not fall, are quite common. An abnormality (cryptorchidism) is diagnosed in the maternity ward at the first examination.
It is worth noting that now many experts do not consider the absence of one or even two testicles in the scrotum of the baby to be cause for concern.
In most cases, the problem is resolved by the sixth week of life without intervention. But the process can drag on to a year. Children must be constantly monitored to prevent concomitant complications. A consultation with a urologist will be required, and if necessary, an endocrinologist.
During swaddling of the boy, mommy is able to control the presence of testicles in the scrotum herself, gently probing it from both sides.
There is still a phenomenon, false cryptorchidism. Baby's testicles are very mobile. In some babies, they hide from the cold or muscle tension in the peritoneum or inguinal canal, but soon return to their proper place. False cryptorchidism disappears in adolescence.
There are times when cryptorchidism requires surgical intervention. Depending on the medical condition, surgery is prescribed between six months and a year. Experts strongly recommend not to put it off. At a later age, it usually gives only a cosmetic effect, the testicle will not be able to perform the functions of the sex gland.
Dropsy of the testicles occurs in newborns quite often. A disease when fluid builds up and is retained in the membranes of the baby’s testicles. The result - the entire scrotum or one of its halves increases.
Sex crumbs laid at the time of conception in the womb of the mother. At the final stage of scrotum formation between the testes and the abdominal cavity, a septum overgrows, preventing the penetration of fluid.
If even a small cavity remains between the peritoneum and the scrotum, it is gradually filled with serous fluid. In medicine, the disease is called hydrocele.
The pathology of the membrane can cause dropsy of the testicles.
How to recognize a dangerous anomaly? The scrotum begins to increase due to a pear-shaped seal. Sometimes edema takes the shape of an hourglass. A sign of water entering the seed canal.
The size of the dropsy varies from a small tubercle to swelling the size of a ball.
The structure of the skin of the scrotum does not change. It is elastic, mobile and clean, sometimes redness appears. Dropsy does not complicate urination, does not cause pain.
Not always the cause of the disease is a violation of the septum. It happens that the membrane is overgrown, but the scrotum is still full. Congenital dropsy of the testes develops due to a malfunction of the lymphatic system of the baby.
The shells of paired glands secrete a special fluid that reduces their friction.
The excess should be absorbed back, but the lymphatic system often does not cope with this task in the first months of life.
As a rule, this disease involves constant monitoring by a pediatric urologist. Up to a year, signs of dropsy usually go away. If nevertheless the edema has not gone away and continues to increase, then after two years such children are operated on. It is also likely that the dropsy of an infant's testicle can develop into a hernia.
Boys are at increased risk for testicular hernia. A serious and dangerous phenomenon that poses a threat to the life of the crumbs. Like torsion, a hernia can lead to the death of the testicle. The disease negatively affects the functioning of the intestines.
Testicular hernia refers to congenital malformations. One-sided testicular hernia occurs. The right is in danger three times more often than the left. The only way to get rid of the problem is surgery. It is carried out even in the first days after birth.
It is easy to detect a hernia visually. It manifests itself in the form of a protrusion in the groin area and is clearly visible when screaming, crying, with physical exertion. A hernia is felt when palpating. Mom should not neglect the regular examination of her son during swaddling and bathing.
Torsion (inversion) of the testicle
The inversion causes the boy very severe pain and can lead to very unpleasant consequences. Only a qualified doctor will help in this situation. If help is not provided in a timely manner, then after a few hours the testicle can be damaged, and after about a day the changes will become irreversible. Typically, infringement of testicles occurs in infancy or in the period from 10 to 14 years. Unfortunately, operations cannot be avoided with such a problem.
Do not try to independently treat this ailment. Ointments and compresses will not help here. You just miss the time that can cause serious complications, such as testicular necrosis (necrosis).
Redness, rash and spots on the scrotum
Sometimes parents complain about the child’s red testicles. This is actually a reddening of the skin of the scrotum. The cause of the trouble is often in the usual diaper rash. Irritation is observed in the folds of the skin with excessive moisture caused by increased sweating at high temperature or inadequate hygiene.
The genitals of the boy should be clean and dry. This will save you from many inflammatory processes and dangerous diseases. Urologists are unanimous in the opinion: many men's health problems begin in the first five years of life.One reason is a violation of hygiene rules. It is important to remember the parents of a little gentleman.
If you are not sure that the redness is caused by diaper rash, it is better to consult a pediatrician or dermatologist: redness of the scrotum is a common symptom of diseases:
- Torsion of the testis: redness of the testis, an increase in size, fever, vomiting.
- A hernia can cause redness of the testicles. The result and one of its symptoms is constipation.
- Injury. Redness or hematoma due to trauma in infants is a rare occurrence.
- Infection. In addition to redness, it is sometimes accompanied by a rash.
- Hydrocele. Red testicles may be one of the symptoms of dropsy.
It happens that rashes and spots on the scrotum indicate an allergic reaction to diapers or food allergies. Skin dermatitis is also accompanied by the appearance of spots and rashes on the body, including the genital area.
The testicles of a newborn boy should be in the zone of constant attention of his parents. Not only health and proper development of the baby, but also its ability to lead a normal sex life and have children in the future depends on proper child care, on hygiene and timely treatment of diseases of the genitourinary system.
If you regularly and regularly examine the baby, take into account the advice of doctors, do not neglect hygiene, then the risk of male problems and inflammatory diseases will be minimal.
- Pathologies of the scrotum and testicles can be hereditary, but the course of pregnancy is also of great importance for the normal formation of the fetus. Cold, infectious or viral diseases of the expectant mother can cause problems in the development of the fetus, including delayed prolapse of the testicles and dropsy.
Smoking, especially during pregnancy, is a direct path to the development of such pathologies. Therefore, the expectant mother must very responsibly approach the period of waiting for the birth of a child.
After birth, follow the instructions of your pediatrician and be sure to consult with specialists in case of the slightest deviations from the norm.
Congenital causes of dropsy in a child
According to the WHO, physiological dropsy of the testicles in newborn boys is observed in 10-15% of cases. The reason is the non-closure of the hole between the peritoneum and genitals, due to which the fluid from the peritoneal cavity enters the testicle shell.
In 95% of cases, access independently overgrows by the first year of life, and dropsy in a child ceases by itself. Sometimes this does not happen and the pathological condition is delayed for a longer period. As a rule, if after 3 years the canal cavity has not closed, they resort to surgery.
The following factors can provoke the appearance of dropsy of the testicles in newborn boys:
- viral and infectious diseases of the expectant mother in the II trimester of pregnancy,
- the threat of miscarriage and deterioration of the blood supply to the placenta after 28 weeks of gestation,
- genetic heredity
- intrauterine infection of the fetus with the development of inflammation of the genitals and urinary tract.
The main cause of dropsy of the testicles of the fetus is considered to be serious illnesses (ascites, peritoneal dialysis) and bad habits (smoking, alcohol, hard diets, wearing tight clothes) of a pregnant woman. In addition, the risk of developing an ailment is always higher in infants.
In urology, it is customary to distinguish several varieties of the disease. Depending on the rate of development of symptoms, dropsy of the testis in a child is classified into acute and chronic.
According to localization, one-sided and two-sided lesions are distinguished. A separate type includes intense (communicating) hydrocele. The condition is characterized by a strong swelling of the scrotum, increasing in the evening. The violation appears due to a disorder of the valve communication between the peritoneum and genitals - the fluid easily enters the scrotum, but cannot return back.
In addition to tense, there are two more forms of dropsy of the testicles in the baby:
- Isolated hydrocele. It occurs when the vaginal process does not fully overgrow. In the lower part of the cavity, fluid is stored that cannot drain into the peritoneum. Such dropsy has a constant size.
- Funicular. It develops if the middle part of the appendix remains ununited. Liquid collects in the cavity and turns into a cyst.
If in infants at the same time as the testicle and the vaginal process, a part of the intestine descends into the scrotum, the hydrocele is combined with an inguinal hernia.
Treatment with folk remedies for dropsy can alleviate the condition of the child, but only on condition that the ailment is acquired. With congenital hydrocele, unconventional methods are ineffective.
An older boy can make a compress from a warm infusion of chamomile flowers and coltsfoot grass. A handful of dry raw materials is brewed in ½ liter of water, insisted and filtered. A piece of flannel is dipped into the solution, squeezed and laid on the scrotum. Top cover with polyethylene and put on underwear.
It relieves swelling with dropsy of the testicle in a child hydromassage in a warm bath. The procedure is performed every day before bedtime for 5-10 minutes.
Fresh potatoes will help to draw out excess liquid. The vegetable is grated, mixed with starch and spread on linen cloth. The compress is gently wrapped around the scrotum and covered with plastic wrap.
To improve the well-being of the baby, you can use sessile baths from medicinal herbs: calendula flowers, mint, common repeshka, birch leaves and buds. It is better to do them before bedtime - water procedures will reduce the swelling of the scrotum and soothe the baby, help to sleep peacefully.
What is dangerous dropsy testicle in a child? If hydrocele is not treated, the disease can provoke very unpleasant consequences:
- violation of urination:
- pain and discomfort
- disorder of blood supply in the testicle with further atrophy,
- inflammation in the scrotum
- deterioration of spermatogenesis and hormone production.
Can a child's hydrocele cause infertility? With significant accumulation of fluid and testicular atrophy, such a complication is more than likely. In other cases, only the formation of male germ cells is disrupted.