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Cyst of the spermatic cord: signs and treatment

The funicular, as well as the testicular cyst in a child, is a circular formation filled with liquid. Sometimes the secret contains an admixture of live or dead sperm.

Cysts are of two types:

Congenital. Even in the period of embryonic development, the human reproductive organs are laid. In boys, this process ends in the last weeks of a normal pregnancy. And if the abdominal process is incorrectly formed, then several sinuses are unconnected, which can be affected by dropsy.

  • bad habits of the pregnant woman
  • infectious diseases of women at different stages of pregnancy,
  • premature birth.

At the same time, sperm cells are not detected in the secretion of the cyst.

Acquired. Occurs in the case of:

  • hypothermia
  • scrotal injuries of varying severity,
  • inflammation of the testicles and appendages
  • viral diseases
  • Untimely change of diapers (in infants),
  • insufficiently thorough personal hygiene.

In this case, sperm cells are detected in cyst fluid during analysis.

Other possible causes are impaired outflow of venous blood, sexually transmitted diseases, genetic predisposition, puberty, constraining underwear, inguinal hernia.

Symptoms

This disease has poor symptoms. Usually, it is discovered by the parents of infants, performing hygiene procedures. Teenagers can feel something “incomprehensible” when they independently examine their body. There are frequent cases of diagnosis, at a routine examination at a pediatric surgeon.

At the stage of its increase to a critical size (more than 2 cm), the first unpleasant sensations may appear:

  • pain during urination
  • feeling of fullness in the groin,
  • Acne in the groin
  • pain in the scrotum or lower abdomen
  • sexual dysfunction (in adolescents).

If a simple detection of a “ball” in the scrotum can lead anxious parents to the forum of mothers of children with the same problems, then obvious dangerous symptoms should force them to turn to a medical institution for advice.

What is dangerous cyst of the spermatic cord

The tumor itself is benign in nature, but, with untimely treatment and non-compliance with medical recommendations, it can lead to complications:

  • underdevelopment of one of the testicles,
  • inguinal hernia,
  • infertility,
  • rupture of the membrane with a splash of fluid (leads to inflammation of nearby appendages),
  • purulent processes
  • potency problems
  • penetration of infection into the scrotum.

It is in order to minimize the risk of consequences, if you find seals in the genital area, you should immediately contact a pediatric surgeon. No specialist will make a reliable diagnosis without additional examination methods, such as ultrasound, we recommend making clinics that have devices from Sonomedik.

Varieties and Causes

Cystic formation is most often observed in infants up to one year old. Depending on the method of appearance, the funicular in boys are of two types:

  • congenital,
  • acquired.

Congenital formation appears with intrauterine disturbance and abnormal formation of the abdominal process in infants and children up to one year of age, which creates several sinuses that are not interconnected. In the future, these sinuses on the right or left spermatic cord are affected by dropsy. In addition, the disease can occur due to premature birth in the mother of the newborn.

An acquired cyst may occur for the following reasons:

  • hypothermia
  • scrotum damage
  • inflammation,
  • dropsy formation.
Dropsy of the testicle or hydrocele

There is blockage by the spermatic cord of the movement of spermatozoa, which accumulate in one place, stretching the walls of the duct, which causes cystic formation.

Together with the above factors, there are other reasons for the appearance of pathology:

  • violation of the outflow of venous blood,
  • the presence of sexually transmitted diseases (STDs),
  • genetic addiction
  • puberty
  • inguinal hernia,
  • poor personal hygiene
  • tight clothes.

Treatment

In children under the age of three years, the funicular can periodically independently increase and decrease in size. Doctors recommend this time just to observe the general condition of the boy and the size of the education.

In the case of an increase in the diameter of the tumor or the manifestation of persistent pain, surgery may be required. Children who have not reached the age of two are removed by puncture. For a while, the ball becomes smaller without completely resolving.

Boys older than two years are operated on according to indications. The process lasts no more than half an hour and includes several stages.

  1. The operation is performed under local anesthesia or general anesthesia, and the first stage begins with it.
  2. In the area of ​​the cyst, a small incision is made with a scalpel.
  3. Through the incision formed, the spermatic cord is very carefully pulled out.
  4. The cyst is removed from the spermatic cord, which is sent for microscopic examination for a detailed study of the composition.
  5. All scrotal tissues are stitched in layers with a neat cosmetic stitch.
  6. Cold and suspensorium are applied to the operated site.

The day after the operation, the child with one of the parents is in the hospital under the supervision of a doctor. Antibiotics are often prescribed to prevent postoperative complications.

Symptomatology

The symptomatology of the disease in boys is poorly expressed, often it can only be detected with a planned ultrasound examination (ultrasound) of the inguinal region.

In infants, the presence of a cyst in the spermatic cord can be detected by a pediatrician when examining a newborn. When probing, the pathology is similar to a small, "rolling" ball in the groin.

Usually, a child’s neoplasm does not cause any discomfort, however, its growth can cause symptoms such as:

  • pulling sensations in the groin,
  • fast hair growth throughout the body,
  • fever and vomiting,
  • painful urination.

Danger

A cyst is a benign neoplasm. In the worst cases and in the absence of treatment, the disease can cause serious complications, such as:

  • developmental failure, affected right or left testicle,
  • hernia in the groin,
  • infertility,
  • breakthrough and release of fluid accumulated in cysts, which leads to inflammation.

It is because of the tendency of the cyst to lead to serious consequences that it is recommended to pay due attention to the health status of both infants and adult men. If the initial signs appear, consult a doctor immediately. The sooner treatment begins, the greater the chance that it will pass without dangerous complications.

Diagnostics

A urologist andrologist and surgeon are involved in the diagnosis of the disease. The clinical picture is similar to other diseases, so it is important to accurately determine the nature and cause of the pathology.

Diagnostics begins with a visual inspection and a survey of:

  • symptoms
  • the presence of scrotum or testicular grass,
  • the presence in the history of inflammatory diseases.

After the patient is sent for examination. It takes place using several diagnostic methods, both individually and in combination:

  • Ultrasound - helps to establish the boundaries and localization of tumor formation,
  • diaphanoscopy - consists in the "transmission" of education with the aim of studying the liquid composition.
  • a biopsy is the most reliable way to diagnose, the essence is to collect the fluid in the cyst for further research.
Testicles for ultrasound

If there is no indication for treatment, the patient is assigned only an examination every six months. If the cyst of the spermatic cord in size exceeded two centimeters, and also tends to further growth and turn into a malignant tumor, then the doctor prescribes therapy appropriate to the clinical picture.

Complications

Postoperative complications are of two types.

  • hematoma in the incision area,
  • pain
  • seams apart
  • nosocomial infections.

  • rupture of the membrane during surgery,
  • thick scar
  • infertility.

Surgeons claim that the removal of the cyst is one of the simplest and most popular types of surgery on the genitals of boys. In order to reassure yourself, it is worth reading the reviews of parents whose children have already gone through this.

Ethnoscience

The use of traditional medicine is not effective and, conversely, can harm the health of the child. In addition to compresses and ointments prepared by home craftsmen, some can apply massage, which can provoke a rupture of the cystic formation of the spermatic cord in the baby, and subsequently inflammatory processes.

For this reason, it is highly recommended not to use traditional medicine methods.

Similar diseases

Spermatocele - occurs in case of violation of the outflow of sperm from the epididymis. In this case, the fluid accumulates in any part of the vas deferens and a cavity forms, most often in the region of the head.

The cyst of the appendages of the testicles is a benign formation and often occurs during periods of powerful hormonal changes in boys in the puberty period.

In the photo on the Internet you can see that this process takes place in the scrotum, when the funicular is formed outside of its borders.

The disease is asymptomatic until the neoplasm increases in size and presses on closely located organs and nerve endings.

Doctors recommend observing the tumor and undergoing an ultrasound scan in a timely manner so as not to miss the moment when surgery is needed.

Drug treatment

Conservative treatment of funicular is based on the regular use of medications aimed at resolving the formation. Boys are prescribed drugs for narrowing blood vessels, which reduce blood flow to the affected cyst area.

With conservative treatment, experts recommend:

  • intake of vitamins
  • active pastime, excluding weight lifting,
  • wearing loose underwear.

Since it is most often possible to determine a cyst only when symptoms appear, drug treatment designed to rid a pathology at the initial stages of its onset is rarely used.

Conservative treatments

As long-term medical practice shows, treatment without surgery is useless. Tableted preparations, injections and suction of the liquid are only temporarily able to slow the growth of education, but the cyst membrane does not resolve on its own, even with the systematic use of the most expensive drugs.

Traditional healers offer frustrated parents lotions, ointments, decoctions. The most daring try to influence the cyst with massages. Such a procedure can provoke a rupture of the dropsy membrane, followed by an outflow of contents, which will lead to inflammation of the nearest organs.

Ointments, especially warming, can contribute to the growth of the tumor, which will only bring closer the meeting with the operating unit.

Surgery

Removal of education can take place both under anesthesia and under general anesthesia. The choice of one or another option depends on the condition and location of the cyst.

The operation itself proceeds in the following order:

  1. skin incision
  2. the most accurate excision of tissues over the formation, as accidental damage to the seminal duct or testicle can lead to dropsy,
  3. search for pathology, looping silk from it, removing a cyst,
  4. stitching the incision to avoid scarring, which may adversely affect further health.

After the operation is completed, ice is applied to the operated area, the removed tumor is sent for histological analysis to confirm its benignity.

Rehabilitation period

Rehabilitation after surgery is very important, negative treatment results must be avoided. Doctors give the following recommendations:

  • spend a long time lying down,
  • exclude physical activity,
  • Wear special supportive underwear
  • exclude the use of alcohol.

The consequences of non-compliance with recommendations are extremely deplorable and consist in the appearance of inguinal hernia, which requires another operation.

Possible complications after surgery

According to statistics, postoperative complications are rare, but they occur. The most common consequences:

  • seams apart
  • inflammatory processes
  • the appearance of a hematoma.

Less commonly, but not excluded:

  • severe pain in the operated area,
  • tissue distortion and scarring,
  • relapse.

Funicocele is a rather insidious disease for the reason that its symptoms are largely identical with a number of others. In this regard, in case of disruption of the reproductive system and the detection of the first unpleasant sensations in this area, it is necessary to immediately visit a doctor for diagnosis, prescribe treatment and in no case do self-therapy.

What is a spermatic cord cyst in a boy?

If at the appointment with a pediatrician your baby is diagnosed with a spermatic cord cyst, do not rush to be very upset.

This disease is not fatal, and is also easily treatable, especially if it is detected at an early age.

Let's get acquainted with the definition of a cyst of the spermatic cord. This disease is a special accumulation of liquid mass, which is collected in the membranes of the spermatic cord. The place of accumulation is called the unprotected vaginal process, which is located in the peritoneum.

If you compare this disease with others, then it can remind you of the dropsy of the testicles. In another way it is called hydrocele. Hydrocele treatments are suitable for treating the spermatic cord cyst.

The consequences of the cyst of the spermatic cord also threaten a violation of the development of the testicles, weakening of reproductive function, sexual impotence.

Scrotal or inguinal hernia can accompany this disease in adulthood.

In another way, this disease is called spermatocele. It has been known since ancient times, and was observed in those men who had been exposed to hypothermia for a long time, or, conversely, wore clothes in which the whole body sang and sweated.

Causes

Like any other disease, spermatocele in children does not appear from scratch.

In order for this disease to begin to develop in the child's body, the corresponding causes of the spermatic cord cyst in the boy are necessary.

  1. This disease is very common in children who have not yet celebrated their first birthday.
  2. Can cause a cyst of the spermatic cord in a boy treated with an operation performed on this organ or an injury to the scrotum in adulthood.
  3. If an inguinal hernia was diagnosed in a newborn, then it is likely that such an ailment can result in the acquisition of spermatic cord cysts.
  4. A prolonged stay in wet diapers, as well as hypothermia can contribute to the development of this disease.
  5. The spermatic cord cyst can be inherited if men in your family have had these diseases.

The cyst of the spermatic cord in a child can be acquired at the hospital, or even during gestation.

It all depends on the genetic data that the baby received and absorbed from his parents.

Therefore, despite the fact that the percentage of sick children with spermatocele is not so great, nevertheless, it is no exception.

Spermatocele in newborns

Spermatocele can overtake not only a teenager, but also a newborn baby.

As mentioned above, the reason for this is the injuries received by the child during delivery, as well as the diseases that the mother suffered during pregnancy.

To determine the presence or absence of cysts of the spermatic cord in the baby will be able to pediatrician still in the hospital.

The fact is that a cyst located in the spermatic cord will manifest itself, speaking as a small tubercle in the groin.

Given that the fat layer of the skin of a newborn baby is very small, a pediatrician can easily determine the presence or absence of a disease.

Moreover, spermatocele does not bring any discomfort to newborn babies, due to the underdevelopment of the genitourinary system.

In children

Children can get spermatocele disease not only congenitally, but also due to the influence of certain factors.

These include:

  • blows
  • untreated diseases of the genitourinary system,
  • lack of personal hygiene
  • hypothermia
  • wearing too coarse, tight clothes
  • weight lifting
  • as well as other reasons that can provoke this ailment.

Indications

If we are talking about a newborn baby, then do not rush with treatment.

It is necessary to observe the baby for a couple of months, and if the problem does not disappear by itself, then you can begin its comprehensive treatment.

If we are talking about spermatozoa in a teenager, then it is urgent to consult a doctor in order to prescribe a method of therapy.

Perhaps your delay will negatively affect the future of the child.

Indications for the treatment of spermatocele are the following factors:

  1. First, the baby should feel uncomfortable during urination.
  2. Also, pain in the groin, which is accompanied by burning, is possible.
  3. Perhaps a sensation of itching of the genitals.
  4. A small tubercle may protrude in the inguinal region, which indicates the location of the cyst.
  5. If the child complains of malaise in the groin area, and the process of visiting the toilet is accompanied by pain, it is urgent to consult a urologist for advice.

Treatment options

Spermatocele treatment involves two methods. If the cyst of the spermatic canal in a child has just begun to develop, and still does not bring uncomfortable sensations, then a medical approach is possible.

If pain accompanies every visit to the toilet, it is painful to exercise and there are other uncomfortable sensations, then we are talking about the operation of the spermatic cord cyst in a boy.

Conservative

Drug therapy suggests that the child will systematically use drugs that direct their action to resorption of the cyst.

Also, drug therapy includes the use of vasoconstrictor drugs, which have a beneficial effect on the treatment of the disease, reduce blood flow, thereby allowing the cyst to dissolve without adequate nutrition.

It is also necessary to slightly change your lifestyle. You need to eat right, take vitamins, move a lot, while hard physical work is not provided.

It is necessary to wear comfortable underwear that will not tighten the cyst, thereby increasing the likelihood of it breaking.

Operation

The main and often used method of exposure of the spermatic cord cyst is surgical intervention.

In this case, it is necessary to carry out the operation of the cyst of the spermatic cord in a child, which has the goal of removal, without a possible gap. An intervention can be carried out by a doctor with a surgical education, while this intervention in the body is assumed with anesthesia.

The cyst is removed quickly, together with the vascular network, due to which it feeds.

Narcosis

Since this disease is quite serious as a consequence, and also has a serious pain syndrome, in some cases the operation of the spermatic cord cyst in a child is performed under general anesthesia.

If the cyst is not close to a gap, and also, the baby does not experience pain, then during the operation, local anesthesia is used.

Anesthesia is injected into the spine, and only the lower body is immobilized. The child is conscious, can observe the progress of the operation, however, does not feel pain.

If there are serious consequences, or if the child is too small, then general anesthesia is possible.

Postoperative period

After you have had surgery, you must adhere to some rules in order for the effect to consolidate.

To do this, you need to spend a long time lying down. Do not strain in the first week after surgery.

It is helpful in your situation to take vitamin complexes to support the body.

Do not forget about frequent visits to the urologist in order to monitor your condition. Do not wear too tight underwear, because it can pinch the place where the operation was performed. You will receive other recommendations for the recovery period from your doctor.

Possibility of relapse

Many parents worry that getting rid of spermatocele once, there is a chance to earn it again.

Unfortunately, the operation of the spermatic cord cyst in children is not a panacea for relapse, therefore, you need to follow all precautions to prevent this from happening.

Be sure to monitor how your child dresses, visit your urologist more often, and also do not let your child engage in heavy sports or lift weights.

Over time, if after several years after the operation the relapse did not manifest itself in any way, this means that the body has fully recovered, and is no longer susceptible to such diseases

Conclusion

Spermatocele should be treated immediately, as it was diagnosed in a serious form. However, do not rush to get upset, and resort to various techniques.

Most often, spermatocele is removed by surgery. The cyst of the spermatic canal in children tends to dissolve, and your task is to positively set the child up for surgery.

Watch the video: Spermatocele. What it is? What to do with him? Tips for parents.

What is the spermatic cord

The spermatic cord is one of the organs of the reproductive system that is paired. It consists of nerves, lymphatic and blood vessels, vas deferens, the remains of the outgrowth of the peritoneum.

Funiculocele is a benign hollow tumor in the spermatic cord, which can be congenital or acquired. It is quite easy to identify this pathology during a manual examination of the child, but it is better to entrust it to a doctor who will make a diagnosis on the basis of a comprehensive examination.

Manifestation forms

Cyst of the spermatic cord in a boy (reasons, photos are presented in this article) can be:

  • Congenital. In this case, there is only one explanation - disruptions in embryonic development. A congenital cyst of the spermatic cord in a boy is manifested with incomplete growth in the abdominal cavity of the vaginal process, which is why hollow neoplasms form in the spermatic cord. Most often, this form of pathology is spermatogenic and consists only of a clear fluid without sperm.
  • Acquired. This form most often develops as a result of the inflammatory process of the scrotum or its injury. The ducts that were damaged in one way or another cease to function, due to which there is an overlap, which means that the outflow of sperm cells stops. In addition, there is a blockage of the secret itself, which pulls some sections of the seminal ducts. It is precisely because of this that hollow neoplasms, cysts are formed. Unlike congenital pathology, in this case, the fluid is also filled with sperm bodies, and they can be already destroyed or even fresh.

It is worth noting that the boy’s congenital cyst of the spermatic cord, the reasons for which lies in the peculiarities of embryonic development, does not pose a threat to life, however, when the first symptoms appear, it is recommended to immediately contact a urologist. This is due to the fact that the funicular can only be a symptom of another serious disease. For example, a cancerous tumor may develop with the same symptoms. That is why any neoplasm needs a complete study.

The main causes of pathology

In addition to pathologies of embryonic development, a cyst of the spermatic cord in a boy, the reasons, treatment and diagnosis of which are discussed in the article, may occur due to:

  • blockage of the duct of the spermatic cord or interruptions in the circulation of interstitial fluid (retention cyst),
  • mechanical damage, inflammation, or other pathology of the spermatic cord (remission cyst).

Most often, this disease is congenital in nature and is formed as follows: in the womb, the testicle normally lowers into the scrotum, moving along the inguinal canal, and the outgrowth of the peritoneum, which subsequently forms the inner shell of the testicle, also falls. It is this outgrowth that is called the vaginal process.

Normally, this process overgrows during the first months of life, as a result of which a thin cord forms, and the area of ​​contact of the testicle with the peritoneum disappears. This prevents the passage of peritoneal fluid to the location of the testicle. The lower part of the process forms a kind of cavity around the testicle, which serves as a reservoir for fluid in the cyst of the spermatic cord. The main reason for this condition is that the area of ​​contact of the testicle with the peritoneum does not disappear. It is through this opening that the abdominal fluid penetrates the testicle.

What does a cyst look like?

Outwardly, this disease has its manifestations. In particular, the cyst of the spermatic cord in a boy, an operation on which is inevitable, is manifested by swelling or rounded formations in the inguinal region. This education has the ability to vary in size. This indicates that there is a message with the abdominal cavity.

A cyst develops for a long time, so it is almost impossible to notice any functional malfunctions in the body. A neoplasm can be noticeable when palpating, but it is very rarely disturbing. If the boy already knows how to walk, discomfort may occur during movement, but this symptom is quite rare. In addition, pain may be observed.

It is usually possible to detect a neoplasm during a routine examination or after a cyst reaches a certain size (usually they are within 1-3 cm).

It is worth remembering that the cyst of the spermatic cord in a boy, the reasons for which were described above, regardless of its size, can exert pressure on neighboring elements, resulting in poor nutrition of the testicle. That is why, in any case, an operation is required, which is performed at the age of 1.5-2 years.

Diagnostic Features

Only an andrologist can diagnose a spermatic cord cyst in a boy based on the results of the study. The following procedures may be required:

  • Ultrasound scrotum. This method is the most informative and accurate for research. Using it, a cyst of the spermatic cord is diagnosed. This research method allows you to determine the exact size of the tumor, as well as its location. On ultrasound, this pathology has the appearance of a homogeneous formation, which has a thin wall. In addition, smooth internal and external contours are clearly visible on the screen. However, ultrasound does not detect the presence of sperm in the fluid.

  • Diaphanoscopy. This method involves the scintillation of the scrotum in the rays of light of a certain length. During this, the cyst (usually the size does not exceed 2.5 cm) can be seen as light yellow transparent contents. A cyst has the ability to completely transmit light, in contrast to tissue seals.
  • Computed tomography and MRI are performed only when the doctor suspects the presence of a tumor process.

An important role in the diagnosis is the manual examination of a suspicious area. It is on the basis of the results of palpation that it is possible to establish the presence of pathology.

Folk methods

This pathology does not lend itself to conservative methods of treatment. Creams and compresses do not help eliminate a pathological neoplasm, but only delay the time of the necessary surgical intervention. In some cases, traditional healers use massage of the tumor area, which can lead to rupture of the cyst and inflammatory edema in the urogenital tract of the child.

Rehabilitation

To avoid the occurrence of hematoma and edema, a cold child is applied to the injured area after surgery, since the functioning of the reproductive system occurs at a temperature slightly below body temperature.

After discharge, the child needs to wear comfortable cotton underwear. It is better that these are swimming trunks that will support the testes in a fixed position. This will help to avoid seams.

Proper nutrition is not related to the cyst of the spermatic cord, and physical activity in the postoperative period is contraindicated. This is especially true for lifting weights, which increase intra-abdominal pressure. This can contribute to undesirable complications and the appearance of postoperative hernias.

Cyst treatment methods

This pathology is not a deadly threat to the body. A feature is that the cyst of the spermatic cord is easily treatable. However, in the presence of serious pain, as well as with a fast growth rate of the cyst, the necessary measures should be taken as soon as possible, since slowness can lead to the development of serious complications, such as a hernia. Also, this neoplasm can press on neighboring tissues, because of which they are deformed, and their functionality is impaired.

If a boy is diagnosed with spermatic cyst, surgery (the doctors' comments only confirm this) is the only possible treatment method. For its implementation, local anesthesia is used. After the operation, the patient in the hospital spends another day, and already on the tenth day, almost all restrictions are removed.

Stages of Surgery

The operation itself is carried out in several stages:

  • A minor incision.
  • Detailed dissection of all tissues on the way to the cyst. The basic rule of this stage of the operation: the skin of the appendages should be injured as little as possible. If this rule is neglected, there may be difficulties with the reproductive function of the patient in the future.
  • Removal of a cyst.
  • Suturing of the tissues of the epididymis. If this step is missed, some time after surgery, scars may appear that will adversely affect the process of sperm production and transportation.

To reduce the negative consequences after surgery, modern surgeons use special microsurgical instruments, as well as optical magnification. This allows you to make the smallest seam possible. The scar will be almost invisible, which means it will not interfere.After all surgical procedures have been performed, cold is applied to the sore spot to avoid the formation of a hematoma.

Cyst of the spermatic cord in a boy: operation, specific consequences

After surgery, there may be both specific and non-specific complications. The first group includes:

  • hemorrhages in the place where the operation was carried out directly,
  • suppuration of the wound,
  • discrepancy of seams.

As a rule, these consequences can be avoided if the operation was carried out according to all the rules.

Nonspecific effects

As for non-specific complications, a pronounced cicatricial process refers to them, as a result of which the outflow of seminal fluid is impaired (this complication can lead to the development of infertility). In order to avoid such a violation, surgical intervention is recommended to be carried out only on indications, which are:

  • severe symptoms of pathology, such as severe pain or a constant feeling of heaviness in the groin area,
  • an increase in the size of the cyst,
  • too large neoplasms, resulting in deformation of surrounding tissues.

With small sizes, cysts choose the so-called expectant tactics.

If we take into account the numerous reviews of mothers whose children were operated on, we can conclude that any consequences after surgery are extremely rare and largely depend on the individual characteristics of the body. However, experienced specialists take this into account before the operation, during a full examination. Also, patients say that the use of local anesthesia significantly accelerates the rehabilitation period, and in a day you can return to your previous lifestyle. And this is an important argument, given the speed of modern life.

The main symptoms of the disease

In order not to miss the initial stage of the disease, boys' parents should know the main symptoms of testicular cysts in children. Be sure to consult with a pediatrician or pediatric surgeon if the following alarming symptoms have been observed in a child:

  • a small seal is felt in the testicle,
  • a child who is already a year or more continues to suffer from frequent bloating,
  • one of the testicles is clearly larger than the other,
  • the child has a clumsy gait, as if something was stopping him,
  • when probing the resulting compaction, the child does not feel pain in the testicles,
  • in children, aching pains in the lower abdomen may periodically occur.

Is conservative treatment possible?

Many people have the question: "If a cyst of the spermatic cord is diagnosed in a boy, can the Helev preparations help to avoid surgery or not?" The answer is unequivocal: no, they cannot. Neither pills nor ointments are able to rid a congenital or acquired cyst of the spermatic cord, since this is an anatomical formation that cannot resolve on its own. That is why only the surgical method is used to solve this problem.

Do not engage in self-medication, as in some cases, delay can threaten with dangerous consequences. A timely diagnosis of funicularis can minimize complications. That is why it is recommended that the parents of the boy conduct a regular examination of the inguinal area of ​​the child.

Disease development

Testicular cysts in children and adolescents (in the medical literature you can also find the Latin name for the disease “spermatocele”) are most often diagnosed during an examination by a surgeon or pediatrician in school-aged boys, from six to fourteen years old.

Nevertheless, in surgical practice there are cases when a cyst (dropsy) of one or both testicles was found in young men of 16 years old, while the disease proceeded in a latent form. Some young men could live quietly until 17-18 years old without complaining about anything, and later the presence of a cyst was revealed by the results of a medical examination at the military registration and enlistment office.

But most often, the disease develops rapidly, the neoplasm increases in size, and at about 12-14 years old the progressive disease makes itself felt. Alarming symptoms are growing, the child's well-being is getting worse. That is when most parents bring their children to a surgeon for the first time.

Surgeon consultation

Radical methods

In some cases, the attending physician may insist on surgical treatment, which consists in removing the neoplasm surgically. Surgical treatment is carried out in a hospital, followed by a rehabilitation period, during which the child must be constantly under the supervision of a doctor.

If the cyst rapidly increases in size, and the well-being of a small patient worsens, treatment with homeopathy will not bring the desired results. On the contrary, if parents ignore the doctor’s recommendations and think that they can get along with conservative therapy alone, a progressive disease will cause serious complications, including infertility.

Surgical treatment

The operation to remove the cyst from the epididymis is carried out in a hospital. It can be performed under general or local anesthesia, depending on the age and well-being of the child. The purpose of the operation is the incision of the scrotum and the removal of a benign neoplasm.

If a testicular cyst was formed in a child after a mechanical injury, then at least two months should pass from receiving an injury to performing an operation.

If the surgeon performed the operation correctly, there are practically no complications. The child tolerates surgical intervention well. The boy spends the rehabilitation period at home. A week after the operation, the patient is brought to the surgeon to remove the stitches.

During the rehabilitation period, it is very important to organize the child a calm home regimen, without unnecessary stress and stress. Active games are recommended to limit. A boy who underwent surgery to remove testicular cysts needs a sparing regimen, a balanced diet, and frequent walks in the fresh air.

After the operation to remove the ovarian cyst, the boy is ten days exempted from attending school or kindergarten. Together with a certificate of illness, a school-age child receives exemption from physical education for up to one month. After the end of the rehabilitation period, the child, in order to avoid injuries of the scrotum, does not recommend such sports as:

  • cycling and horse riding,
  • power sports,
  • boxing and martial arts,
  • team games with the ball.

Disease prevention

For the prevention of testicular cysts in boys, the following recommendations should be observed:

You need to bathe your baby regularly

  • Limit traumatic sports. Engage in boxing, wrestling, horse riding is recommended not earlier than seven years of age. During training, be sure to use the necessary protective equipment to prevent scrotal injury.
  • Do not wrap newborn boys. As early as possible to teach children to pot, to limit the time spent in diapers.
  • Avoid hypothermia. Dress the children according to the weather. Do not allow the child to stay in cold water for a long time, sit on a concrete surface.
  • Periodically take a urine test so as not to miss the onset of the inflammatory process.
  • Bathing your baby regularly. Each time while bathing and washing the baby, conduct a visual examination of the genitals.
  • Periodically visit the pediatrician and pediatric surgeon.
  • Avoid contact of the child with sick people, restrict visits to public places during the period of mass SARS epidemics.
  • Regularly include vitamin and mineral supplements in accordance with the age of the child.
  • Take iodine preparations, since its deficiency in the body often leads to the development of neoplasms.

If this complex of simple preventive measures is consistently performed, the risk of a testicular cyst in a child will decrease many times. If a child encounters disturbing symptoms, you should immediately consult your doctor.

In the future, all medical recommendations should be followed. If, according to the results of the examination, the surgeon insists on surgical treatment of the pathology, do not refuse. Timely surgery will prevent the development of serious diseases in adulthood.

Cyst of the spermatic cord in a child: causes, symptoms, diagnosis, treatment, rehabilitation, prevention

The cyst of the spermatic cord in a child is a pathology of the genitourinary system, which is an accumulation of fluid in the shells of the testis in a boy.

Pathology can develop at any age and has much in common with dropsy of testicular membranes. Its danger lies in the possibility of a sharp increase and the transition to an inguinal hernia.

The size of the formation can be small or quite voluminous, a violation of the functionality of the entire urogenital system of the child is possible.

Effects

After surgery, children may develop typical and atypical complications.

Typical complications:

  • Seam discrepancy (people's reviews indicate that this is the most common complication),
  • Inflammation and suppuration of the operated area,
  • Hemorrhage and hematoma in the area where the operation took place.

A successful operation that took place according to all the rules allows you to avoid these consequences.

Atypical complications:

  • Severe pain or constant feeling of pressure in the groin,
  • Enlarged cyst,
  • Tissue deformation due to increased formation size.

The buildup of scars in the operated area can provoke a violation of the discharge of seminal fluid. Reoperation required.

Testicular cyst in a child (boy, teenager): what is, symptoms, causes, treatment, prevention

Testicular cyst (spermatocele) is a benign neoplasm that does not have the ability to degenerate into a malignant tumor. Currently, the disease in boys, subject to timely access to specialists, is easily treated.

In order to detect the development of the pathological process in time, the child needs to be regularly examined by a surgeon and pediatrician. Early diagnosis and adequate therapeutic measures will prevent the development of more serious problems in the future.

Risk factors

Cyst of the spermatic cord leads to the same complications as dropsy of the testicle. This disease can subsequently lead to a decrease in fertility. In some cases, a cyst may become an inguinal hernia. If a cyst appears in newborn babies, they don’t operate on it, but it’s absolutely necessary to consult a doctor. This is important to prevent serious complications such as the development of a cancerous tumor.

Surgery

The spermatic cord cyst needs to be treated immediately after its discovery, as it compresses all the tissues into the groin. Complications may begin in the form of their deformation. Organ dysfunctions may also begin.

Most doctors believe that the spermatic cord cyst should only be treated surgically under local anesthesia. This allows you to quickly lead to recovery of the child.

To lump off the area where the cyst is located, use a solution of lidocaine. Then the surgeon cuts the skin over the cyst, but does not touch the nearby tissues and skin of the appendages. It is important to prevent injury to the appendages, so that subsequently there are no violations of the functions of the reproductive organs. For this, surgeons use special micro-tools.

The tumor is squeezed at the base with a silk thread and removed with a scalpel. Then the wound is sutured to avoid scarring. After surgery, the seam gradually heals and becomes completely invisible. To exclude the occurrence of a cancerous tumor, a histological examination of the walls of the cyst of the spermatic cord is performed. Applying cold to a sore spot helps to avoid the formation of a hematoma or edema.

After being discharged from the hospital, the boy should wear comfortable cotton underwear. At the same time, the swimming trunks should support the testicles well so that the seams do not open. Also, physical exertion and weight lifting should be avoided, as the result may increase intra-abdominal pressure. This phenomenon leads to complications and postoperative hernias.

The prognosis of the development of the spermatic cord cyst

The cyst of the spermatic cord does not pose a great danger to the health of the boy and is completely treatable. But with the appearance of severe pain and significant growth, treatment should be started immediately. With the deformation of the cyst and its spread to adjacent tissues, surgery is prescribed.

Surgical intervention

Before surgery to remove a tumor, the boy must be prepared. The specialist also directs the child to undergo certain tests (biochemistry, general analysis of blood fluid and urine, determination of the blood group and its coagulability).

Surgery is performed under local anesthesia or general anesthesia. The choice of anesthetic method is influenced by factors such as the structure and size of the tumor, the condition of the small patient.

During the operation on the compaction, the surgeon makes a small incision, removes the cystic tumor and performs layer-by-layer suturing. To prevent swelling, cold is applied to the operated area.

Sclerotherapy

In the process of this method of treatment lies not the removal of the cyst completely, but the suction of fluid from it, followed by the introduction of a substance into it that will destroy the membrane.

Complications

Postoperative complications are of two types.

  • hematoma in the incision area,
  • pain
  • seams apart
  • nosocomial infections.

  • rupture of the membrane during surgery,
  • thick scar
  • infertility.

Surgeons claim that the removal of the cyst is one of the simplest and most popular types of surgery on the genitals of boys. In order to reassure yourself, it is worth reading the reviews of parents whose children have already gone through this.

Similar diseases

Spermatocele - occurs in case of violation of the outflow of sperm from the epididymis. In this case, the fluid accumulates in any part of the vas deferens and a cavity forms, most often in the region of the head.

  • The cyst of the appendages of the testicles is a benign formation and often occurs during periods of powerful hormonal changes in boys in the puberty period.
  • In the photo on the Internet you can see that this process takes place in the scrotum, when the funicular is formed outside of its borders.
  • The disease is asymptomatic until the neoplasm increases in size and presses on closely located organs and nerve endings.
  • Doctors recommend observing the tumor and undergoing an ultrasound scan in a timely manner so as not to miss the moment when surgery is needed.

Conservative treatments

As long-term medical practice shows, treatment without surgery is useless. Tableted preparations, injections and suction of the liquid are only temporarily able to slow the growth of education, but the cyst membrane does not resolve on its own, even with the systematic use of the most expensive drugs.

Traditional healers offer frustrated parents lotions, ointments, decoctions. The most daring try to influence the cyst with massages. Such a procedure can provoke a rupture of the dropsy membrane, followed by an outflow of contents, which will lead to inflammation of the nearest organs.

Ointments, especially warming, can contribute to the growth of the tumor, which will only bring closer the meeting with the operating unit.

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Testicular cyst in a child (boy, teenager): what is, symptoms, causes, treatment, prevention

Testicular cyst (spermatocele) is a benign neoplasm that does not have the ability to degenerate into a malignant tumor. Currently, the disease in boys, subject to timely access to specialists, is easily treated.

In order to detect the development of the pathological process in time, the child needs to be regularly examined by a surgeon and pediatrician. Early diagnosis and adequate therapeutic measures will prevent the development of more serious problems in the future.

What

Spermatocele is a benign neoplasm that is diagnosed in 1/3 of the population among boys and adolescents.

In appearance, the tumor resembles a bubble with the contents of a liquid consistency inside, which consists of sperm, fat cells and seminal cells.

Depending on the type of development, the testicular cyst is classified into:

  • congenital - is formed during the pregnancy of the mother,
  • acquired - cystic tumors form under the adverse effects of various factors at the time of puberty.

By location, spermatozoa are divided into:

  • left-handed
  • right side
  • two way.

Separation of testicular cysts into species can also occur based on the structure of the cavity. In this case, there are:

  • solitary a tumor with no partitions,
  • multi-chamber - contains one or more partitions.

In adolescents, the disease is more often detected between the ages of 14 and 16 years. The location of the tumor formation is the spermatic cord or epididymis. The pathological process can also be diagnosed in male newborns. In this case, the tumor will be congenital in nature.

Causes

Diagnosis of a benign neoplasm of a congenital type occurs at an early age. Among the main provoking factors in the development of the pathological process, an abnormal intrauterine formation is distinguished, which can be facilitated by:

  • probability of risk of natural interruption pregnancy
  • hormonal violations
  • injuries in the process of labor
  • prematurity.

An acquired testicular cyst in a teenager occurs due to the development of an inflammatory process in the genitals or as a result of trauma to the scrotum.

Symptoms

The development of cystic neoplasm in the testicles of a boy in the early stages does not manifest any characteristic symptoms. With a small tumor, it can only be detected during probing or during an ultrasound scan.

As the disease progresses or cysts increase in size, the following clinical signs can be detected:

  • increase scrotum, whereby a seal having a soft round shape is well felt
  • bloating belly
  • redness skin
  • swelling in the field of tumor formation,
  • minor pain in the groin
  • discomfort during motor activity.

In addition, in some situations, the development of the pathological process may be accompanied by a general malaise, which is characterized by a lack of appetite, excessive fatigue, and an increase in body temperature.

Diagnostics

According to the accompanying symptoms, the cystic tumor in the testis is often confused with pathologies such as varicocele, inguinal hernia, dropsy of the appendage. That is why a comprehensive diagnostic examination is required.

First, a pediatrician examines the right or left cyst, then the urologist and surgeon.

First of all, the specialist should collect all the necessary information about the child’s complaints, about the time when the seal was first discovered, about the presence in the history of similar pathologies. It is also important to study the boy’s life, what diseases he had suffered, whether there are injuries and inflammation affecting the genitals, whether any surgical interventions were performed.

When examining the genital organs, the doctor probes the scrotum, determines the structure and size of the tumor, as well as the presence of pain.

If these methods are not enough to make a final diagnosis, then instrumental diagnostics are prescribed. These methods include:

  • diaphanoscopy - the method of the procedure is to approach the bottom of the scrotum of the light source, under the action of which the fluid in the tumor acquires a pink hue,
  • analysis blood fluids for determining tumor markers, less often - histological examination and biopsy - can exclude tuberculosis, as well as the presence of a malignant tumor,
  • ultrasound examination of the epididymis - helps to establish the size of the tumor and the nature of the contents inside.

In some cases, magnetic resonance imaging may be prescribed. Thanks to this study, it is possible to obtain a layered image of the affected organ. In addition, using the technique, the structure, nature of the tumor, its localization and other important indicators are specified.

Treatment

It is important to remember that testicular cysts cannot be cured with drug therapy. Modern clinics offer several solutions to the problem of the child.

Surgical intervention

Before surgery to remove a tumor, the boy must be prepared. The specialist also directs the child to undergo certain tests (biochemistry, general analysis of blood fluid and urine, determination of the blood group and its coagulability).

Surgery is performed under local anesthesia or general anesthesia. The choice of anesthetic method is influenced by factors such as the structure and size of the tumor, the condition of the small patient.

During the operation on the compaction, the surgeon makes a small incision, removes the cystic tumor and performs layer-by-layer suturing. To prevent swelling, cold is applied to the operated area.

Sclerotherapy

This method is minimally invasive and is used only if there is a corresponding indication for the operation. The procedure is to insert a special needle through the scrotum into the tumor. Next, the contents of the cavity are taken and the same amount of a sclerosing agent is injected, which has a destructive effect on pathogenic tissues and glues cystic walls.

Puncture

The method consists in carrying out the same actions that were described in the previous removal method. The only difference is that no special drug is injected into the cleaned cavity. The only drawback of this procedure is its temporary positive effect, since the possibility of re-filling the cavity with liquid contents is not excluded.

Laparoscopy

When performing laparoscopic surgery, small punctures are made that allow you to insert trocars. Through them, the necessary instruments and a chamber are introduced into the tumor cavity. The entire course of the operation is monitored on the monitor.

This method is considered one of the safest and does not need a long rehabilitation period.

Nutrition

Give only wholesome food. In your daily diet include mineral supplements and vitamin complexes suitable for the age of the child.

You must also follow these rules:

  • do not wear diapers for a long time,
  • not overheat organism
  • teach to walk early pot,
  • spend every day water procedures
  • keep track of hygiene
  • regularly inspect the genitals of the boy
  • take the child for examination to surgeon and pediatrician.

Testicular cysts in a child are a common pathology in the childhood and adolescence. In order to prevent the development of the tumor, it is necessary to perform all preventive procedures and be attentive to any changes in the body. To identify a tumor formation in the initial stages, it is important to regularly undergo an examination with the child and take the necessary tests.

Cyst of the spermatic cord: code (ICD)

According to the classification of diseases according to the world standard, the cyst of the spermatic cord according to ICD-10 has the code D27.7. This is a disease that is part of the group of neoplasms in men of a benign nature. But the transformation of a tumor into a malignant one is not excluded.

Spermatic cord cyst: ICD-10 code (symptomatology)

Watch the video: Spermatoceles (April 2020).

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