Edema of testicles at newborns

Gidrotsele, or an edema of testicles at newborns, is externally shown in the form of a swelling in a groin or increase in a scrotum. It happens because of accumulation of serous liquid in small egg covers.

Distinguish two types of an edema:

• Isolated – liquid is in one cavity and does not flow in another;
• Reported – liquid has an opportunity to flow in an abdominal cavity through a vulval shoot of a peritoneum.

Gidrotsele at newborns is often formed along with inguinal hernia, it does it by very dangerous pathology. The additional cover about testicles interferes them with the correct heat exchange that causes an overheat. In turn, temperature increase leads to disturbance of hormonal functions of testicles and the wrong spermatogenesis. Testicles are very sensitive to any fluctuations of the temperature environment therefore similar changes in functioning in the future lead to infertility.

The reasons of an edema of testicles at newborns

The reported edema of testicles at newborns is pathology at which not the overgrown vulval shoot of a peritoneum which is between cavities – a belly and surrounding testicle, gives the chance of liquid to get to a scrotum and back.

When the kid still is in mother's womb, fruit testicles through a pakhovy channel go down in a scrotum together with the vulval shoot forming the covers which are brought closer to them. Normal, this shoot after the birth within several months grows, and communication between a cover of testicles and a cavity vanishes. The reason for which the reported edema – nonunion of the vulval shoot serving as the channel for the movement of liquid from a peritoneum in a cavity of testicles is formed.

There is a theory that when the open vulval shoot contains muscle fibers of smooth type which normal in a peritoneum are absent, they do not give the chance to a shoot normally to grow together. The majority of cases of education to a gidrotsela is observed at the children who were born before term or as a result of the pregnancy proceeding under the threat of an abortion.

There is one more factor causing the reported edema of testicles in newborns – the increased pre-natal pressure which can test a fruit in case of its hyperactivity, hyperexcitability or when carrying out resuscitation actions at childbirth.

The isolated edema

This type of an edema at babies meets much more often reported and disappears without interventions usually not earlier than six and no later than twelve months. Such pathology is directly connected with injuries at childbirth, specifics of a hormonal background and the wrong conclusion of a lymph from a scrotum at children about one year.

At the isolated form to a gidrotsela often increases, at the same time with accumulation of liquid its pressure upon a cover of testicles grows, and an edema becomes intense. In that case do to the child a puncture and pump out liquid. No other operational treatment is usually appointed.

Treatment of an edema of testicles at newborns

For the choice of a sure method of treatment of an edema of testicles at newborns it is necessary to show the boy to the urologist who in case of need will appoint a number of diagnostic procedures:

• Transillumination (diafanoskopiya) – raying of a scrotum of the kid a light source;
• Ultrasonography – survey of structure of bodies of a scrotum by means of ultrasound;
• Laboratory researches (blood tests and urine) – for confirmation of absence of collateral pathologies of urinogenital system.

When the diagnosis – to the gidrotsela is established, the doctor recommends treatment depending on a condition of the kid and his age.

Conservative practice means regular observation of the child by the doctor-urologist to two-year age. Then it is necessary to observe it continuously within 2-3 months for detection of nature of dynamics of a disease. If the forecast is unfavourable, an operative measure will be appointed.

According to doctor Komarovsky about an edema of testicles at newborns, this pathology occurs at the most part of boys. And at 99% spontaneously disappears, at most by 2 years of life. He considers that it is worth sounding the alarm concerning this problem when it brings a lot of trouble upon the kid, in other cases it is necessary just to wait.

Today for removal to a gidrotsela perform the following operations:

• Rossa – practices at the reported form. The internal abdominal ring is exsected and ties;
• Bergman – becomes in case of the isolated edema. The internal cover of testicles most close to the basis is excised, on its remains stitches are put, then on them – the compressing bandage for the entire period of rehabilitation, if necessary is established a drainage;
• Vinkelmana – a kind of a method of Bergman, now is practically not used;
• The lord – it is least traumatic as the vulval cover is not excised, and it is corrugated directly in a body.

Operative measure at an edema of testicles at newborns is appointed and aged up to 2 years only in the presence:

• The accompanying inguinal hernia;
• Essential periodic changes of a scrotum in the sizes (increase reduction);
• Background infectious inflammation;
• Pain and discomfort in inguinal area.

The risk of complications and recurrence as a result of operations makes no more than 8%.

But if to adhere to norms of the postoperative period – regularly and to carefully process a generative organ of the kid, to keep him from a physical overstrain, to follow rules of hygiene, then negative effects can be avoided.