Post Date December, 03 2023
The effect of hydrocele on fertility
There is a small amount of serous fluid present in the normal testicular tunica vaginalis, which is similar in nature to the serous fluid in the abdominal cavity and has a lubricating effect, allowing the testicles to slide freely within it. Under normal circumstances, the wall of the tunica vaginalis has the function of secreting and absorbing serous fluid, and keeping its capacity stable. If lesions occur in the tunica vaginalis itself and surrounding organs or tissues, causing imbalances in the secretion and absorption functions of the tunica vaginalis, various types of fluid accumulation in the tunica vaginalis will form. After treatment, the prognosis of this disease is generally good. The clinical significance lies in the long-term accumulation of fluid within the tunica vaginalis, which increases internal pressure, leading to testicular ischemia, poor testicular spermatogenic function, and infertility. At the same time, giant hydrocele in adults can affect normal sexual activity and also lead to infertility.
There are several types of hydrocele in the tunica vaginalis:
The hydrocele of the tunica vaginalis is manifested as a cystic mass in the scrotum or spermatic cord, generally without discomfort, and can vary greatly in size, mostly oval in shape. Congenital hydrocele can gradually shrink or even completely disappear when lying flat, and most hydrocele is unilateral. The scrotal skin of primary testicular hydrocele is normal, with high tension and transparency. If the tension of the tunica vaginalis is not high and relatively soft, it should be considered that it may be secondary hydrocele of the tunica vaginalis. Attention should be paid to the presence of lesions in the testes and epididymis, such as tuberculosis, syphilis, inflammatory lesions, tumors, and filariasis.
Testicular hydrocele has a certain impact on male fertility, mainly due to:
1) The hydrocele around the testicles compresses the testicles, affecting blood circulation and spermatogenic function.
2) Excessive hydrocele of the tunica vaginalis can affect marital life.
3) Secondary to diseases such as tuberculosis and orchitis, it is not conducive to fertility.
A small amount of liquid accumulates in the tunica vaginalis of the testes, which can act as a lubricant for testicular activity. If there is an abnormal increase in fluid volume in the congenital sheath sac or abnormal closure of the sheath like process, resulting in the accumulation of fluid in the sac, it will form a fluid accumulation. Although hydrocele of the scrotum is a benign disease, it should not be underestimated. Surgery should be performed as soon as possible, otherwise it will bring a lot of harm to the human body. So why should surgery be performed?
Firstly, the liquid accumulated during the accumulation of fluid in the tunica vaginalis is a good culture medium for bacteria, making it easy to attract bacterial patronage. Bacteria live a comfortable life in a comfortable environment and continue to reproduce. At this time, if only antibiotics are used for treatment, the amount of drugs that can enter the tunica vaginalis is very small. On the contrary, surgical methods are used to cut open the tunica vaginalis of the testis and drain the infected fluid, only then can the lesion be cured.
Secondly, the huge accumulation of scrotal fluid can bring many troubles to people, such as unbearable discomfort in the lower body, the heaviness of the scrotal testicles, inconvenience in walking or labor, hindering sexual life, and even causing male infertility.
