Hematocele
Hematocele is an inflammation of the tissues of the scrotum, most often caused by violations of the integrity of the blood vessels of the genitals. As a rule, such a disease manifests itself in men, while blood accumulates in the tissues of the scrotum or between the leaves of the vaginal membrane of the ovary.
Women have two forms of hematocele, pelvic and parametric. Parametric hematocele is most often caused by copious blood loss from the fallopian tubes during ectopic pregnancy.
Causes of hematocele
Usually, a hematocele develops due to a profuse hemorrhage into the genital cavity, which can be caused, for example, by an injury to the scrotum. In addition, the disease is provoked by the development of hemorrhagic diathesis or by the procedure of taking a hydrocele puncture. In some cases, the cause of the hematocele cannot be determined.
Types of hematocele
Hematocele, which develops in men, is usually accompanied by severe hemorrhages in the area of scrotal tissues.
Pelvic hematocele is a swelling near the uterus.
Parametric hematocele is associated with large blood loss from the pelvic region, for example, during ectopic pregnancy.
Symptoms of hematocele
Clinical symptoms of hematocele:
the scrotum, on the side of the lesion, is greatly enlarged in size;
it has a bright red color;
the testicle is slightly lowered down.
The general condition of the patient remains normal, but infections may join, provoking the development of complications such as pyocele or orchoepedimitis.
Diagnosis of hematocele
With a finger examination, the scrotum is very tense, the patient experiences severe pain. The presence of blood in the internal structures of the scrotum can be determined by ultrasound. If it did not bring accurate results, then diaphanoscopy can be applied. This method is very effective, since the hematocele itself is almost light-tight.
When diagnosing the disease, it is necessary to distinguish hematocele from acquired inflammation of the scrotum and its appendages, inguinal hernia, inflammation of the external genitalia, including the testicle and its appendages.
Features of the course of hematocele.
The picture of the disease depends entirely on the timing of the course of the disease. At the initial stage, diagnosticians detect clotted blood, and at a later stage, clots of old, long-spilled blood are fixed. Over time, such clots are structured, which, together with a large volume of increasing connective tissues, leads to a stop in the process of blood supply to the testicle, which can subsequently lead to its complete atrophy.
Treatment of hematocele
When starting treatment of hematocele, it is necessary to remember that the consequences of hemorrhage can go away by themselves, without any outside intervention. If treatment is still required, but the area of the hematocele lesion is insignificant, a set of conservation therapy measures is prescribed. Ice is applied to the scrotum of the patient, various painkillers and anti-inflammatory drugs are prescribed. The patient is assigned complete rest, with the maximum possible restriction of movement.
If the area of the hematocele lesion is significant, a puncture is prescribed, but it is ineffective in such cases. It can also cause repeated bleeding or severe suppuration. If it is impossible to remove blood from the cavities, a surgical operation is prescribed to avoid the development of a relapse of testicular atrophy. If the whole complex of therapeutic measures was carried out correctly, then the prognosis is usually favorable.
