The Importance of Testicles and the Impact of Hydrocele
Testicles play a crucial role in male reproductive health, directly influencing fertility. Hydrocele, or the accumulation of fluid around the testicles, can occur when the membranes surrounding the testicles accumulate excess fluid. This condition may lead to unequal testicle sizes and a sensation of heaviness.
What Causes Hydrocele in Testicles?
The underlying factors behind hydrocele can vary significantly between traditional Chinese medicine and Western medical perspectives.
Traditional Chinese Medicine Perspective
According to traditional Chinese principles, conditions like weakness, cold, and dampness can lead to a deficiency in kidney and spleen yang. This imbalance can result in abnormal blood secretion and absorption issues, leading to hydrocele formation.
Western Medicine Perspective
From a Western medical standpoint, hydrocele can be classified into two main categories: primary and secondary hydrocele.
- Secondary hydrocele usually emerges due to conditions such as seminal vesiculitis, epididymitis, acute orchitis, or trauma. Chronic cases often relate to injury, tumors, or long-term inflammation.
- Primary hydrocele lacks a clear cause and can be classified as an emergency. Pathological examinations often reveal chronic inflammation which could be related to developmental issues of the lymphatic system or sudden closure of the tunica, resulting in congenital hydrocele.
Once the lymphatic system matures, the hydrocele typically resolves on its own.
Hydrocele Treatment Options
Understanding the available treatment methods for hydrocele is crucial for timely intervention:
1. Aspiration Treatment
If a newborn exhibits hydrocele, it's common for the condition to resolve naturally by the age of two. If the hydrocele persists beyond six years, medical aspiration may be required. Although this technique usually does not result in recurrence, it is less suitable for adults.
2. Injection Therapy
After aspiration, sodium tetradecyl sulfate can be injected into the sac. This agent has irritative properties that may induce adhesion and eliminate the fluid-filled cavity. However, this treatment can lead to varied reactions, incomplete absorption, and complications such as multi-chamber hydrocele, making surgical intervention more challenging.
3. Surgical Treatment
Congenital hydrocele necessitates surgical intervention. The goal of the operation is to ligate the internal ring to prevent further fluid accumulation from abdominal sources.
Conclusion and Important Considerations
The testicles are essential for sperm production. If hydrocele is not addressed promptly, it can cause severe damage to the testicles and may even affect surrounding organs. It is vital for men to seek treatment at reputable medical facilities and avoid relying on unverified home remedies. During acute episodes, it is advised to refrain from sexual activity to prevent complications such as testicular rupture.