Spermatic cord hydrocele

Changed by Kewal Arunkumar Mistry, 20 Mar 2015

Updates to Article Attributes

Body was changed:

Spermatic cord hydrocele (SCH) refers to loculated fluid collection along the spermatic cord. It separated from and located above the testicle and the epididymis. 

Pathology

It results from aberrant closure of the processus vaginalis.

There are two recognised sub types

  • encysted hydrocele - fluid collection does not communicate with the peritoneum above or the tunica vaginalis below. 
  • funicular hydrocele - fluid collection communicates with the peritoneum at the internal inguinal ring but does not communicate with the tunica vaginalis

Radiographic features

Ultrasound

Usually seen as an oval anechoic mass in the groin along the spermatic cord, positioned above and separated from the testis and the epididymis. Typically well demarcated. Avascular on colour Doppler interrogation

Treatment

Elective surgery may be useful in preventing development of an acquired indirect hernia 3.

See also

  • -<p><strong>Spermatic cord hydrocele (SCH)</strong> refers to loculated fluid collection along the <a href="/articles/spermatic-cord" title="Spermatic cord">spermatic cord</a>. It separated from and located above the testicle and the epididymis. </p><h4>Pathology</h4><p>It results from aberrant closure of the processus vaginalis.</p><p>There are two recognised sub types</p><ul>
  • -<li>encysted hydrocele - fluid collection does not communicate with the peritoneum above or the tunica vaginalis below. </li>
  • -<li>funicular hydrocele - fluid collection communicates with the peritoneum at the internal inguinal ring but does not communicate with the tunica vaginalis</li>
  • +<p><strong>Spermatic cord hydrocele (SCH)</strong> refers to loculated fluid collection along the <a href="/articles/spermatic-cord">spermatic cord</a>. It separated from and located above the testicle and the epididymis. </p><h4>Pathology</h4><p>It results from aberrant closure of the processus vaginalis.</p><p>There are two recognised sub types</p><ul>
  • +<li>encysted hydrocele - fluid collection does not communicate with the peritoneum above or the tunica vaginalis below. </li>
  • +<li>funicular hydrocele - fluid collection communicates with the peritoneum at the internal inguinal ring but does not communicate with the tunica vaginalis</li>
  • -<li><a href="/articles/hydrocele-1" title="Hydrocele">hydrocele</a></li>
  • -<li><a href="/articles/hydrocoele-of-the-canal-of-nuck" title="Hydrocele of canal of Nuck">hydrocele of canal of Nuck</a></li>
  • +<li><a href="/articles/hydrocoele-1">hydrocele</a></li>
  • +<li><a href="/articles/hydrocoele-of-the-canal-of-nuck">hydrocele of canal of Nuck</a></li>
Images Changes:

Image 6 Ultrasound (Left - longitudinal) ( create )

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