Cyst of spermatic cord in a boy: causes, photos, treatment, surgery, reviews, consequences

The cyst of the spermatic cord in the boy (the causes may be in the wrong development in the womb) is an isolated dropsy of the testicle. This disease involves the accumulation of fluid. Dimensions of cysts can be different - from very small, which are almost invisible, to those that disrupt the entire sexual system of the boy.

What is the spermatic cord

The spermatic cord is one of the organs of the reproductive system, which is paired. It consists of nerves, lymphatic and blood vessels, the vas deferens, the remains of the peritoneal growth.

Funicularocele is a benign hollow neoplasm in the spermatic cord, which can be congenital or acquired. To reveal this pathology is easy enough during a manual examination of the child, but it is better to entrust it to a doctor who will diagnose on the basis of a comprehensive examination.

Forms of manifestation

The cyst of the spermatic cord in the boy (the reasons, the photos are presented in this article) can be:

• Congenital. In this case, the explanation is one - failures in embryonic development. The congenital cyst of the spermatic cord appears in the boy with incomplete infection in the abdominal cavity of the vaginal process, because of which hollow neoplasms form in the spermatic cord. Most often this form of pathology is spermatogenic and consists only of a transparent liquid without spermatozoa.
• Acquired. This form most often develops as a result of the inflammation of the scrotum or its trauma. Protocols that have been damaged in one way or another are no longer functioning, because of which overlap occurs, which means that the outflow of spermatozoa ceases. In addition, there is a blockage and the secret itself, which pulls some sections of the spermatic ducts. That's because of this, and form the hollow neoplasms, cysts. In contrast to congenital pathology, in this case the fluid is filled with sperm cells, and they can be already destroyed or even fresh.

It is worth noting that the congenital cyst of the spermatic cord in a boy, whose causes lie in the features of embryonic development, does not pose a threat to life, however, when the first symptoms appear, it is recommended to contact the urologist immediately. This is due to the fact that funikalotsele can only be a symptom of another serious disease. For example, with the same symptoms can develop a cancerous tumor. That is why any neoplasm needs a full study.

The main causes of pathology

In addition to the pathologies of embryonic development, the cyst of the spermatic cord in a boy, the causes, treatment and diagnosis of which are discussed in the article, may arise because of:

• Overlapping of the duct of the spermatic cord or interruption of the interstitial fluid circulation (retention cyst) ;
• Mechanical damage, inflammation or other pathology of the spermatic cord (remosting cyst).

Most often, this disease is congenital in nature and is formed as follows: in the womb of the mother, the testicle normally descends into the scrotum, moving along the inguinal canal, while the peritoneum also descends, which subsequently forms the inner shell of the testicle. It is this outgrowth that is called the vaginal process.

Normally, this process during the first months of life is overgrown, as a result of which a thin line is formed, and the area of contact between the testicle and the peritoneum disappears. This prevents the peritoneal fluid from passing into the testicle. The lower part of the appendage forms a peculiar cavity around the testicle, which serves as a container for the fluid in the cyst of the spermatic cord. The main reason for this condition is that the area of contact between the testicle and the peritoneum does not disappear. It is through this hole that the abdominal liquid penetrates to the testicle.

What does a cyst look like?

Externally, this disease has its manifestations. In particular, the cyst of the spermatic cord in a boy, the operation on which is unavoidable, is manifested by swelling or rounded formations in the inguinal region. This education has the property of changing in size. This indicates that there is a communication with the abdominal cavity.

The cyst develops for a long time, therefore it is almost impossible to notice any functional malfunctions in the organ's functioning. Neoplasm can be palpable when palpating, but very rarely worries. If the boy is already able to walk, discomfort may occur during movement, but this symptom is quite rare. In addition, there may be pain.

Detect the tumor usually obtained during a preventive examination, or when the cyst reaches a certain size (usually they are within 1-3 cm).

It is worth remembering that the cyst of the spermatic cord in the boy, the causes of which have been described above, regardless of its size, can exert pressure on neighboring elements, resulting in a deterioration in the supply of the testicle. That is why in any case an operation is required, which is carried out at the age of 1.5-2 years.

Diagnostic Features

To diagnose a "cyst of spermatic cord" in a boy can only an andrologist on the basis of the results of the study. The following procedures may be required:

• Ultrasound of the scrotum. This method is the most informative and accurate for research. Using it, the cyst of the spermatic cord is diagnosed. This method of research allows you to determine the exact size of the lesion, as well as its location. On ultrasound, this pathology has the appearance of a homogeneous formation, which has a thin wall. In addition, the screen clearly shows even internal and external contours. However, ultrasound does not detect the presence of spermatozoa in the fluid.

• Diaphanoscopy. This method involves the transmission of the scrotum in light rays of a certain length. During this cyst (usually the size does not exceed 2.5 cm) can be seen as a light yellow transparent content. The cyst has the property of completely transmitting light, in contrast to tissue seals.
• Computer tomography and MRI are performed only when the doctor has a suspicion of the presence of a tumor process.

An important role in the diagnosis is the manual inspection of the suspect site. It is on the basis of the results of the palpation that the presence of pathology can be established.

Methods of cyst treatment

This pathology is not a deadly threat to the body. The peculiarity is that the cyst of the spermatic cord is easy to treat. However, in the presence of serious pain, as well as with a rapid growth rate of the cyst, the necessary measures should be taken as soon as possible, since sluggishness can lead to the development of serious complications, for example, hernia. Also this neoplasm can press on neighboring tissues, because of what they are deformed, and their functionality is disturbed.

If a diagnosis is made of the "cyst of the spermatic cord" in the boy, the operation (the doctors' reviews only confirm this) is the only possible method of treatment. For this, local anesthesia is used. After the operation, the patient in the hospital spends another day, and already on the tenth day virtually all restrictions are removed.

Stages of surgical intervention

The operation itself is carried out in several stages:

• Carrying out a minor incision.
• Detailed dissection of all tissues on the way to the cyst. The main rule of this stage of the operation: the skin of the appendages should be traumatized as little as possible. If this rule is neglected, there may be difficulties with the reproductive function of the patient in the future.
• Removal of the cyst.
• Sewing the tissues of the epididymis. If this stage is missed, after some time after surgery, scars may appear, which will negatively affect the process of sperm production and transportation.

To reduce the negative consequences after surgery, modern surgeons use special microsurgical instruments, as well as optical magnification. This allows you to make the smallest possible seam. The scar will be almost invisible, which means it will not interfere. After carrying out all surgical manipulations, the cold is applied to the sore spot in order to avoid the formation of a hematoma.

Cyst of the spermatic cord in the boy: surgery, the effects are specific

After the surgery, there may be both specific and nonspecific complications. The first group includes:

• Hemorrhage in the place where the operation was performed directly;
• Suppuration of the wound;
• Seam divergence.

As a rule, these consequences can be avoided if the operation was carried out according to all the rules.

Nonspecific consequences

With regard to nonspecific complications, they include a pronounced cicatricial process, as a result of which the outflow of semen is disturbed (this complication can lead to infertility). In order to avoid such a violation, surgical intervention is recommended to be carried out only according to indications, which are:

• Severe symptoms of pathology, for example severe pain or a constant sense of heaviness in the groin area;
• Increased cyst size;
• Too large neoplasm, resulting in deformation of surrounding tissues.

At small sizes, cysts choose the so-called expectant management tactics.

If we take into account the numerous responses of moms whose children were operated on, we can conclude that any consequences after surgery are extremely rare and largely depend on the individual characteristics of the organism. However, experienced specialists take this into account even before the operation, during a complete examination. Also, patients say that the use of local anesthesia greatly accelerates the rehabilitation period, and within a day you can return to the old way of life. And this is an important argument, given the speed of modern life.

Is conservative treatment possible?

Many people have the question: "If the cyst of the spermatic cord is diagnosed in a boy," Helevskie "drugs can help to avoid surgical intervention or not?" The answer is unequivocal: no, they can not. Neither tablets nor ointments are able to rid of the congenital or acquired cyst of the spermatic cord, since it is an anatomical entity that can not independently resolve itself. That is why only a surgical method for solving this problem is used.

Do not engage in self-medication, because in some cases, delay can threaten with dangerous consequences. In time, the diagnosis of funicular disease can minimize complications. That is why it is recommended that the boy's parents regularly inspect the inguinal area of the child.