How to treat necrosis of testicular hydatids?

Testicular gidatida is a rudimentary formation in the form of an appendage on the epididymis or on the testicle itself in the area of ​​its connection with the appendage. Forms hydatide from the so-called Morganyi duct during the period of intrauterine development and sometimes remains after birth. This small formation on the leg consists of loose connective tissue and blood vessels and does not carry any functions in the body.

Causes of

The torsion of hydatida and, as a consequence, its necrosis, can develop after an injury. Sometimes sharp emotional excitement, physical stress or severe cold leads to the fact that the muscle supporting the testicle contracts, sharply pulls the egg up and the hydatid twists. Since the hydatide consists of loose connective tissue, its immaturity and excessive mobility can contribute to torsion.

Clinical manifestations of

• In the initial stage of hydatid torsion, acute local soreness appears, an increasing swelling of the scrotum and a discoloration of the skin above the affected area( it becomes red).
• As the disease develops, the swelling of the scrotum subsides and the twisted hydatide itself becomes visible-a bean-shaped sharply painful formation.

If you do not take emergency measures, then necrosis of the tissues of the hydatida progresses with purulent melting, which goes over to the entire testicle and then to the scrotum. At this neglected stage, unfortunately, you have to remove the scrotum with all its contents. This is rare enough, if the patient, despite the increase in symptoms, does not consult a doctor.

Diagnosis

The diagnosis of necrosis of hydatid is based on complaints and anamnesis. With increasing pain and edema of the scrotum, surgeons do not have time for additional methods of examination, the risk of severe complications is too great. Therefore, the characteristic indicated symptomatology is called "acute scrotum", the cause of which is diagnosed already during the operation of the itself.

• In a short period of preparation for surgery, if possible, carry out diaphanoscopy - the scrotum radiographs with a flashlight( diaphanoscope) and determine the bean-shaped shadow( swollen hydatid).
• If there is a possibility of an emergency ultrasound investigation, then it is carried out to determine the exact location and access point.

Treatment of

The only method of treatment of hydatid necrosis is surgery

There are no other methods for treating hydatid necrosis other than surgical. The sooner doctors start the operation, the more likely a favorable outcome will be.

The twisted hydatide is completely removed, the whole scrotum is inspected and the degree of development of necrosis is determined. If necessary, remove the necrotic testicle with an appendage. If the process is started, and the pus completely melts the entire scrotum, spend it ectomy to save the patient's life.

Complications and prognosis

With timely surgical intervention in the early stages of diagnosis of the disease, the prognosis is quite favorable. It is possible to limit the removal of hydrate, but even if necessary to remove the testicle with the appendage, the patient retains the possibility of sexual life with the conception of children, since the second testicle takes on these functions.

A fatal complication of hydrate-induced necrosis can be purulent melting of the scrotum, leading to severe intoxication, coma and death of the patient. To avoid this, at the slightest suspicion of any pathology in the scrotum, consult a doctor immediately!

See also: Causes and symptoms of testicular necrosis

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