I understand not wanting more excess fluid collection, but SOME fluid has to collect there for protection, right? Even if there's not supposed to be a significant layer of fluid for protection, certainly the tunica vaginalis is supposed to wrap around the testicle for protection. WHY would you deprive the testicle of its full protection?
normally there may be between 1-2ml of fluid in the cavum vaginale (the space between the layers of the tunica vaginalis). This amount does not provide any protective benefits. The tunica itself does not offer any protection to the testis. Ergo, surgical procedures that alters the anatomy of the tunica vaginalis such as the ones done for hydroceles do not affect the safety of the testis in any significant way.
Thank you for the video, I am 10 weeks post surgery and unfortunately my hydrocele has completely returned to pre-surgery size (orange size), and I have a bit of pain some days and uncomfortable sleeping whereas before surgery I was 100% pain free. I will consider a second surgery, although not leaning towards it at the moment. Do you have any advice for those in my circumstance? (I am fairly athletic and eat very healthy, don't smoke or drink, 40 years old.) From my research, the hydrocele causes are largely unknown, there is nothing you can do to prevent it from re-occuring and hydrocele surgery is the best option to solve the problem as opposed to aspiration or other conservative measures. Thank you for your consideration.
Recurrence depends on what type of surgery was done and the underlying cause for the development of the hydrocele in the first place. I would strongly suggest you consult with your surgeon for further managenent if the hydrocele has recurred.
Hello Dr, I had surgery done on me a year ago and still have an egg sized testicle that is heavy. My ultrasound results show two encysted fluid collections on the lateral aspect of the testicle. My urologist theory is some fluid has got trapped where they everted the sac. What do you think is the best approach in this situation, considering that there is still significant discomfort? Most surgeons are discouraging surgery due to my age and they don’t believe it’s bothering me
The fluid can be aspirated under local anaesthesia if you're still experiencing discomfort. Also, if I may ask, how old are you at the moment? Age is usually not a contraindication to surgery unless you have a host of co-morbid diseases which make it difficult to administer anesthetic without risk of significant complications.
@@dr.hummazmehbubyes no problem, I am 26 years old. The surgeon advised me he was afraid of accidental damage due to the testicle as the site has already been operated on before. I am keen to get more surgery or aspiration as my testicle still looks diseased and not normal
@@Michael-wz5iv While re-do surgery is a bit more difficult than primary surgery, it's not entirely impossible if the surgeon has the experience and technical skills required. Image-guided aspiration using an ultrasound is a fairly simple procedure that can be undertaken on an outpatient basis if required. Keep in mind though that sometimes repeated sessions of aspiration may be needed to fully get rid of the fluid as it tends to form up again after the procedure.
I finally understand the concept that no other video explained well enough! Thank you!
Thank you So much Sir.....I searched in Google got confused then I found this gem video and understood everything....Thank you helping us..
thank you for the appreciation!
Such an easy explanation thank you
Glad it was helpful!
good try but if you can edit that part of tunica albuginea (misleading and confusing students)
thanks
This was very easy to understand and super helpful. Thank you so much for making this video.
Glad it was helpful!
Thanks 👍
Zabardast mera bhai🙏🔥🔥🔥🔥
Uffff u made it so simple.Thank you Soo much ❤
Glad it helped!
Why dont you say Tunica vaginalis instead of Tunica Alb? The same mistake in whole video..
thank you for that correction. my bad! it is indeed the Tunica Vaginalis and NOT the Tunica Albuginea that covers the testes.
Yeah. That got me confused too.
Imposter syndrome hunting everywhere giving a panic attack.
Aacha explain kiya sir . Thank you .
Most welcome
thanks so much!! was looking for video of these surgeries but this is better LOL thanks!
Best explanation!
I understand not wanting more excess fluid collection, but SOME fluid has to collect there for protection, right? Even if there's not supposed to be a significant layer of fluid for protection, certainly the tunica vaginalis is supposed to wrap around the testicle for protection. WHY would you deprive the testicle of its full protection?
normally there may be between 1-2ml of fluid in the cavum vaginale (the space between the layers of the tunica vaginalis). This amount does not provide any protective benefits. The tunica itself does not offer any protection to the testis. Ergo, surgical procedures that alters the anatomy of the tunica vaginalis such as the ones done for hydroceles do not affect the safety of the testis in any significant way.
Thank you brother 🙏🏻
Very easy explanation bro. Thank you
thank you doc 💙
Welcome!
Great work brother🙏 very healpful
Glad to hear that
Thankyou so much very helpful😇
Thanks a lot...made it so simple
Best explanation sir 👌 Love from India🇮🇳
Such a a good information ❤️
Thanks
Really helpful
Thank you sir ji 🙏
THEEK HAI
മുത്തേ pwoli ഉമ്മ 🥰🥰🥰... Explained well
Thanks sir
Thanks alot its ok we all do mistakes.. overall I got the concept so clearly thanks alot sir😊😊
nice bhai . thank you so much
Thank you for the video, I am 10 weeks post surgery and unfortunately my hydrocele has completely returned to pre-surgery size (orange size), and I have a bit of pain some days and uncomfortable sleeping whereas before surgery I was 100% pain free. I will consider a second surgery, although not leaning towards it at the moment. Do you have any advice for those in my circumstance? (I am fairly athletic and eat very healthy, don't smoke or drink, 40 years old.) From my research, the hydrocele causes are largely unknown, there is nothing you can do to prevent it from re-occuring and hydrocele surgery is the best option to solve the problem as opposed to aspiration or other conservative measures. Thank you for your consideration.
Recurrence depends on what type of surgery was done and the underlying cause for the development of the hydrocele in the first place. I would strongly suggest you consult with your surgeon for further managenent if the hydrocele has recurred.
Thanks a lot sir! Very helpful! :)
thank you
Brilliant bro🫡
Hello Dr, I had surgery done on me a year ago and still have an egg sized testicle that is heavy.
My ultrasound results show two encysted fluid collections on the lateral aspect of the testicle. My urologist theory is some fluid has got trapped where they everted the sac.
What do you think is the best approach in this situation, considering that there is still significant discomfort? Most surgeons are discouraging surgery due to my age and they don’t believe it’s bothering me
The fluid can be aspirated under local anaesthesia if you're still experiencing discomfort. Also, if I may ask, how old are you at the moment? Age is usually not a contraindication to surgery unless you have a host of co-morbid diseases which make it difficult to administer anesthetic without risk of significant complications.
@@dr.hummazmehbubyes no problem, I am 26 years old. The surgeon advised me he was afraid of accidental damage due to the testicle as the site has already been operated on before. I am keen to get more surgery or aspiration as my testicle still looks diseased and not normal
@@Michael-wz5iv While re-do surgery is a bit more difficult than primary surgery, it's not entirely impossible if the surgeon has the experience and technical skills required. Image-guided aspiration using an ultrasound is a fairly simple procedure that can be undertaken on an outpatient basis if required. Keep in mind though that sometimes repeated sessions of aspiration may be needed to fully get rid of the fluid as it tends to form up again after the procedure.
I think you mean tunica vaginalis ?
yes, sorry for that slip-up!
👍💯
👍
Thank you
You're welcome
You just dropped the testis🤣🤣🤣
my bad🤣
Thik hai 😂
Thank you