With dropsy of the testicle, a Bergman operation may be recommended to a man. With surgical intervention, excess fluid is removed that interferes with the normal life of a man. Bergman's surgery for dropsy of the testicle is more often prescribed to adult patients than children. Surgical intervention allows you to save a diseased organ and subsequently have offspring.
Dropsy testicle
Hydrocele is a condition in which a man begins to accumulate excess fluid near the testicle. Sometimes the disease goes away on its own, but in some cases, surgical intervention can not be dispensed with. The condition usually does not cause any unpleasant sensations, but it can be the cause of pain in the testicles in a man. Most often, a person develops a hydrocele at the age of 15 to 30 years.
Testicular dropsy is divided into several forms:
- congenital;
- acquired;
- postoperative.
Before the birth of the boy's testicles are in the abdominal cavity, but by the time they are born, they should descend into the scrotum. Premature babies have a big enough chance to get hydrocele due to natural causes. Dropsy of the testicle may be acquired. Most often it occurs for the following reasons:
- cardiovascular failure;
- tuberculosis;
- inflammatory process in the scrotum;
- genital injury;
- tumor;
- infection;
- infection with certain types of helminths.
By acquired dropsy of the testis, older men are most located. Bergman surgery for hydrocele in adults gives good chances for a full recovery.
Symptoms of dropsy of the testicle
In patients, the scrotum always increases in size. If a man tries to grope in her testicles, then he will not succeed. This situation cannot but cause concern in the patient. Although hydrocele can be the cause of pain in the testicles in men, but most often the disease is asymptomatic.
Sometimes the affected organ grows so much that it ceases to fit into clothing normally. In this case, the patient's condition is complicated by rubbing the scrotum and discomfort in the genitals. In some cases, patients have a violation of urination. It becomes difficult for a man to lead a normal lifestyle, sexual intercourse with a partner can be difficult.
Some patients complain of a feeling of heaviness and constriction that haunts them at any time of the day or night. In the evening, edema in a man increases, so his health becomes worse. Some patients complain of insomnia caused by a state of discomfort.
Survey
The patient is recommended to undergo an ultrasound examination in which the doctor will be able to assess the condition of the testicle and its appendages, as well as the volume of fluid. After this, you will need to consult a qualified urologist. The doctor will need to differentiate hydrocele from other similar diseases. Only the correct diagnosis can serve as an indication for Bergman surgery.
Diseases that have common symptoms with dropsy:
- varicocele;
- swelling of the testicle;
- cyst;
- hernia;
- epididymo-orchitis.
A tumor differs from dropsy of the testicle in that a tumor can be felt in the scrotum. A hernia can be set back into the abdominal cavity, but a hydrocele cannot. To confirm the diagnosis, urologists recommend an ultrasound scan.
Indications for surgery
A man should be careful and with a sharp increase in hydrocele, consult a doctor who is most likely to prescribe an operation. In some cases, surgery is necessary, as conservative treatment is not possible. The main indications for Bergman's operation:
- non-communicating hydrocele of large sizes;
- thickening of the shells of the testicles ;
- a sharp increase in the volume of the scrotum;
- the presence of concomitant pathologies.
If, in preparation for surgical intervention, the patient has an infectious disease, then the operation is postponed for a month. If the patient has festering wounds, the doctors wait for their complete healing. As soon as the signs of inflammation have disappeared, the patient is immediately operated on. The decision about the time of the intervention is made only by the doctor after a thorough study of the initial data.
Preparation for surgery
Before surgery, patients are given a list of tests that they need to pass. The operation is carried out as planned. Tests, the results of which are usually required by the doctor:
If necessary, before the operation, the patient is referred to a cardiologist, gastroenterologist and other specialists. The patient must receive the results of an X-ray examination of the chest. Often the doctor also recommends that the patient undergo an electrocardiogram. In preparation for Bergman's surgery, the patient undergoes an ultrasound examination of the scrotum.
A week before surgery, the doctor agrees with the patient the medications that he takes. Part of the medications is canceled, as they can affect the result of the operation and complicate its conduct. Before surgery, the patient removes hair in the groin area and qualitatively washes the genitals. In the morning, the patient is forbidden to have breakfast, the operation is performed on an empty stomach. After registration of the patient, the doctor of the emergency room sends him to the ward. There, the patient is waiting for surgery.
Methodology
Bergman's surgery is usually recommended in cases where the testicle has greatly increased in size. Then part of its shell is removed, and the remaining tissue is sutured. Description of the Bergman operation:
- The patient is offered to lie on his back. After that, the medical staff begins processing the surgical field.
- The area that is subsequently subjected to surgery is anesthetized. The most commonly used drugs for anesthesia are Novocain or Lidocaine.
- The surgeon makes an incision in the scrotum in the area of the connecting suture. The resulting hole has a length of 5-6 cm. It is located in the anterior region of the scrotum.
- The surgeon dissects the membranes in layers and at the same time stops the bleeding from the vessels.
- After the doctor pushes the testicle and removes excess fluid with a syringe.
- Then the surgeon excises the vaginal membrane. The doctor puts the testicle back in place and staples tissue in layers.
The wound is drained, after which a napkin is applied to it. Surgery usually goes smoothly.
Postoperative care
After surgery, a drainage remains in the scrotum for some time, through which the resulting fluid is removed. Bandages are applied to the patient for several days. If absorbable sutures were used during surgery, then there is no need to remove the stitches.
The postoperative period with Bergman surgery requires compliance with bed rest. This is necessary even if the patient feels well. In order for the seams to grow together safely, it is necessary to exclude situations in which the tissues will strain. The doctor conducts a daily examination of the patient. He makes sure that the wound surface heals well and does not become inflamed. The sterile wipe should be changed regularly to avoid complications.
It is very important to eat light foods rich in fiber, this will improve the intestines. If the patient will push excessively during bowel movements, then the stitches may separate. After surgery, the patient must perform all hygiene procedures recommended by the doctor.
Complications
The Bergman operation is often used by doctors, so usually there are no problems with it. Complications after surgery in patients are extremely rare. The most common consequence for the patient is pain, but it often passes quickly enough. If the discomfort lasts long enough, then you should inform your doctor about this. Complications that may occur after Bergman surgery:
- discrepancy of seams;
- swelling of the tissues of the scrotum;
- keloid scars;
- hematomas;
- wound infection;
- repeated accumulation of fluid;
- testicular atrophy.
Seam discrepancy may occur due to rejection of the filament material. In some cases, the cause of this complication is the patient's abnormal behavior. If after surgery there are hematomas, then do not worry. Usually they completely disappear after a few weeks.
Contraindications
Not all patients can perform Bergman surgery, sometimes it is better to choose a different surgical technique. It is contraindicated in men suffering from serious pathologies from the cardiovascular system. Bergman's operation during acute myocardial infarction is especially dangerous. Surgical intervention is also contraindicated in case of problems from the respiratory system.
If a man has recently had an infectious disease, then Bergman's surgery is postponed for at least 30 days. It is contraindicated in any purulent processes, including abscesses, furunculosis, inflamed wounds. The decision on the advisability of surgical intervention in all cases is made by the doctor.