Disorders involving a child’s inguinal (groin) and scrotal area are frequent and the most common condition treated by the pediatric surgeons at Paras Bliss Hospital Panchkula. The array of inguinal and scrotal disorders includes hernia, hydrocele, undescended testis, torsion of the testis or appendix testis, and rarely testicular tumors.
While inguinal and scrotal disorders are common, each disorder has unique attributes and treatment.
These are very common. It is very important to identify and treat them appropriately because they are located in very sensitive tissues. All age groups are affected.
Inguinal Hernias / Hydroceles: An inguinal hernia or the protrusion of the sac of tissue that through the abdominal lining, outside into the scrotum is a common congenital problem. At birth, a passage from the tummy, which otherwise should have closed is open resulting in intestines or even ovaries coming out. A swelling in the inguinal region may be the only complaint. If neglected, obstruction to intestine or loss of blood supply or even damage to the testis may occur. The only treatment is operation which is very standard with good results. If there is more of water coming out, it is called as hydrocele. The treatment is operative.
Cryptorchidism or undescended testis: Absence of one or both testes from the scrotum is also a common problem. This may be noted at birth in which case, the baby can be observed in the first year of life for spontaneous descent. If left untreated, this may result in damage to the testis and sperm producing power, prone to injury, prone to twists or even cancer formation. The ideal age for operation is 1 year of age.
Torsion of testis & Epididymo orchitis: This is one of the crucial problems in children when they present with an acute scrotal swelling. When there is a twist of the testis and blood supply is cut off to testis, it is called as Torsion of testis. It is a real emergency and has to be operated immediately to preserve the testis. When there is infection & inflammation of testis or its buddy, Epididymis, usually due to urine infection, it is called as Epididymo orchitis. The differentiation between these two conditions, which appear identical, is very crucial. Some tests like ultrasound, Doppler study or even nuclear medicine scan may help us. This is managed non operatively with antibiotics and pain medications.