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Atallah A. Shaaban<br />
91<br />
<strong>Basic</strong> <strong>Urology</strong><br />
Leukemia:<br />
8% of children with ALL.<br />
Diffuse testicular swelling.<br />
Scrotal discoloration.<br />
Bilateral in 50% of cases.<br />
Metastatic:<br />
Multiple testicular masses<br />
Primary lesion may be prostate, lung, intestinal, kidney cancers.<br />
HYDROCELE<br />
Hydrocele is an abnormal collection of serous fluid in some part of<br />
the processus vaginalis, usually the tunica. The testis is impalpable<br />
hydrocele transilluminates Fig. (15).<br />
(A) (B) (C) (D)<br />
Fig. (15): Types of hydrocele: (A) Vaginal, (B) Infantile, (C) Congenital and<br />
(D) Hydrocele of the cord.<br />
CONGENITAL HYDROCELE:<br />
1. Vaginal hydrocele: very common.<br />
2. Infantile hydrocele: the processus vaginalis is obliterated at<br />
the external inguinal ring.
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