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В результате этого накопления мошонка может увеличиваться в размере, вызывая ощущение тяжести, дискомфорт или косметический дефект [5](https://Medgorod-clinic.ru/stati/gidrotsele--vodyanka-yaichka--i-spermatotsele--prichiny--simptomy--diagnostika-i-metody-lecheniya/). \n\nГидроцеле бывает **врождённым** (обычно связано с незаращением вагинального отростка брюшины) и **приобретённым** (возникает в результате воспалительных заболеваний, травм или нарушений лимфооттока) [5](https://Medgorod-clinic.ru/stati/gidrotsele--vodyanka-yaichka--i-spermatotsele--prichiny--simptomy--diagnostika-i-metody-lecheniya/).\n\n\n\n## Причины\nНекоторые причины гидроцеле: \n* **Травмы мошонки** (ушибы, удары) — могут спровоцировать повышенную выработку жидкости в оболочках яичка или нарушить её отток [5](https://Medgorod-clinic.ru/stati/gidrotsele--vodyanka-yaichka--i-spermatotsele--prichiny--simptomy--diagnostika-i-metody-lecheniya/). \n* **Воспалительные заболевания** (орхит, эпидидимит), а также некоторые инфекции (например, гонорея, хламидиоз) — приводят к скоплению жидкости в полости мошонки [5](https://Medgorod-clinic.ru/stati/gidrotsele--vodyanka-yaichka--i-spermatotsele--prichiny--simptomy--diagnostika-i-metody-lecheniya/). \n* **Опухоли и новообразования** — доброкачественные или злокачественные опухоли в области мошонки могут сопровождаться нарушением лимфатического оттока, что приводит к накоплению жидкости [5](https://Medgorod-clinic.ru/stati/gidrotsele--vodyanka-yaichka--i-spermatotsele--prichiny--simptomy--diagnostika-i-metody-lecheniya/). \n* **Послеоперационные осложнения** — хирургическое вмешательство в области мошонки или паховой области (например, операции на варикоцеле, паховой грыже) иногда сопровождается воспалительной реакцией и, как следствие, водянкой яичка [5](https://Medgorod-clinic.ru/stati/gidrotsele--vodyanka-yaichka--i-spermatotsele--prichiny--simptomy--diagnostika-i-metody-lecheniya/).\n\n## Симптомы\nЧасто гидроцеле имеет бессимптомное течение и обнаруживается случайно при профилактических осмотрах или при заметном увеличении мошонки [5](https://Medgorod-clinic.ru/stati/gidrotsele--vodyanka-yaichka--i-spermatotsele--prichiny--simptomy--diagnostika-i-metody-lecheniya/). Болезненность нередко возникает только при существенном скоплении жидкости или при развитии сопутствующих воспалительных процессов [5](https://Medgorod-clinic.ru/stati/gidrotsele--vodyanka-yaichka--i-spermatotsele--prichiny--simptomy--diagnostika-i-metody-lecheniya/). \n\n**Характерный симптом** — объём жидкости меняется в течение дня: мошонка заметно отекает ближе к вечеру, а утром может иметь практически нормальный размер [10](https://locmr.ru/articles/gidrotsele/).\n\n## Диагностика\nПри появлении признаков гидроцеле необходимо обратиться к врачу-урологу [1](https://MC-Semya.ru/uslugi/uroandrologiya/operativnaya-urologiya/gidrotsele-vodyanka-yaichka-lechenie/)[13](https://www.MedCentrServis.ru/disease/gidrotsele/). Некоторые методы диагностики: \n* **УЗИ мошонки** — позволяет точно определить наличие и объём скопившейся жидкости, оценить состояние яичек и придатков [13](https://www.MedCentrServis.ru/disease/gidrotsele/). \n* **Диафаноскопия** — метод, при котором мошонка просвечивается светом для определения характера содержимого (жидкость или твёрдая масса) [13](https://www.MedCentrServis.ru/disease/gidrotsele/).\n\n## Лечение\n**Консервативное лечение** рекомендовано при небольшом объёме жидкости и отсутствии сильного дискомфорта [13](https://www.MedCentrServis.ru/disease/gidrotsele/). Назначаются противовоспалительные препараты для снятия симптомов, а также ношение поддерживающего белья для уменьшения дискомфорта [13](https://www.MedCentrServis.ru/disease/gidrotsele/). \n\n**Хирургическое вмешательство** чаще всего требуется [13](https://www.MedCentrServis.ru/disease/gidrotsele/). Существуют различные хирургические методы, например: \n* **Операция Бергмана** — иссечение части влагалищной оболочки яичка для удаления лишней жидкости и предотвращения её повторного накопления [13](https://www.MedCentrServis.ru/disease/gidrotsele/). \n* **Операция по Винкельману** — частичное удаление оболочки яичка и создание условий для естественного всасывания жидкости [13](https://www.MedCentrServis.ru/disease/gidrotsele/). \n* **Пликация по Лорду** — влагалищная оболочка яичка не удаляется, а складывается и фиксируется для предотвращения дальнейшего скопления жидкости [13](https://www.MedCentrServis.ru/disease/gidrotsele/). \n\nВ определённых случаях могут использоваться малоинвазивные методики, например, склеротерапия, где в полость гидроцеле вводят специальные вещества, вызывающие склеивание влагалищных оболочек яичка и предотвращение дальнейшего накопления жидкости [13](https://www.MedCentrServis.ru/disease/gidrotsele/).","linksData":[{"sourceId":1,"url":"https://MC-Semya.ru/uslugi/uroandrologiya/operativnaya-urologiya/gidrotsele-vodyanka-yaichka-lechenie/","shownUrl":"https://MC-Semya.ru/uslugi/uroandrologiya/operativnaya-urologiya/gidrotsele-vodyanka-yaichka-lechenie/","title":"Гидроцеле (водянка яичка): причины, симптомы, лечение водянки яичка в Ростове-на-Дону | МЦ «Семья»","shortUrl":"MC-Semya.ru","isTranslated":false,"description":"","greenUrl":"MC-Semya.ru"},{"sourceId":2,"url":"https://alfazdrav.ru/zabolevania/urologiya/gidrotsele-vodyanka-yaichka/","shownUrl":"https://alfazdrav.ru/zabolevania/urologiya/gidrotsele-vodyanka-yaichka/","title":"Гидроцеле (водянка яичка) — причины, симптомы и лечение в клинике «Альфа-Центр Здоровья»","shortUrl":"alfazdrav.ru","isTranslated":false,"description":"","greenUrl":"alfazdrav.ru"},{"sourceId":3,"url":"https://mc21.ru/articles/gidrotsele-vodyanka-yaichka/","shownUrl":"https://mc21.ru/articles/gidrotsele-vodyanka-yaichka/","title":"Гидроцеле (водянка яичка): причины, симптомы и лечение","shortUrl":"mc21.ru","isTranslated":false,"description":"","greenUrl":"mc21.ru"},{"sourceId":4,"url":"https://stolichki.ru/clubs/mother/health/vodyanka-yaichka-u-malchikov","shownUrl":"https://stolichki.ru/clubs/mother/health/vodyanka-yaichka-u-malchikov","title":"Водянка яичка у мальчиков: причины, симптомы, лечение гидроцеле у ребенка","shortUrl":"stolichki.ru","isTranslated":false,"description":"","greenUrl":"stolichki.ru"},{"sourceId":5,"url":"https://Medgorod-clinic.ru/stati/gidrotsele--vodyanka-yaichka--i-spermatotsele--prichiny--simptomy--diagnostika-i-metody-lecheniya/","shownUrl":"https://Medgorod-clinic.ru/stati/gidrotsele--vodyanka-yaichka--i-spermatotsele--prichiny--simptomy--diagnostika-i-metody-lecheniya/","title":"Гидроцеле (водянка яичка) и сперматоцеле - причины, симптомы, диагностика и методы лечения.","shortUrl":"Medgorod-clinic.ru","isTranslated":false,"description":"","greenUrl":"Medgorod-clinic.ru"},{"sourceId":6,"url":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_urology/hydrocele","shownUrl":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_urology/hydrocele","title":"Водянка яичка (гидроцеле) - причины, симптомы, диагностика и лечение","shortUrl":"KrasotaiMedicina.ru","isTranslated":false,"description":"","greenUrl":"KrasotaiMedicina.ru"},{"sourceId":7,"url":"https://new.nmicr.ru/pacientam/urological-diseases/andrologija/gidrocele/","shownUrl":"https://new.nmicr.ru/pacientam/urological-diseases/andrologija/gidrocele/","title":"Гидроцеле – Водянка яичка у мужчин причины и лечение","shortUrl":"new.nmicr.ru","isTranslated":false,"description":"","greenUrl":"new.nmicr.ru"},{"sourceId":8,"url":"https://www.medicina.ru/patsientam/zabolevanija/vodyanka-yaichka/","shownUrl":"https://www.medicina.ru/patsientam/zabolevanija/vodyanka-yaichka/","title":"Водянка яичка: симптомы, причины, диагностика, лечение и профилактика","shortUrl":"medicina.ru","isTranslated":false,"description":"","greenUrl":"medicina.ru"},{"sourceId":9,"url":"https://fnkc-fmba.ru/operatsii-i-metody-lecheniya/udalenie-gidrotsele/","shownUrl":"https://fnkc-fmba.ru/operatsii-i-metody-lecheniya/udalenie-gidrotsele/","title":"Гидроцеле - симптомы, лечение, операция, причины","shortUrl":"fnkc-fmba.ru","isTranslated":false,"description":"","greenUrl":"fnkc-fmba.ru"},{"sourceId":10,"url":"https://locmr.ru/articles/gidrotsele/","shownUrl":"https://locmr.ru/articles/gidrotsele/","title":"Гидроцеле: что это, симптомы, осложнения, лечение, реабилитация","shortUrl":"locmr.ru","isTranslated":false,"description":"","greenUrl":"locmr.ru"},{"sourceId":11,"url":"https://ProBolezny.ru/gidrocele/","shownUrl":"https://ProBolezny.ru/gidrocele/","title":"Гидроцеле (водянка яичка): причины, симптомы и лечение в статье уролога Лелявин К. 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