Funiculocele

A funiculocele is a protrusion or hernia of the spermatic cord through the inguinal canal. With this disease, the muscles and ligaments in the groin area weaken, which leads to part of the spermatic cord exiting through the inguinal canal.

Funiculocele most often occurs in men aged 30-50 years. The main symptoms are the presence of a painless bulge in the groin area, which increases with straining or lifting heavy objects. Upon examination, a soft, rubber-like, painless oval or pear-shaped formation is determined, emanating from the inguinal canal.

Diagnosis of funiculocele is based on history, physical and ultrasound examination. Differential diagnosis is made with an inguinal hernia.

Treatment in most cases is surgical - herniotomy is performed with inguinal canal plastic surgery. In uncomplicated forms, conservative treatment with the use of a suspension is possible.

The prognosis with timely treatment is favorable. Untreated funiculocele can lead to strangulation of the contents of the hernial sac with the development of acute surgical pathology.

Funiculoceles are abnormalities of the genital organs in girls. After the birth of a girl, they have a phalica (a small tube inside the vagina). It does not interfere with sexual activity; menstruation can even occur through it. This only happens in 25% of cases. In other girls, after birth, most of the vagina immediately turns into the external opening of the urethra. Mucus (cloudy, clear liquid) may accumulate on it, which is a consequence of the interaction of hormones. Gradually, the accumulated mucus acquires a grayish-white color and a characteristic odor. Then a funiculum appears - a swelling at the end of the vagina. It is usually invisible, but can bulge when urinating and during sexual intercourse. But sometimes its dimensions exceed 7 cm and then leaking fecal matter (they are colored brown), as well as prostate secretion, is released into the genital slit. Most often, such signs are observed in 20–60% of women. When, after the first pregnancy and childbirth, discharge begins within the first 3 months after birth, this is a manifestation of dyspareunia. Discharge from the cervix of a thick consistency may be associated with delayed postpartum discharge (lochia and lochia). In this case, to identify the cause, it is necessary to do an ultrasound examination and microflora smears. It is recommended to donate blood for b-hCG and prolactin. In order to prevent the formation of funiculars and maintain intimate hygiene, topical moisturizers and gels should be used. If