Restoration of quality of life with giant hydrocele: A Kenyan case

Abstract

A hydrocoele is a fluid collection between the layers of tunica vaginalis that surrounds the testis. It is a relatively common urological problem that may be due to inflammation, trauma, intra-scrotal malignancy or idiopathic pathology. The giant hydrocoele is, however, a rare encounter. It is defined as one that is bigger than the patient’s head or whose fluid content is in excess of one litre. I present a giant hydrocoele in a 45-year-old Kenyan that had 24 litres of fluid and whose scrotal reconstruction required excision of skin weighing 2.1kg. A review of literature and how it relates to this case is discussed.