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How Could Hydrochlorothiazide Help In The Treatment Of A Hydrocele?

Posted by admin on Thursday, October 22nd, 2009

I was told by a doctor that hydrochlorothiazide could help reduce the amount of fluid collected in a hydrocele. Is this true? How would this work? Can anyone provide some information on this as it appears hydrochlorothiazide is used to reduce the amount of water the kidneys can collect. I don’t see how this could help with a hydrocele?

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Comments

By Medical student class of 2008 on October 22nd, 2009 at 12:36 pm

HCTZ has a diuretic effect… which means it can help you remove water from anywhere, for example swelling in the body caused by congestive heart failure, etc… it can also help to reduce the fluid that is in the hydrocele the same way… hope this helps…

The mechanism of action for HCTZ like the other responder said is diuresis. Technically speaking, it decreases the amount of sodium that your kidneys reabsorb, thus causing increased urination. This can be to one’s advantage for patients with hypertension which is why thiazides are first line for hypertension. However, I’ve never seen my attendings or residents prescribe HCTZ for a hydrocele. This is because the cause of the hydrocele will not be fixed by the medication. The way to fix the hydrocele is to correct the underlying problem
I hope this helps.

 

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