Adeokun J., 16

Adeokun Joshua is a 16-year-old senior secondary school student who dreams of becoming a doctor or pharmacist. He enjoys spending time with his brothers when he is not in school. Joshua began experiencing lower abdominal pain at about seven years old. At the time, there was no visible scrotal swelling, so his mother treated him for ordinary stomach pain. As swelling later developed, he was taken for assessment and diagnosed with a hydrocele. Although medication and surgery were recommended, his family could not afford the cost. Joshua’s mother sells oranges when available, earning only ₦200–₦500 in profit, but the fruit is currently out of season. She has no reliable income or savings and has been supporting Joshua and his five siblings since their father left the family. Financial hardship has prevented Joshua from receiving the treatment he needs.

Adeokun Joshua requires an elective Hydrocelectomy. Surgical intervention is urgent to relieve pressure and directly avert the catastrophic risks of testicular ischemia, atrophy, and reproductive impairment. With timely surgical repair, the prognosis is excellent for complete recovery and preserved testicular health. Without surgical intervention, persistent fluid expansion risks significant testicular compression, reduced testicular blood flow, testicular ischemia, atrophy, secondary infection, and impaired spermatogenesis affecting future fertility.