A hydrocele is a condition in which fluid is filled in the scrotum (the sac which holds the testicles), making it swollen. The condition is commonly seen in newborn babies and seldom in adults. It usually occurs on one side but may occur on both sides as well. A hydrocele is not generally painful or harmful, and may not even require any treatment.
The cause of hydrocele is not known. In adults, it can be a result of infection, inflammation, and trauma to the testicles which can result in fluid accumulation in the sac. Here, inflammation may be a result of infection either in the testicle or in the coiled, small tube at each testicle’s back.
In newborn babies, it is a result of the failure of the scrotal sac to close and absorb the fluid. Here, the hydroceles can be communicating hydroceles or noncommunicating hydroceles. The former ones are often linked with inguinal hernia.
There are several risk factors associated with having a hydrocele later in life:
Hydroceles usually do not cause pain. The only indication of a hydrocele is a painless swelling of one or both testicles. Adult men may feel heaviness in the scrotum. In some cases, the swelling might be worse in the morning than in the evening.
Hydroceles are often not dangerous and will usually not affect your ability to have children. However, it can be troublesome if it is linked with some health issue that can cause serious problems. These problems are:
You should seek immediate medical attention if sudden, severe scrotal pain or swelling develops especially within several hours of an injury to the scrotum. The signs and symptoms can occur with several conditions like blocked blood flow in a twisted testicle.
Diagnosis of hydrocele is performed by physical examination by a doctor. If the hydrocele is present, the scrotum would look swollen and would be painless. The doctor won't be able to identify your testicle well because of the fluid in the sac.
During the exam, the doctor might check for tenderness and might shine a light through the scrotum to determine if there is any fluid in the scrotum. If the fluid is present, the scrotum would light up.
He might ask for a blood or urine sample to test for infection. Often the doctor might suggest an ultrasound to check for tumors, hernias, etc.
If the hydrocele causes no symptoms, one option is simply to leave it alone. You can use support to be more comfortable. If it becomes larger or troublesome, you can always go for surgical treatment in Hoshiarpur. The surgical treatment for hydrocele is called hydrocelectomy.
Hydrocelectomy
Surgical drainage of the fluid inside the sac is done by the means of Hydrocelectomy. The surgery is done under spinal or local anesthesia. A small incision of approx. 1-2 cm is made in the groin region or on the scrotum and the fluid is drained from around the testis. If there is a communication to the canal between the abdominal cavity and the scrotum, then it is sealed. The wound is closed with surgical sutures.
Some patients will go home with a small drain coming out of the surgical site to help remove any fluids from the tissue. The doctor usually will remove it in a day or two. Apart from this, the patient is advised to rest for a week, avoid heavy strenuous activity, keep the wound area clean and dry at all times, attend all regular follow-ups, and take recovery medicines as prescribed by the treating doctor.
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Hydroceles can be communicating and non-communicating. In the former one, there’s the presence of an open channel between the scrotum and the abdominal cavity. In the latter, the inguinal canal is closed while extra fluid still collects in the scrotal sac. Also, communicating hydroceles can be further divided into six types - primary, secondary, infantile, congenital, encysted, and funicular hydroceles.
Yes, it can be treated with needle aspiration, but the chances of recurrence are high. This is because the primary cause of the condition is not resolved with this treatment method.
Normally, it can go away on its own in children. However, in an adult male, it does not resolve on its own and needs surgical treatment.
Recurrence is uncommon after surgery. However, large hydroceles are difficult to treat and may recur.
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A hydrocele is not life-threatening and usually disappears on its own. If a hydrocele does not disappear, it can cause erectile dysfunction or the erection may not go naturally. If it’s left untreated, it can Read more
Dr. Nagabhushan .
Hydrocele generally does not need to be treated with surgery. It is harmless, painless, and disappears without treatment. However, if it’s causing you discomfort or not going away on its own, then you may need Read more
Dr. Nagabhushan .
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