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-February 03, 2022

Understanding About Hydrocele - Causes, Symptoms, And Treatment

A hydrocele is a sac supplied with fluid that builds up near the testicles. Hydrocele is more common in babies, and surveys reveal that around 10% of male children are born with hydrocele. The ailment can affect males of any age, and, when uncomplicated, they even perish without treatment. Yet, if you have scrotal swelling, see your doctor avoid other aspects that are more damaging, such as testicular cancer.

Hydrocele Causes

A hydrocele can begin before the baby is born. The testicles develop inside their abdomen and then move down into their scrotum through a small tunnel. A sac of fluid runs with each testicle and most times, the tunnel and the sac seal off before birth, and the infant’s body consumes the fluid inside. Let's go through a few of the causes.


In this situation, the foremost cause is the swelling of the testis due to which fluids accumulate in the sac and lead to hydrocele in males.


Infection can be a significant issue when it occurs in the scrotum, testis, and epididymitis. Infection can arise because of other parts of the male genital tract and ultimately end up as hydrocele.


3.Congestion in the spermatic cord

It is a physical flaw in which the sperm delivering tube gets jammed due to the easy passage of fluid from inside doesn’t function precisely. This fluid accumulation leads to hydrocele.


Many individuals also develop hernias post-inguinal surgery.

5.Stress & Injury

Testicular injury may lead to the collection of blood in the sac called Hematocele.

Types of hydroceles

The two hydroceles types are non-communicating and communicating types. 


A non-communicating hydrocele emerges when the sac closes, but the body doesn’t absorb the fluid. The fluid is usually gets absorbed into the body within a year in such instances.


A communicating hydrocele arises when the sac enveloping your testicle doesn’t shut all the way. This permits fluid to flow in and out. This type of hydrocele has contact with the fluids of the abdominal cavity. A communicating hydrocele that occurs may end up as a hernia or develop into a hydrocele. 

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How a doctor checks Hydrocele 

The doctor does a physical assessment of the patient. It includes examining for tenderness in a swollen scrotum by exercising pressure to the abdomen and scrotum to investigate for inguinal hernia, flashing light through the scrotum, which will reveal fluid enveloping the testicle and verify if the patient has hydrocele. The doctor may also suggest blood and urine tests to help determine if the subject has an ailment, such as epididymitis.

Symptoms of Hydrocele

The most common symptoms observed in the event of hydrocele include different scrotum swellings:

  • Bulging in only one or both scrotums
  • Enlarging but no pain
  • Sensing of discomfort because of the fatness of a swollen scrotum
  • Bulging with pain in the case of sore
  • The sensation that the testis is suspended within the scrotum sac
  • Annoyance and awkwardness while moving

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Hydrocele Treatment 

Most newborns and kids with a hydrocele will not need any treatment, as the condition will resolve as the child grows. Parents and guardians should check the scrotum and then go to the doctor if the swelling becomes very large, or if the infant is in pain. For grown-ups who have enormous and discomfiting hydroceles, removal with surgery might be the best option.


1.Who should be consulted to treat hydrocele?

You can consult a general surgeon or an urologist. 

2.Can Hydrocele Recur?

Hydrocele recurrence is rare and can recurs when hydrocele is large or if the surgery was unsuccessful.

3.What are the medications used to care for a hydrocele?

There are no definite medicines workable to treat a hydrocele. Yet, where severe pain prevails, an urologist may advise pain killers.


4.How is a hydrocele managed?

When there is an infection or if the growth of hydrocele is too big, they may need an operation to drain the hydrocele. They also advised surgeries when the ultrasound test exhibits something more than a hydrocele.

5.What is the recuperation time after hydrocele surgery?

Post-surgery, it takes around 4 to 7 days rest before going back to work again.

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