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Last Updated: May 29, 2020
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Hydrocele: Symptoms, Causes and Treatment

About Types Symptoms Causes Diagnosis Treatment Cure Side effects Recovery Cost Results Alternatives

What is Hydrocele?

Hydrocele basically refers to a type of swelling that occurs specifically in the scrotum. It happens when there is too much fluid buildup between the thin sheath that surrounds the testicles. This condition is actually very common in newborns and gets treated on its own. However, it can also appear in adult males due to an injury in the testicles or an inflammation.

In men, however, the condition can indicate underlying problems or can even lead to further problems like infections in the area or testicular cancer. Therefore, it is important to get a check-up as soon as possible. The more the inflammation in the area increases, the more the chances of it becoming painful. Surgery is usually the recommended course of treatment.

What are the types of hydroceles?

There are two types of hydroceles:

  • Communicating hydrocele: In this, there is an opening which is referred to as communication in the abdominal cavity. That opening allows the abdominal fluid to flow through the scrotum. If communicating is not treated and does not go away on its own it tends to become inguinal hernia.
  • Non-Communicating Hydrocele: A non-communicating is painless and less serious than the other one. The fluid is almost absorbed in 1 or 2 years.

What are the signs and symptoms of a hydrocele?

In boys, the only symptom can be swelling of one or both testicles. In adult men, it might cause heaviness of a swollen scrotum. Due to which the pain increases with the size of inflammation.

Non communicating hydrocele does not change the size while communicating hydrocele gets bigger day by day. Fluid also oozes out of it when the scrotum is squeezed gently and the fluid moves out from the scrotum to belly.

What causes hydroceles?

It is a painless buildup of watery fluid around one or both testicles. This causes the scrotum or groin area to swell. A sac of fluid crashes with each testicle.

How are hydroceles diagnosed?

For diagnosing hydrocele, the doctor will perform some physical tests:

  • Tenderness of the scrotum will be checked by the doctor
  • The pressure is applied on abdomen and scrotum to check hernia
  • If the hydrocele is diagnosed then testicle will be surrounded by a transilluminated clear fluid
  • Blood and urine tests also help to determine the infection in the children
  • Ultrasound also helps to rule out hernia, scrotal swelling, and testicular tumour.

How to treat a hydrocele?

The treatment for hydrocele or hernia begins with an initial diagnosis which is followed by surgical treatments such as aspiration and hydrocelectomy.

  • Aspiration: A needle is generally used to drain out the fluid.
  • Hydrocelectomy: A hydrocelectomy is a surgery to fix a hydrocele which is a development of liquid around a gonad. Most of the times, a hydrocele will settle itself without treatment. In case, if hydrocele develops bigger, it can cause swelling, torment and distress in the scrotum and may require a surgical fix. Male children are most vulnerable towards hydrocelectomy though there is a rare chance of getting hydrocelectomy as an adult as well.

How to cure hydrocele without surgery?

A hydrocele is one of the most prevalent diseases in infants. This persists up to a year but goes away eventually. But it can come back at any age later in life. If it does not heal on its own, you may need to get surgery. Apart from surgery, these things can be done to get rid of it:

  • Fruit Fast: It helps to clear out toxins from the body. Eating fresh fruits for eight days can help out in healing hydrocele. Rather than eating fruits, you should drink fruits like smoothies or juices.
  • Healthy living: Though fruit fasting can make you feel fatigued but doing exercise will keep you active. Meditating also reduces stress level thus curing it without surgery.
  • Avoiding Constipation: Constipation is not good for it. The straining of constipation actually worsens the swelling of your scrotum. Things include alcohol, caffeine, and tobacco must be avoided.

Who is eligible for hydrocele treatment?

Any person with swelling in the scrotum is eligible for the treatment as long as they have been diagnosed with hydrocele.

Who is not eligible for the treatment?

Swelling in the scrotum can be caused by testicular issues or inflammation are not eligible for the treatment. The doctors prefer to treat the patients who are above 12 months.

What are the side effects of hydrocele treatment?

The side effects include bruising, swelling in the scrotum and groin area is completely normal after a hydroelectric. It normally goes away within 1 to 2 weeks on its own.

As your incisions heal, you may experience a little bit of itching as well. There will be slight pain in your scrotum and groin area immediately after the surgery. All of these are normal for someone who has just been through surgery. Sometimes, the stress of surgery also leads to a slight rise in body temperature. You can ask your doctor to monitor this in case it is a sign of an infection.

What are the post-treatment guidelines?

Once the surgery is over, there are certain guidelines to be followed. The first is not to strain too much when you are having a bowel movement. This is because it can put unnecessary pressure on your groin and cause more pain. Irregular bowel movements after surgery are normal so be sure to include fibre in your diet to combat this. You will have to avoid strenuous physical activity for at least 48 hours after the surgery.

This is mainly because of the fact that you have had general anaesthesia. Thus, you should not be driving or operating any type of heavy machinery. Do not lift anything that is heavy for at least two weeks. You cannot ride a bike or bicycle. You also cannot have sex for at least 2 weeks and this includes all sexual activities.

How long does it take to recover from hydrocele surgery?

The recovery time from the surgery is usually around two weeks on an average, though it may take slightly more or less than that. This is because everyone responds differently to surgeries and medicines and some people tend to heal faster than others. The recovery from the condition is almost instantaneous. Of course, that may not be apparent as the surgery itself will leave its own fair share of swelling and pain.

What is the cost of hydrocele treatment in India?

The price of getting the treatment in India varies from hospital to hospital. On average, it can range from anywhere between Rs. 20,000 to Rs 1,00,000. Metropolitan cities are more expensive than smaller towns, which is why there is a fair bit of difference in the price range that you can expect.

Are the results of the treatment permanent?

The results of the treatment of Hydrocele are permanent. When the condition occurs in infants, it normally goes away on its own and you can expect it to never return again. In adults, the condition is usually caused due to a specific reason like an injury and once it is treated, it does not return (unless you injure yourself in the groin again).

What are the alternatives to the treatment?

There are no alternative home remedies to treat hydrocele. The only way to get rid of it is to see a professional doctor and follow the treatment plan laid out for you.

Popular Questions & Answers

I am 44 years old suffering from back pain, CT scan report says C5-C6 and C6-C7 are bulge please suggest me how to escape from this pain of cervical spondylitis.

MS - Orthopaedics, Fellowship In Minimal Invasive Spine Surgery
Orthopedic Doctor, Gwalior
Don't worry you have to do cervical spine exercises, some antiinflammatory for few days, hot fomentation. If not improved go for some blood investigations.
2 people found this helpful

My left testis is bigger than right and hanging lower than right by 1/2 cm and sometime its paining. Is it a sign of cancer or any disease.

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
Show to a surgeon. Small difference in size and one testis hanging lower than the other is normal. They would examine you and if needed get an ultrasound done. They need to rule out hydrocele, varicocele, spermatocele, hernia and testicular tumour...

Mere hydrocyle ki surgery ko 2 years hone wale hai. Ek chota sa stich dhaga skin ke upar aa gya tha aur ab wo ganth jaisa bn gya .skin k andar ka sara dhaga gal gya pr ye avi v bahar hai. Kuch din se chlne me prblm aa rhi hai aur aisa feel hota hai jaise swelling start ho gya hai andar se. Mai bht paresan hu? Kya fir se surgery krwani pdegi.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Mr. lybrate-user, Thanks for the query. Agar "dhaga" bacha hua hai to usako nikalana hi hoga. That will not be a big surgery. Aap surgeons se miliye aur jo ilaj chahiye use kara lijiye. Thanks.
8 people found this helpful

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