HYDROCELE

HYDROCELE

A hydrocele is the enlargement of the scrotum that happens when fluid gathers in the sheath surrounding the testicle. This is commonly detected in infants then disappears with treatment as they age. Adults can develop this due to infection or injury in the scrotum. Occasionally, the inflamed area may be small in the morning it may get bigger later on.

Usually, a hydrocele isn’t painful and harmful and might not need immediate medical attention. But if the enlargement of the scrotum occurs, see a doctor to treat other causes.

Most hydroceles can be seen in birth. Studies show that five percent of newborn boys may have it. Also, premature babies are at high risk of having it.

SYMPTOMS

The swelling of one or both testicles is usually an indication of hydrocele even if it is painless.

Discomfort from the heaviness of a swollen scrotum might be experienced by an adult man with hydrocele. Essentially, the pain grows because of the size of the infection. Occasionally, the infected area will be smaller in the morning and may get bigger afterward.

DIAGNOSIS

Diagnosis will start with a physical exam. This includes:

  • Observing softness in a swollen scrotum
  • Looking for pressure in the abdomen and scrotum to monitor for inguinal hernia.
  • If you or your child have a hydrocele, placing some bright light through the scrotum. This will appear as a clear fluid surrounding the testicle.

Next, your doctor might do the following:

  • To identify if your child has an infection such as epididymitis, she or he will request for urine and blood tests.
  • Ultrasound helps diagnose a hernia, testicular tumors or other causes of scrotal swelling

 

TREATMENT

A hydrocele sometimes dissolves on its own. It usually happens in babies. It is important for males of any age to determine whether they have a hydrocele because it can interact with a concealed testicle.

A hydrocele that doesn’t disappear on its own might need to undergo surgical removal. This is usually performed as an outpatient procedure. The surgery can be done under general or regional anesthesia to remove a hydrocele (hydrocelectomy). A cut is made in the scrotum or lower abdomen to isolate the hydrocele. During the surgery, if the hydrocele is found, the surgeon might remove it.

After hydrocelectomy, tubes can help you drain fluid and a dressing will be placed for the next few days. Your doctor might suggest a follow-up check-up examination.

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