Testicular Hydrocele: Symptoms, Diagnosis, and Treatment

Testicle Pain

Testicular Hydrocele: Symptoms, Diagnosis, and Treatment

Testicle Pain

What is testicular hydrocele?

The testicular hydrocele is the accumulation of fluid in the scrotal sac, between the testis and the bag that wraps. This bag is called vaginal testicular. While the hydrocele of the testis is common in young children and tends to disappear over time, the hydrocele in adults appears without apparent cause and its tendency is to continue growing.

Since the hydrocele is not usually painful or harmful, it is likely that no treatment is necessary. However, any increase in the size of the testicle or scrotum should be assessed by the urologist in Dwarka.

Symptoms of hydrocele

The most common symptoms are:

  • Palpable mass. An increase in scrotum size on one side or both is detected when it is bilateral.
  • Pain. Usually the hydrocele is not painful. However, the appearance of pain is possible in cases of very rapid growth. In these cases the scrotum bag acquires a lot of tension. Also in hydroceles that are secondary to a testicular pathology, such as inflammation and testicular tumors, explains urologist in Noida.
  • I start slowly. In most cases, the onset is slow, so the patient cannot clearly determine when it occurs.
  • Quick Start. It is typical of hydroceles that appear as a complication of interventions, such as inguinal hernia and varicocele. They usually appear already the day after the intervention.

Tests to diagnose hydrocele

To establish the diagnosis of hydrocele urologist in Greater Noida use the following tests:

  • Physical exploration. Assessment of size, tension, palpation pain, presence of hernias, etc.
  • Transillumination test. It consists of putting a small light attached to the scrotum and observing how the light passes through the tissues to have a liquid content. Today practically obsolete.
  • Testicular ultrasound. Today it is the essential urological test in all testicular mass, because it not only informs us of the presence of fluid, but also if inflammations or tumors are present in the testicle.

Differential Hydrocele Diagnosis

It must be established with the following pathologies:

  1. Orchiepididymitis
  2. Epididymal cysts.
  3. Inguinal hernia.
  4. Scrotal hematoma
  5. Persistence of the peritoneum-vaginal duct (in children).


When treating a hydrocele, several details must also be taken into account:

  • The patient’s opinion must be taken into account
  • Age. The patient’s age is also important. Since the emotional impact of the increase in scrotum size is not the same in a young man, than in a 75-year-old adult, says urologist in Janakpuri.
  • The size. Some cases of hydrocele are so large that they contain up to a liter of liquid.
  • Growth speed Since those who grow fast should be intervened as soon as possible, since they can become painful.

Types of hydrocele treatment

  1. Puncture and aspiration of the liquid : It consists of puncturing and extracting the liquid and then injecting a sclerosing substance. It is important to keep in mind that today this technique is in disuse because the number of recurrences is very high.
  2. Regulated surgical intervention.

How the hydrocele is operated?

Consequently, surgical intervention is the best treatment for testicular hydrocele. Depending on its size, it can be performed with local anesthesia and sedation or with epidural anesthesia. It is especially important that nothing hurts, explains urologist in Delhi.

Finally, it is important to consider some details about the surgical treatment:

  • There are several surgical techniques. It is important to keep in mind that in all of them you have to make the same incision size and also the recovery time is the same.
  • In the small hydrocele the intervention can be done on an outpatient basis, with only a few hours of stay due to anesthesia. However, in large ones it is necessary to leave a drain, which requires a 24-hour stay.
  • Usually the placement of a hanger helps relieve discomfort. As a consequence, the patient can enter their normal life in 3-6 days, depending on the profession.
  • Keep in mind that the most frequent complication is scrotal hematoma, so leaving a drain at the end of the intervention always reduces that risk.
  • Finally comment that there is the possibility of recurrence of the hydrocele after the intervention, even in the best hands. Although it is very rare.

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