Hydrocoele

A hydrocele is a fluid-filled sac that forms in the scrotum, leading to noticeable swelling. This condition can affect one or both sides of the scrotum, with bilateral hydroceles being those present around both testicles. While hydroceles can occur in individuals assigned male at birth (AMAB) of all ages, they are particularly common in infants and can develop spontaneously in adults.

Understanding Hydroceles

Though hydroceles may cause alarm due to their sudden onset and the sensitivity of the affected area, they are often not serious. In many cases, they are not bothersome or painful; however, larger hydroceles may cause discomfort when sitting or walking.

There are two primary types of hydroceles:

• Communicating Hydrocele: This occurs when there is a connection between the fluid-filled sac in the scrotum and the abdominal cavity, often due to the failure of the processus vaginalis to close during fetal development.
• Noncommunicating Hydrocele: In this case, the processus vaginalis closes, but excess fluid remains around the testicle.

Symptoms and Diagnosis

The hallmark symptom of a hydrocele is swelling in the scrotum, which may resemble a water balloon. Other symptoms can include changes in the size of the swelling, discomfort, and a feeling of heaviness.

Diagnosis typically involves a physical examination and may include imaging tests such as a pelvic ultrasound or CT scan to confirm the presence of fluid.

Treatment Options

Most hydroceles cause significant discomfort and can be treated by a surgical procedure known as a hydrocelectomy. This involves removing the hydrocele and, if necessary, closing any openings between the scrotum and abdominal cavity.

Recent advances in treatment includes Laser surgery.

Outlook and Living with a Hydrocele

The prognosis for hydroceles is generally positive, with most cases resolving without intervention. After surgery, many individuals return to their normal activities within a few days, though full recovery may take several weeks.

Living with a hydrocele typically does not interfere with daily activities or quality of life. However, it is important to seek medical advice if you or your child experiences swelling in the scrotum, accompanied by other concerning symptoms such as pain, nausea, or changes in appetite.

Dr. Mohit Agrawal is committed to providing comprehensive care for patients with hydroceles, ensuring personalized treatment plans and support throughout the healing process. If you suspect a hydrocele or have questions about your condition, don’t hesitate to reach out for a consultation. Your health and well-being are our top priority.