Hydrocele frequently occurs in newborns but can also affect men of all ages. Unilateral hydrocelectomy is crucial for preserving the affected testis and maintaining its function.

What is a Hydrocele?

A hydrocele is an abnormal accumulation of fluid between the layers of the sac that surrounds the testicles. This fluid causes swelling and a feeling of fullness in the scrotum. Hydroceles can be unilateral, affecting only one side of the scrotum, or bilateral, affecting both sides.

Symptoms of a Hydrocele

The symptoms of a hydrocele include:

• Scrotal Swelling and Fullness: The most common symptom of a hydrocele. The swelling is usually soft and painless.
• Heaviness: A feeling of heaviness or discomfort in the scrotum.
• Testicular Shrinkage: In some cases, the affected testicle may appear smaller compared to the other.

Causes of a Hydrocele

The exact cause of a hydrocele is not always known, but several risk factors include:
Congenital Abnormalities: Some infants are born with abnormalities in the sac surrounding the testicles, leading to fluid accumulation.

• Inguinal Hernia: A weakness or tear in the abdominal wall muscles can allow intestines to descend into the scrotum, potentially causing a hydrocele.
• Infections: Infections in the scrotum or testicles can lead to a hydrocele.
• Injury: Trauma or injury to the scrotum can result in a hydrocele.
• Tumors: In rare cases, tumors in the scrotum or testicles can cause a hydrocele.

Diagnosing a Hydrocele

A hydrocele is diagnosed through a physical examination and imaging tests. During the physical exam, the doctor checks for swelling and fullness in the scrotum. Imaging tests such as ultrasound and MRI are used to evaluate the amount of fluid in the scrotum and the condition of the testicles. Ultrasound is commonly used to assess the fluid and testicular health, while MRI provides more detailed information and helps identify the cause of the hydrocele.

Hydrocele Treatment

Treatment for a hydrocele depends on its size, the patient’s age, and overall health. Small and asymptomatic hydroceles often do not require treatment and may be regularly monitored by a doctor for any changes.

Large or symptomatic hydroceles are typically treated with surgical intervention known as hydrocelectomy. During this procedure, a small incision is made in the scrotum to drain the accumulated fluid, and the sac is then sealed to prevent fluid from reaccumulating.

Hydrocelectomy is usually performed under local anesthesia and takes about 30 minutes. Patients can often go home the same day.

Recovery After Hydrocelectomy

Recovery after hydrocelectomy is generally quick. Most patients can return to normal activities within a week. Pain or discomfort after the procedure can be managed with prescribed pain medications. The risks and side effects of hydrocelectomy include:

• Infection: As with any surgical procedure, there is a risk of infection.
• Bleeding: Minor bleeding may occur during the procedure.
• Pain and Discomfort: Some pain and discomfort are common post-surgery.
• Testicular Damage: In rare cases, the testicles or nerves may be damaged during the procedure.

For detailed information about the hydrocelectomy procedure, please contact EMPCLINICS.