Hydrocele Treatment

Hydrocele Treatment

A hydrocele Treatment is a collection of serous fluid between the two layers of the tunica vaginalis which normally surrounds the testis. Hydroceles are normally painless. Large hydroceles may cause discomfort because of their size. Walking or sexual activity may become uncomfortable if you have a very large hydrocele.A hydrocele feels like a small fluid filled balloon inside the scrotum. It feels smooth, and is mainly in front of one of the testes.

How is hydrocele diagnosed?

  • Diagnosis is usually made clinically by the transillumination test
  • Ultrasound and X-ray may occasionally be used

A non-communicating hydrocele usually does not need to be surgically repaired, since it usually goes away spontaneously within 6 to 12 months. A communicating hydrocele needs to be surgically repaired to prevent further complications. The surgery takes about an hour and is usually an outpatient procedure.

Aspiration is one option although there is a risk of infection. After aspiration, a sclerosing agent such as tetracycline, urea, etc is injected to close off the opening. Hydrocelectomy is done under general or spinal anaesthesia. After making an incision in the scrotum, and fluid drained. A dressing is applied and a scrotal support is advised.


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