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What is a hydrocele ?

Fluid accumulates along the spermatic cord or within the tunica vaginalis of the scrotum. Prudent evaluations are required if the fluid collection appears between the abdominal cavity and the scrotum or in conjunction with any underlying scrotal pathology. Where a hydrocele does not cause any clinical impact on the organs, the cause of fluid accumulation has to be assessed. Once the pathological threat has been excluded, a persistent hydrocele may require surgical intervention to remove any associated discomfort. Hydroceles are more common in babies.

Hydrocele Treatment in Kochi

Hydrocele Causes

  • Congenital: when the male child’s testicles descend from the abdomen into the scrotum; premature babies
  • Adults: can affect men over the age of 40
    • Caused due to trauma or injury to the groin area
    • Infection or inflammation of the epididymis
    • Cancer of the testicle or left kidney

Types of hydroceles

  • Noncommunicating hydrocele :
    • Occurs when the sac is closed and the fluid is not absorbed by the body
    • Fluid is absorbed by the body within a year
  • Communicating hydrocele :
    • Sac around the testicle doesn’t close completely
    • Fluid is allowed to flow in and out

Hydrocele signs and symptoms 

  • Usually no symptoms are present but when they do :
    • Testicular Pain
    • Swelling
    • Redness of the scrotum
    • Pressure at the base of the penis

Hydrocele Diagnosis

  • Laboratory tests :
    • Routine inguinal herniorrhaphy to exclude any possibility of incarcerated inguinal hernia
    • Serum alpha-fetoprotein to exclude the presence of any testicular tumours
    • Urinalysis and urine culture to rule out epididymitis or orchitis
  • Imaging studies :

Hydrocele Treatment

  • Surgical intervention is indicative when :
    • Hydrocele does not resolve spontaneously
    • Unable to examine testis
    • Pain and discomfort
    • Male infertility
    • Cannot distinguish between an inguinal Hernia and a hydrocele
    • Any associated pathology such as tumours etc.

Surgical therapy

  • There are three approaches to surgical therapy :
    • Inguinal approach: Chosen for paediatric cases - ligation of the processus vaginalis high inside the internal inguinal ring
    • Scrotal approach: Excision and eversion; suturing the tunica vaginalis
    • Scrotal aspiration and sclerotherapy of the hemiscrotum using tetracycline solutions

Consult with Dr. Zubin Jacob today for a reliable consultation and treatment for all indications of a hydrocele. Under the expert supervision of Dr. Zubin Jacob, Jacob’s Hospital provides a variety of repairs for all types of hernias.


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