Hydrocele- it is different from Hernia !!!!!

What is adult hydrocele?

hydrocele is a type of swelling in the scrotum that occurs when fluid collects in the thin sheath surrounding a testicle. Hydrocele is common in newborns and usually disappears without treatment by age 1. Older boys and adult men can develop a hydrocele due to inflammation or injury within the scrotum.A hydrocele usually isn’t painful or harmful and might not need any treatment. But if you have scrotal swelling, see your doctor to rule out other causes.

Hydrocele  is not Hernia !!!!

hernia occurs when an organ or fatty tissue squeezes through a weak spot in a surrounding muscle or connective tissue called fascia. The most common types of hernia are inguinal (inner groin), incisional (resulting from an incision), femoral (outer groin), umbilical (belly button), and hiatal (upper stomach).

A hydrocele occurs in males when fluid fills the scrotum, which is the sac under the penis that contains the testicles. Fluid can surround one or both testicles, causing swelling in the scrotum.

About 10% of newborn male infants have a hydrocele, which often clears up without any particular treatment within the first year of life. Hydroceles occur in only about 1% of adult men

What are the symptoms of adult hydrocele?

One side or both sides of the scrotum become swollen and feels heavy, like a water-filled balloon. In most cases an adult hydrocele is painless. However, the swelling of the scrotum may cause some discomfort. If pain is present, this could mean that more serious conditions including infection

How is adult hydrocele diagnosed?

A doctor can diagnose a hydrocele through a combination of tests and observations

How is adult hydrocele treated?

There are no drugs available to treat adult hydrocele, although pain medication may help relieve any discomfort.

Surgery may be needed to repair/drain a hydrocele if it causes pain, if there might be an infection, or if the hydrocele becomes too large. 

Surgery for a hydrocele involves making a cut in the scrotum, or in the groin area near the scrotum, in order to drain out the accumulated fluid. This procedure can usually be done at an outpatient surgical center using a local anesthetic or under light general anesthesia. It considered a minor surgery and the patient goes home the same day.

How can adult hydrocele be prevented?

The best protection against adult hydrocele is to keep the testicles and scrotum free of injury. For example, if taking part in contact sports, use an athletic cup.

Although hydroceles are usually not a major health issue, you should tell healthcare professional about any abnormality or swelling in the scrotum. Another disease or condition may be causing or mimicking the abnormality.

What can be expected after treatment for adult hydrocele?

  • Following surgery there will likely be pain in the area of the scrotum. Prescribed pain medications can help to ease the pain.
  • Ice packs can be applied for the first 24 hours.
  • Activity levels may be restricted for a number of weeks until healing is complete.
  • A SCROTAL SUPPORT  is worn for about 2-4 weeks following surgery in order to keep the scrotum elevated towards the testicles.
  • It might take 2-3 months for the swelling of the operated scrotum to go down completely.

Note : It is possible that a hydrocele may return, even after surgery.

What are possible complications of adult hydrocele?

A hydrocele is normally not dangerous unless it becomes extremely large or the hydrocele fluid becomes infected. Whenever it becomes too large there is possibility of ulceration of skin of scrotum and a weeping wound. Pyocele is the term that is used when hydrocele fluid gets infected forming pus in the scrotal sac. sometimes , too much fluid in the scrotum pushes the testes to such extent that it jeopardies the vascularity , compromising the viability of testes.

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