Hydrocele testis

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Hydrocele testis
File:Gray1148.png
Synonyms N/A
Pronounce N/A
Specialty N/A
Symptoms Swelling of the scrotum, discomfort
Complications Infection, inguinal hernia
Onset Can be present at birth or develop later
Duration Can be persistent or resolve spontaneously
Types N/A
Causes Congenital defect, injury, infection
Risks Premature birth, epididymitis, orchitis
Diagnosis Physical examination, ultrasound
Differential diagnosis Inguinal hernia, testicular torsion, varicocele
Prevention None specific
Treatment Observation, surgery (hydrocelectomy)
Medication None specific
Prognosis Generally good with treatment
Frequency Common in newborns, less common in adults
Deaths N/A


File:Ultrasonography of hydrocele.jpg
Ultrasonography of hydrocele
File:Ultrasound Scan ND 0124155309 1600360.png
Ultrasound scan showing hydrocele

Hydrocele testis is a condition characterized by a fluid-filled sac around a testicle, which causes swelling in the scrotum. It is most 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.

Causes[edit]

A hydrocele can develop before birth. Normally, the testicles descend from the developing baby's abdominal cavity into the scrotum. A sac accompanies each testicle, allowing fluid to surround the testicles. In most cases, each sac closes and the fluid is absorbed. However, if the fluid remains after the sac closes, the condition is known as a noncommunicating hydrocele. If the sac closes and fluid can't be absorbed, a communicating hydrocele is present.

Symptoms[edit]

The most common symptom is a painless swelling of one or both testicles. Men with a hydrocele might experience discomfort from the weight of a swollen scrotum. Pain generally increases with the size of the inflammation. Sometimes, the swollen area might be smaller in the morning and larger later in the day.

Diagnosis[edit]

To diagnose a hydrocele, your doctor will perform a physical examination. If you have a hydrocele, your scrotum will be illuminated by the light. This is a sign that there's fluid in the scrotum. If fluid isn't present, the light won't be able to pass through the scrotum.

Treatment[edit]

Hydroceles aren't usually dangerous and are treated only when they cause discomfort or embarrassment, or they decrease blood supply to the penis (rare). Treatment might not be needed if a hydrocele doesn't change in size or gets smaller as the body reabsorbs the fluid.

See also[edit]