Hydrocele Treatment
What is a hydrocele?
A hydrocele is a painless buildup of watery fluid around one or both testicles that causes the
scrotum or groin area to swell.
This swelling may be unsightly and uncomfortable, but it usually is not painful and generally is not
dangerous.
Although hydroceles are common in newborns, they can also occur at any age in later life. See a
picture of a hydrocele.
How is a hydrocele diagnosed?
A hydrocele is usually diagnosed by an examination of the scrotum, which may appear enlarged. As part
of the examination,
your doctor will shine a light behind each testicle (transillumination). This is to check for solid
masses that may be caused by other problems,
such as cancer of the testicle. Hydroceles are filled with fluid, so light will shine through them
(transillumination). Light will not pass through solid masses
that may be caused by other problems, such as cancer of the testicle.
An ultrasound may be used to confirm the diagnosis of a hydrocele.
How is it treated?
Hydroceles are not usually dangerous and are treated only when they cause pain or embarrassment or
when they decrease the blood supply to the penis (rare).
Treatment is not usually needed if a hydrocele does not change in size or gets smaller as the body
reabsorbs the fluid.
Hydroceles in men younger than 65 may go away by themselves. But hydroceles in older men do not
usually go away.
Fluid can also be removed from a hydrocele with a needle (aspiration). But hydroceles that are
aspirated often return, and surgery may then be needed.
Aspiration is recommended only for men who are not physically able to have surgery because of the
risk of infection and recurrence.
If the hydrocele gets larger or causes discomfort, surgery to remove the hydrocele (hydrocelectomy)
may be needed.