Hydrocele Expert in Perumbakkam

Your Trusted Partner in Hydrocele

A hydrocele is a fluid-filled sac that develops around the testicle, leading to swelling in the scrotum. It occurs when fluid accumulates in the membrane that surrounds the testicle, causing the scrotum to appear enlarged. We are here to provide comprehensive care and guidance to effectively address hydrocele, ensuring personalized treatment plans tailored to your specific needs.

Understanding Hydrocele

A hydrocele is a common condition characterized by the accumulation of fluid around the testicle, resulting in swelling of the scrotum. This fluid buildup occurs within the sac that surrounds the testicle, known as the tunica vaginalis. Hydroceles can vary in size and may affect one or both testicles.

Hydroceles are typically painless and may not cause any symptoms other than the visible enlargement of the scrotum. In infants, hydroceles are often present at birth and may resolve on their own within the first year of life. However, in adults, hydroceles may develop due to various factors, including injury, infection, inflammation, or obstruction of the lymphatic system.

While hydroceles are generally benign and do not pose a serious health risk, they can cause discomfort or concern due to the visible swelling. Treatment for hydroceles may not be necessary if they are small and asymptomatic. However, larger or symptomatic hydroceles may require medical intervention to alleviate discomfort and reduce the risk of complications.

Treatment options for hydroceles may include conservative measures such as observation or wearing supportive underwear, as well as more invasive interventions such as drainage of the fluid or surgical removal of the hydrocele sac. Regular monitoring by a healthcare professional is recommended to assess the size and progression of hydroceles and determine the most appropriate course of action for management.

Causes of Hydrocele

Congenital CausesIn infants, hydroceles often occur as a result of a failure of the sac surrounding the testicle to close properly during fetal development. This allows fluid to accumulate within the tunica vaginalis, leading to the formation of a hydrocele.

Inflammation or Infection: Inflammation or infection of the testicle or surrounding structures, such as the epididymis, can result in the production of excess fluid and the development of a hydrocele. This may occur due to conditions such as epididymitis or orchitis.

Trauma or Injury: Trauma to the scrotum or testicle, such as a direct blow or injury during sports activities, can lead to the accumulation of fluid and the formation of a hydrocele.

Obstruction of Lymphatic System: Blockage or obstruction of the lymphatic vessels in the scrotum can interfere with the normal drainage of fluid, causing it to accumulate and form a hydrocele.

Hernia: In some cases, a hydrocele may occur secondary to a hernia, particularly when the hernia sac extends into the scrotum and becomes filled with fluid.

Symptoms of Hydrocele:


Lifestyle Modifications:

  • While lifestyle modifications may not directly treat a hydrocele, they can help manage symptoms and improve comfort. Avoiding activities that exacerbate discomfort or increase scrotal pressure, such as heavy lifting or prolonged standing, may help alleviate symptoms. Additionally, wearing supportive underwear or applying cold packs to the scrotum can provide temporary relief from swelling and discomfort.


  • Medications are typically not used as a primary treatment for hydroceles. However, pain relievers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to alleviate discomfort associated with the condition. These medications can help reduce pain and inflammation but do not address the underlying cause of the hydrocele.

Non-Surgical Treatments:

  • Observation: In cases where the hydrocele is small and asymptomatic, a healthcare provider may recommend a period of observation without immediate intervention. Regular monitoring of the hydrocele size and any changes in symptoms may be necessary to determine if further treatment is needed.
  • Aspiration (Needle Drainage): This procedure involves draining the fluid from the hydrocele using a needle and syringe. While aspiration can provide temporary relief from swelling and discomfort, the hydrocele may recur over time, requiring repeat procedures. There is also a risk of infection or injury to the surrounding tissues with this approach.

Surgical Intervention:

  • Hydrocelectomy: Surgical removal of the hydrocele sac is the most common treatment for hydrocele, especially for larger or symptomatic hydroceles. This procedure, known as hydrocelectomy, can be performed as an outpatient surgery under local or general anesthesia. During hydrocelectomy, an incision is made in the scrotum to access the hydrocele sac, which is then removed, and any excess fluid is drained. The surgical incision is then closed, and recovery typically involves minimal discomfort and a short recovery period.
Frequently Asked Question on Hydrocele
What is a hydrocele?

A hydrocele is a common condition characterized by the accumulation of fluid around the testicle, resulting in swelling of the scrotum.

Are hydroceles painful?

Hydroceles are typically painless, especially when they are small or do not cause significant pressure on surrounding tissues. However, larger hydroceles may cause discomfort or a dragging sensation in the scrotum.

Can hydroceles resolve on their own?

In infants, hydroceles are often present at birth and may resolve on their own within the first year of life. However, in adults, hydroceles may persist without treatment or require medical intervention.

How are hydroceles diagnosed?

Hydroceles are typically diagnosed through physical examination and imaging tests such as ultrasound, which can visualize the fluid-filled sac surrounding the testicle.

Can hydroceles recur after treatment?

While surgical removal of the hydrocele sac (hydrocelectomy) eliminates the risk of recurrence, nonsurgical treatments such as aspiration may result in recurrence over time.

Can hydroceles affect fertility?

In most cases, hydroceles do not affect fertility. However, if a hydrocele is large or causes compression of the testicle, it may impact sperm production and fertility.