Thursday, October 31, 2019

HYDROCELE: Causes, Symptoms, Risks, Complications: 30 FAQs

What is a hydrocele?
A hydrocele is a sac filled with fluid that forms around a testicle. Hydrocelectomy is surgery to remove a hydrocele. About 10% males are born with a hydrocele. Hydroceles are most common in babies however they can affect males of any age. Hydroceles are usually painless and disappear without any treatment.

Secondary hydrocele testis is secondary to either inflammation or a neoplasm in the scrotum. Hydrocele can affect both sides but it usually occurs on one side. The flooding of fluid can be a marker of physical trauma, tumor, infection, or variocele’s surgery. Clear fluid accumulates between the two layers of the tunica vaginalis that surrounds the testicle.

You Are Reading Article On:  HYDROCELE      Reading Time:  6 Minutes

(2) What does a hydrocele look like?
Hydrocele may look like a water-filled balloon on one side or both sides of the scrotum. Mostly it is painless however the swollen scrotum may cause some discomfort. Scrotum becomes swollen and feels very heavy due to large hydroceles.

(3) What are the symptoms of a hydrocele?

Symptoms of a hydrocele:

The only symptom of hydrocele is a swollen scrotum. They usually don’t cause any pain. Another symptom of hydrocele is a feeling of heaviness in the scrotum. The swelling might be worse in the morning than in the evening.

(4) What causes a hydrocele?
A hydrocele can form due to an inflammation within the scrotum. Infection in the testicle or epididymitis can be the leading cause of this inflammation. Hydrocele may also develop as a result of injury to the testicles. A hydrocele can be produced in 4 following ways:

  1. By defective absorption of fluid,
  2. Secondary hydrocele: Excessive production of fluid within the sac,
  3. Interference with lymphatic drainage of scrotal structures,
  4. By connection with a hernia of the peritoneal cavity in the congenital variety, which present as hydrocele of the cord

Hydrocele In Toddlers:

(5) What causes hydrocele in toddlers?
Hydroceles are common in infants. It is caused by fluid that builds up in the scrotum. When a child grows by the age of One year, hydrocele may disappear by itself. Older boys can get hydrocelesdue to an injury, infection, or inflammation of the scrotum.

(6) Can heavy lifting cause hydrocele?
Hernias are common in older adult males. Hernia can happen from pressure, heavy lifting, and straining during bowel movements. Intestine may come out through weak spot in the groin or abdominal wall due to this pressure. Obesity, sneezing, and coughing can also cause a pressure to the intestines and result in such condition.


(7) Can I exercise with a hydrocele?
After hydroelectomy surgery, you can turn to your normal day life within a week. But you must avoid weight lifting, heavy exercise, sports activity, and strenuous exercise at least for a period of 3-4 weeks.

(8) Is hydrocele hereditary?
There is not much evidence about the hereditary nature of hydroceles and hernias yet some hernias and hydrocele seem to run in families.

(9) Can a hydrocele go away on itself?
In adults, hydroceles typically go away within six months. A hydrocele surgery only if it causes discomfort. In infants, a hydrocele will probably go away in about a year without any treatment. Communicating hydrocele can lead to hernias so they need a surgical treatment. Else a hydrocele is not painful. A communicating hydrocele is more common in infants and children.

(10) What are the complications linked to hydrocele?

Complications Of Hydrocele:

Complications are often diagnosed after surgery operation. Complications such as drainage, infection, formation of haematocele, or ruptures are observed not only after operation but also for 1 to 6 weeks during follow-up on out-patient basis. These complications may include:
  1. Herniation of the hydrocele sac.
  2. Infection which may lead to pyocele.
  3. Atrophy of testis in long standing cases.
  4. Acute haemorrhage into the tunica vaginalis sometimes results from testicular trauma.
  5. The sac may calcify.
  6. Rupture usually occurs as a result of trauma but may be spontaneous.
  7. Severe infection can be introduced by aspiration of the hydrocele.
  8. Clotted haematocele may usually results if the haematocele is not drained.
  9. Postherniorrhaphy hydrocele is a relatively rare complication of inguinal hernia repair.
  10. Transformation into a haematocele may result due to spontaneous bleeding into the sac or trauma.
  11. Clotted hydrocele may result from a slow spontaneous ooze of blood into the tunica vaginalis.

(11) Can a hydrocele cause cancer?
Rarely, a hydrocele may occur with testiclular cancer or cancer of the left kidney. This type of hydrocele is most common in men older than 40. However, it can occur at any age.

(12) Is a hydrocele a hernia? How can you tell the difference between a hydrocele and a hernia?
Abdomen and the groin have a passage between them that normally closes before the baby is born. Hernia or hydrocele can result if this passage does not close. A hydrocele is a collection of fluid in the scrotum around the testicle. One sign of a hernia is when a child has a "bulge" in the groin, or in boys, the scrotum. Hernia and hydrocele are same pathological situations.

(13) What is best treatment for hydrocele? Can you drain a hydrocele yourself?

Hydrocele Treatment:

A hydrocoele is treated by two ways:
  • (1) Surgery (Hydroelectomy)
  • (2) Aspiration is not the common treatment for hydroceles. A needle is inserted into the hydrocoele and the fluid is aspirated with the help of needle. When surgery is too risky then aspiration is performed.
(14) Does draining a hydrocele hurt?
A hydrocele itself is not painful. However if it increases in size then one can feel discomfort or irritation. Increased weight of the swollen scrotum also causes discomfort.

Hydrocele Removal Cost:

(15) How much does it cost to drain a hydrocele?
Cost of a Hydrocele Drainage ranges from $1,030 to $1,538.

(16) What is the fluid in a hydrocele?
Serous fluid accumulates in a body cavity to form a hydrocele. A hydrocele testis is the accumulation of fluids around the testis. It is often caused by fluid secreted from tunica vaginalis which is a remnant piece of peritoneum wrapped around the testicle.

(17) Is hydrocele bad?
Hydroceles usually don’t cause pain but large ones may cause discomfort and irritation. Any aggressive activity may cause discomfort if you have a very large hydrocele. Walking or sexual activity may also be difficult to perform due to large hydroceles.

(18) What happens if hydrocele is not treated?
If a communicating hydrocele is not treated, it can lead to an inguinal hernia. It is a condition in which the intestine or intestinal fat pushes through inguinal canal in the groin.

(19) Is a hydrocele dangerous? Is a hydrocele an emergency?
A hydrocele typically isn't dangerous but serious condition that needs emergency surgery to prevent having to have the testicle removed. A hydrocele cause serious complications such as Infection, tumor, or testicular torsion. The scrotum is enlarged and it is not tender or painful. A hydrocele usually doesn't affect fertility.

(20) Can hydroceles be prevented?

Prevention From Hydroceles:

If you prevent yourself from injuries to the testicles then hydroceles can be prevented. You must wear a protective athletic cup during sports or other aggressive activities. If you avoid any trauma to the testicles, then you are in safe zone. Hydroceles in infants cannot be prevented however.

(21) Are there any types of hydroceles?

Types Of Hydrocele:

Hydrocele has 2 types which are:
  1. Communicating
  2. Noncommunicating

Communicating hydrocele:

A communicating hydrocele occurs when the sac surrounding your testicle doesn’t close all the way. This allows fluid to flow in and out.

Noncommunicating hydrocele:

Noncommunicating hydroceles occur when the sac surrounding your testicle closes, but your body doesn’t absorb the fluid. The remaining fluid is absorbed into the body within a year.

(22) What are the different kinds of hydrocele?

(1) Primary hydroceles:

(23) What do you mean by primary hydrocele?

These hydrocoeles contain large amount of fluid. The swelling is soft and non-tender. Primary hydrocele are painless and are often ignored however the long continued presence of large hydroceles causes atrophy of testis due to compression or by obstructing blood supply.

(2) Secondary hydroceles:

(24) What is secondary hydrocele?
A secondary hydrocele subsides when the primary lesion resolves. It is usually lax and of moderate size: the underlying testis is palpable. Secondary hydrocele is most frequently associated with acute or chronic epididymo-orchitis, testicular torsion, and testicular tumors. Secondary hydrocele can be due to testicular diseases, trauma, cancer, hernia, orchitis and can also occur in infants undergoing peritoneal dialysis.

(3) Infantile hydroceles:

(25) What is Infantile hydroceles?
In infants, a hydrocoele is usually an expression of a patent processus vaginalis (PPV). The processus vaginalis and tunica are distended to the inguinal ring but there is no connection with the peritoneal cavity.

(4) Encysted hydrocele of the cord:

(26) What is Encysted hydrocele of the cord?

There is a smooth oval swelling near the spermatic cord. If the testis is pulled gently downwards, the swelling moves downwards and becomes less mobile. Encysted hydrocele of the cord trans illuminates.

(27) What are some diseases that are associated with a hydrocele?

Associtive diseases of hydrocele:

  1. Cystic fibrosis
  2. Cryptorchid testis
  3. Inguinal hernia
  4. Epididymo-orchitis
  5. Hypospadias
  6. Liver disease with ascites
  7. Testicular cancer
  8. Testicular atrophy

(28) Can hydrocele cause groin pain?
Hydrocele is a fluid buildup that causes swelling of the scrotum. Epididymitis is a testicle inflammation.
Groin pain and testicular pain are two different things but sometimes testicle pain can spread to the groin area.

(29) What is the reason of hydrocele?
A hydrocele can develop as a result of inflammation or injury to the scrotum. Infection in the testicle or epididymitis may cause such inflammation.

(30) Will a hydrocele get bigger? Do Hydroceles get bigger?
Hydroceles usually grow slowly. Normally, hydrocele does not get bigger or smaller. But communicating hydrocele gets bigger and smaller. Such a hydrocele needs surgery.

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