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Hydrocele Repair

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Hydrocele Repair

A hydrocele is a common condition where fluid accumulates around one or both testicles, causing swelling in the scrotum. While hydroceles are usually painless and harmless, they can lead to discomfort, heaviness, and in some cases, complications if left untreated. Hydroceles are more common in newborns but can also develop in adult men due to injury, infection, or inflammation.

Causes of Hydrocele:

Hydroceles may occur due to a variety of reasons, including:

  • Congenital (birth defect): In infants, hydroceles can develop when the fluid-filled sac around the testicles doesn't close properly after birth.
  • Injury or trauma: Physical impact or injury to the testicular area can lead to fluid buildup.
  • Infections: Conditions such as epididymitis or orchitis (inflammation of the testicles) can trigger hydrocele formation.
  • Post-surgical complications: Sometimes, hydroceles may form after surgeries in the groin or scrotal area.
  • Unknown causes: In many adult cases, the cause may remain unidentified.

Symptoms of Hydrocele:

  • Visible swelling in the scrotum, usually on one side
  • A feeling of heaviness or discomfort in the testicle
  • Painless enlargement that may increase in size over time
  • Occasionally, pressure-related pain, especially with prolonged standing or physical activity
  • In rare cases, the swelling may become tense and painful, especially if infected

Treatment for Hydrocele:

In infants, hydroceles often resolve on their own within the first year of life. However, persistent or symptomatic hydroceles in children or adults require surgical intervention.

  • Hydrocelectomy is the standard surgical procedure for hydrocele repair. It involves making a small incision in the scrotum or groin to drain the fluid and remove or repair the sac causing the fluid buildup.
  • The procedure is typically safe, quick, and done under local or general anesthesia.
  • Recovery is fast, with most patients resuming normal activities within a few days and full recovery in about 1–2 weeks.
  • Post-operative care may include wearing supportive underwear, avoiding heavy lifting, and using medications to relieve mild discomfort.

Prevention Tips:

While congenital hydroceles are not preventable, adults can reduce their risk through the following:

  • Avoid trauma or injury to the testicular region
  • Treat scrotal or urinary tract infections promptly
  • Maintain good personal hygiene
  • Regular self-examinations to detect any unusual swelling early
  • Seek medical attention if you notice any persistent scrotal swelling or discomfort