Learn About Hydrocele

What is the definition of Hydrocele?

A hydrocele is a fluid-filled sac in the scrotum.

Save information for later
Sign Up
What are the alternative names for Hydrocele?

Processus vaginalis; Patent processus vaginalis

What are the causes of Hydrocele?

Hydroceles are common in newborn infants.

During a baby's development in the womb, the testicles descend from the abdomen through a tube into the scrotum. Hydroceles occur when this tube does not close. Fluid drains from the abdomen through the open tube and gets trapped in the scrotum. This causes the scrotum to swell.

Most hydroceles go away a few months after birth. Sometimes, a hydrocele may occur with an inguinal hernia.

Hydroceles may also be caused by:

  • Buildup of the normal fluid around the testicle. This may occur because the body makes too much of the fluid or it does not drain well. (This type of hydrocele is more common in older men.)
  • Swelling or injury of the testicle or epididymis
What are the symptoms of Hydrocele?

The main symptom is a painless, round-oval shaped swollen scrotum, which feels like a water balloon. A hydrocele may occur on one or both sides. However, the right side is more commonly involved.

Not sure about your diagnosis?
Check Your Symptoms
What are the current treatments for Hydrocele?

Hydroceles are not harmful most of the time. They are treated only when they cause infection or discomfort.

Hydroceles from an inguinal hernia should be fixed with surgery as soon as possible. Hydroceles that do not go away on their own after a few months may need surgery. A surgical procedure called a hydrocelectomy (removal of sac lining) is often done to correct the problem. Needle drainage is an option, but the fluid will come back.

Who are the top Hydrocele Local Doctors?
Elite
Highly rated in
13
conditions

Liverpool School Of Tropical Medicine

Tropical Disease Biology, Liverpool School Of Tropical Medicine 
Liverpool, ENG, GB 

Louise Hope-Kelly is in Liverpool, United Kingdom. Hope-Kelly is rated as an Elite expert by MediFind in the treatment of Hydrocele. She is also highly rated in 13 other conditions, according to our data. Her top areas of expertise are Lymphatic Filariasis, Spirurida Infections, Secernentea Infections, and Lymphedema.

Elite
Highly rated in
8
conditions

Centre For Neglected Tropical Diseases

Liverpool, ENG, GB L35QA

Sarah Martindale is in Liverpool, United Kingdom. Martindale is rated as an Elite expert by MediFind in the treatment of Hydrocele. She is also highly rated in 8 other conditions, according to our data. Her top areas of expertise are Hydrocele, Lymphatic Filariasis, Lymphedema, and Spirurida Infections.

 
 
 
 
Learn about our expert tiers
Learn more
Elite
Highly rated in
4
conditions

Al Azhar University

Pediatric Surgery Department 
Cairo, C, EG 

Rafik Shalaby is in Cairo, Egypt. Shalaby is rated as an Elite expert by MediFind in the treatment of Hydrocele. He is also highly rated in 4 other conditions, according to our data. His top areas of expertise are Hydrocele, Hernia, Umbilical Hernia, and Omphalocele.

What is the outlook (prognosis) for Hydrocele?

Simple hydroceles in children often go away without surgery. In adults, hydroceles usually do not go away on their own. If surgery is needed, it is an easy procedure with very good outcomes. After surgery, a hydrocele can sometimes reoccur.

What are the possible complications of Hydrocele?

Risks from hydrocele surgery may include:

  • Blood clots
  • Infection
  • Injury to the scrotum
  • Loss of the testicle
  • Long-term (chronic) pain
  • Continuous swelling
When should I contact a medical professional for Hydrocele?

Contact your provider if you have symptoms of hydrocele. It is important to rule out other causes of a testicular lump.

Pain in the scrotum or testicles is an emergency. If you have pain and your scrotum is enlarged, seek medical help right away to prevent the loss of the testicle.

Male reproductive anatomy
Hydrocele
What are the latest Hydrocele Clinical Trials?
Determine the Efficacy of Closed Suction Drain After Hydrocelectomy in Primary Vaginal Hydrocele: An Open-label Randomised Controlled Trial (END Trial)
Match to trials
Find the right clinical trials for you in under a minute
Get started
Needlescopic Inversion and Snaring Versus Needlescopic Inversion and Ligation of Hernia Sac for Inguinal Hernia Repair in Girls
What are the Latest Advances for Hydrocele?
Comparison of Inguinal Herniotomies with and Without Opening the External Oblique Aponeurosis in Children Above the Age of Two.
Application of damage control surgery in patients with sacrococcygeal deep decubitus ulcers complicated by sepsis.
Tired of the same old research?
Check Latest Advances
Sterile cerebrospinal fluid ascites, hydrothorax and hydrocele as a complication of ventriculoperitoneal shunting in an elderly patient.
Who are the sources who wrote this article ?

Published Date : July 26, 2021
Published By : Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Aiken JJ. Inguinal hernias. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 373.

Elder JS. Disorders and anomalies of the scrotal contents. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 560.

Germann CA, Holmes JA. Selected urologic disorders. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 89.

Malek M, Mollen K, Richardson W. Surgery. In: Zitelli BJ, McIntire SC, Nowalk AJ, Garrison J, eds. Zitelli and Davis' Atlas of Pediatric Physical Diagnosis. 8th ed. Philadelphia, PA: Elsevier; 2023:chap 18.

Palmer LS, Palmer JS. Management of abnormalities of the external genitalia in boys. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 44.