Hydrocele (fluid in the testicle)

Pelvis | General Practice | Hydrocele (fluid in the testicle) (Disease)


Hydrocele is a collection of fluid in the tunica vaginalis of the scrotum or along the spermatic cord. These fluid collections may develop persistent connections along the spermatic cord or a disorder of production versus absorption of fluid. In rare cases like fluid collections may develop along the canal of Nuck in fmeie. Hidrocelele presents a low risk of medical consequences. However the potential accumulation of fluid in the abdominal cavity and scrotum connection or association of a disease requires evaluation of scrotal hydrocele with caution.

Causes and Risk factors

During normal development, the testicles descend down a tube from the abdomen into the scrotum. Hydroceles result when this tube fails to close. Fluid drains from the abdomen through the open tube. The fluid accumulates in the scrotum, where it becomes trapped. The trapped fluid causes the scrotum to enlarge.

Hydroceles may also be caused by inflammation or trauma of the testicle or epididymis, or by fluid or blood obstruction within the spermatic cord. Hydroceles caused by trauma or blood obstruction is more common in older men.

Diagnosis and Treatment

Hidrocelele not usually painful and an easy method for diagnosis of these tumors is the transtesticular transillumination. Peritoneal dialysis may result in children, cancer, trauma or orchitis.

Treatment includes aspiration, aspiration and instilling a sclerosing agent, or surgery. Some of them does not require treatment. ...