A scrotal hydrocele is a fluid-filled sac that forms around the nucleus and occurs most often in children. However, it can occur in men of all ages.
Scrotal hydrocele does not constitute, any threat to nuclei, is usually painless and disappear without treatment. However, if appears the swelling of the scrotum, it is necessary to visit a doctor who will help rule out other problems like a testicular tumor.
The causes of scrotal hydrocele
At the end of fetal life, testes in boys descend from the abdomen into the scrotum. During the development, each nucleus has a naturally occurring bag located around it, comprising a liquid. This liquid is absorbed within the first year of life, but when that does not happen, appears is a hydrocele. Babies born prematurely are at increased risk of a hydrocele.
Later in life, usually manifested in men over the age of 40. It appears when the channel through which descend the nucleus, has not been closed and opened again, which may cause the passage of fluids from the abdomen into the scrotum. A scrotal hydrocele may also arise due to the appearance of inflammation or injury to the scrotum.
The symptoms scrotal hydrocele
A scrotal hydrocele usually does not cause pain and in most cases is the only symptom is swelling of the scrotum. In adult men, it can also be a feeling of heaviness in the scrotum. In some cases, the swelling becomes more severe at night.
Sudden and severe pain in the area of the scrotum may be one of the symptoms hydroceles, but it is also a symptom of many other diseases as torsion of the testicle.
Diagnosis and treatment of scrotal hydrocele
To diagnose a hydrocele, it is necessary to carry out a medical examination. Most often, the transilluminator is used which, using the light transmission allows to assess whether the scrotal edema is caused by hydrocele or other change.
Diagnosis may require inspection of an inguinal hernia because collecting the fluid can be related to a weak point in the walls of the abdominal cavity. Sometimes the doctor (despite the lack of threat to life) may outsource the operation, in which is removed hydrocele.
Sometimes, is helpful a blood test, which can verify a possible infection, or ultrasound – to see the emergence of a hernia, tumors or other potential causes of swelling of the scrotum.
The treatment in infants is usually not necessary because hydrocele persists arbitrarily, but in a situation where that does not happen, necessary, may be surgery.
Surgical removal of hydrocele is performed under local anesthesia and do not pose a threat. The side effects of this procedure are the most common:
- blood clots or excessive bleeding,
- injuries of the scrotum, including nerve damage,
In addition to surgery, they are also carried out other procedures like the removal of fluid by a needle. Sometimes the medications are also used to help prevent re-loading a sac hydrocele. These methods represent an alternative for people who are at higher risk of complications during surgery. Side effects of the use of needles are a pain in the scrotum and the risk of infection.