hydrocele

Hydrocele – Don’t Ignore Swelling In Your Scrotum!

A hydrocele is normally a benign disorder in which fluid fills the scrotum and causes swelling to occur. This swelling grows over time as the fluid continues collecting in the scrotum.

Rachit Bansal, 25, was one of many adults who had been ignoring the swelling in his scrotum for a long time. He approached the doctor only when he started experiencing discomfort.

Read: Feeling Pain in Groin Area? Could be Inguinal Hernia

Rachit decided to consult Dr. Amarchand S. Bajaj, Senior Consultant (Laparoscopic, Bariatric & General Surgery) at Sitaram Bhartia Hospital, South Delhi.

He underwent a physical exam where his groin was examined. It was discovered that Rachit had developed a hydrocele as his scrotum was filled with fluid and that was causing swelling and pain.

In order to better understand what the problem was, Rachit decided to get all his doubts addressed at his consultation with Dr. Bajaj and put forth his questions.

Why does hydrocele happen?

“Patients often mistake the condition with groin injuries. The truth, however, is that hydroceles are idiopathic in nature. This means there may be no causes for hydrocele,” said Dr. Bajaj.

“A hydrocele can be produced when excessive production of fluid causes it to collect within the scrotal sac.”

Usually men do not experience any symptoms of hydrocele if it is small in size. This is often the reason patients seek treatment when their swelling is considerably large.

As the swelling grows, however, you may start experiencing:

  • Enlargement of the scrotum
  • A feeling of heaviness or discomfort in one or both sides
  • Pain that could indicate infection or testicular torsion (testicle getting twisted)

Will hydrocele go away by itself?

“Hydroceles in adults cannot disappear on their own as the fluid increases over time and enlarges the size of the sac. Large hydroceles will need to be further evaluated and have to be surgically removed.”

Rachit’s condition had been worsening over the months. He asked the doctor if his condition could result in further complications if hydrocele surgery was delayed.

Is a hydrocele dangerous?

Typically, hydrocele is not dangerous in men and has no effect on their fertility.

“We, however, keep an eye on adults with this condition as it may be an indication of underlying testicular conditions. Sometimes, due to the presence of fluid in the scrotum, you may be more liable to developing an infection.”

Rachit was suggested an ultrasound and some blood tests in order to rule out these complications. He returned a few days later for follow-up consultation and, much to his relief, he hadn’t developed an infection.

Dr. Bajaj recommended surgery as the swelling in Rachit’s scrotum was large and steadily increasing over time. He encouraged Rachit to clear his doubts regarding hydrocele treatment if he was still unsure about the operation.

How can I treat my hydrocele at home?

Hydrocele treatment at home is not recommended by doctors.

It is important to note that ‘Trial of Aspiration’, or draining the fluid using a needle, is a temporary procedure that relieves symptoms may be only for a week and increases the chances of infection. It should only be attempted in inoperable cases or if the patient is unfit for surgery.

Patients like Rachit who develop larger hydroceles are suggested surgery as early as possible.

How do you fix a hydrocele?

Hydrocelectomy, or the ‘eversion of sac’, is the surgery carried out to remove hydrocele.

“An incision or small cut is made in the scrotum or in the groin area and the accumulated fluid is then drained. The hydrocele sac is then turned inside-out and secured using sutures. It is can be carried out under local anesthesia, although general anesthesia may also be used.”

“Is hydrocele surgery painful?” wondered Rachit.

“The procedure is a day-care operation that involves the use of small cuts and results in a short, painless surgery. You do not need to stay overnight at the hospital and can recover quicker as well. You will also be able to avoid multiple post-operative visits as the sutures we use at our hospital are absorbable and hence, there is no pain of removing sutures,” reassured Dr. Bajaj.

At his words, Rachit began feeling more confident about the surgery. He understood that wasting any more time by not receiving treatment was causing him more harm than good.

He decided to go ahead with the hydrocelectomy and was discharged on the same day. The operation was carried out successfully. At his post-op checkup later, Rachit expressed his satisfaction with his decision as he had already started feeling much better!

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