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Doctor insights on: Pathophysiology Of Hydrocele

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What is a hydrocele?

What is a hydrocele?

Fluid in the scrotum: A hydrocele is a collection of fluid that accumulates between two layers of tissue called peritneum that surrounds the testis and spermatic cord. It results in swelling of the involved side of the scrotum and is sometimes painful. Causes vary from completely benign to more serious. It is thus very important that any new scrotal swelling be brought to your doctor's attention for further evaluation.

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Dr. Richard Levin
231 Doctors shared insights

Hydrocele (Definition)

A collection of fluid around the testicles, within the scrotum. These fluid collections are contained in a layer of tissue around the testicles, and it is usually ...Read more


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What are the tests for hydrocele?

What are the tests for hydrocele?

Scrotal ultrasound: Is essentially the only reliable test for hydrocele. Transillumination can be used, but is not 100% reliable because subject with a hydrocele may also have a testicular tumor which is not necessarily seen on transillumination.

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How possible is it that I have a hydrocele?

How possible is it that I have a hydrocele?

It's possible: Smooth fluid filled swelling o scrotum is usually a hydrocele. Worth seeing a urologist for an e4xamination &? scrotal ultrasound. They are usually benign but sometimes can result from &/or mask a testicular tumor.

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Is it possible to die because of a hydrocele?

Is it possible to die because of a hydrocele?

No: A hydroceled does not harm the patient or the testis. It is just accumulation of body fluids around the testicular sac.

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Is it possible for you to die from a hydrocele?

No: Hydroceles are not dangerous. A large scrotal hernia, which might be confused with a hydrocele, by someone who doesn't know what they are looking at or palpating, if blocked by bowel ; untreated, could lead to death from intestinal obstruction.

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Is it painful to have hydroceles surgically corrected?

Is it painful to have hydroceles surgically corrected?

Yes: Any surgery is going ot have some degree of pain no matter what. The level of discomfort depends on several factors including the size of the hydroceles (big ones tend to hurt more), the technique used by the surgeon and the pain tolerance of the individual. Patricio gargollo, md pediatric urology, dallas texas.

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Can ice packs cure hydrocele?

No...: No, it will not and be unnecessary.

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How can you prevent a hydrocele?

No known. ..: There has been no known way to prevent developing hydrocele since most of cases are idiopathic and primary. Occasionally, hydrocele may be secondary from infection, inflammation, trauma, surgery, etc. So, ask Doc for detail timely. Best wish. ..

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Is hydrocele in a fetus a problem?

Usually not: Will probably be present at birth. Most infant hydroceles resolve spontaneously during first year of life. May need treatment if they enlarge hugely or become tense, tender or red.

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What are the main hydrocele operations?

What are the main hydrocele operations?

Bottle or Lord ops.: For adult hydroceles. Both operations are performed through the scrotum. Excess hydrocele sac is excised with bottle procedure and remaining sac is everted and sutured together behind the testis. Hydrocele is incised and rolled up & sutured on either side of testis with lord procedure. Infant & child hydroceles are corrected through the groin & patent communication, . If present, is divided.

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Can hydroceles be fixed laparoscopically?

No: Hydroeceles are benign swelling of the testicles. Treatment includes drainage with a needle or making an incision in the scrotum to drain the fluid directly. Unless there is abdominal pathology causing the pathology that needs to be addressed, laparoscopic treatment is not an option.

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How can I cure hydrocele without surgery?

Symptoms?: Treatment of the most common type of hydrocele is necessary only for symptomatic complaints or for the rare situation of compromised integrity of the scrotal skin. Surgical excision is the most common treatment. Simple aspiration doesn't work. The fluid will just reaccumulate.

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Could hydrocele be cured without surgery?

Could hydrocele be cured without surgery?

Usually not: Small hydroceles often require no surgery unless they bother the subject. Large hydroceles in very old or infirm subjects can be aspirated coincident with instillation of a sclerosant but usually recur. By ; large all adult hydroceles which need to be "fixed" require surgery for correction. Operation is reactively minor.

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Is encysted hydrocele of the cord painful?

Not usually: A hydrocele (abnormal fluid collection in the scrotum) is usually not painful but, if large enough, can cause aching, pressure, and discomfort, especially when wearing tight clothing or when physically active.

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How can hydrocele be cured without surgery?

How can hydrocele be cured without surgery?

Requires surgery: Neither medication nor needle aspiration are an answer to this problem. Latter would just re=accumulate fluid ; puts subject at risk for a scrotal infection.

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Is post-operative hydrocele rare or normal?

Not uncommon.: Develop in 15% of men after varicocelectomy (spermatic vein ligation) also known complication of inguinal hernia repair from ligation of spermatic cord lymphatics. Can easily be corrected surgically if hydrocele is of a size that bothers you.

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Doctors, what are the symptoms of hydrocele?

Scrotal enlargement: Scrotum bulges on side of hydrocele due the collection of fluid. Small hydroceles tend to be symptom free. Large hydroceles feel like a weight within thy scrotum. Can be slightly tender, especially if tense or resulting from trauma. Can cause unpleasant friction on thigh with walking or running. Severe pain ; an acute hydrocele can be due to epididymitis or testis torsion ; needs 2b seen asap.

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Hydrocele surgery recovery time, what to do?

Hydrocele surgery recovery time, what to do?

Ask your surgeon: Recovery depends somewhat on size of hydrocele. Best to wear tight or Lycra underpants for compression. Be a couch potato for a week or so. No tennis, basketball or football during that time. Rest will aid recovery

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Can I have oral sex while I have a hydrocele?

Yes: A hydrocele does not interfere with sexual function. The latter will not make it worse or better either.

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How long is ok to wait for hydrocele surgery?

Indefinitely or as: Long as you wish to live with the discomfort of a large scrotum. Also depends how large it is, a small hydrocele may never need surgery, a very large hydrocele must be very uncomfortable.

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