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Hydrocele repair involves surgical correction of a birth defect in which there is an open passageway between the abdomen and the scrotum . This is a common problem in newborn males and usually goes away within the first year of life. About one in 10 male infants has a hydrocele at birth, but most hydroceles disappear without treatment within the first year of life. When the testicle drops into the scrotum (about the eighth month of pregnancy), a sac from the abdominal cavity travels along with the testicle. However, because of the high risk of infection and because the fluid often returns, a more permanent approach is necessary. Typically not harmful, hydroceles may require no treatment. This type of hydrocele usually appears smaller in the morning when the child wakes up and larger in the evening after activity. A communicating hydrocele shows that the sac or processus is still open.

A hydrocele denotes a pathological accumulation of serous fluid in a bodily cavity. Both conditions are usually painless. The open communication between the abdominal cavity and scrotum is repaired, the fluid is removed from the scrotum, and the incision is closed. This sac usually closes and the fluid is absorbed. When the sac closes and the fluid remains, this is called a noncommunicating hydrocele . A hydrocele is a collection of serous fluid between the two layers of the tunica which normally surrounds the testis.Hydroceles often resolve during the first year of life and usually require no treatment. The accumulation can be a marker of physical trauma , infection or tumor , but the cause is generally unknown.

Causes of Hydrocele

Some common causes of Hydrocele :

  • Tumor, especially germ cell tumors or tumors of the testicular adnexa may cause hydrocele.
  • Hydroceles may also be caused by inflammation or trauma of the testicle or epididymis, or by fluid or blood blockage within the spermatic cord.
  • Hydroceles may also be caused by injury or infection in the scrotal area.
  • Hydrocele of the cord is associated with pathologic closure of the distal processus, which allows fluid pooling in the mid portion of the spermatic cord.

Symptoms of Hydrocele

Some are common symptoms of Hydrocele :

  • A communicating hydrocele will fluctuate in size, getting smaller at night while lying flat, and increasing in size during more active periods.
  • If the hydrocele is large and tense, it may require more immediate attention.
  • The main symptom is a painless, swollen testicle , one or both sides, which feels like a water-filled balloon.
  • The primary symptom of a hydrocele is a painless swelling in one or both sides of the scrotum, which feels like a water-filled balloon.
  • Usually the only indication of a hydrocele is a painless swelling of one or both testicles.

Treatment of Hydrocele

Treatment of Hydrocele :

  • Transillumination is not diagnostic and cannot rule out an acute scrotum.
  • The second is the scrotal approach with excision or eversion and suturing of the tunica and is recommended for chronic noncommunicating hydroceles.
  • Simple needle aspiration is seldom therapeutic because the cause of the problem is not addressed and the fluid typically reaccumulates.
  • The hydrocele can be drained as a temporary solution but it only removes the symptoms, not the hydrocele's growth process.
  • The surgeon may make an incision in the scrotum or lower abdomen to remove the hydrocele.
  • The surgery involves making a small incision in the groin or inguinal area and then draining the fluid and closing off the opening to the tunica with internal stitches, if the surgery is done as an outpatient procedure.


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