Urology
Urology is the medical specialty focused on the urinary tract system in both males and females, as well as the male reproductive system. Our urologists diagnose and treat kidney stones, urinary tract infections, bladder disorders, and conditions affecting the prostate and reproductive organs.
Hydrocele
About Hydrocele
A hydrocele is a condition in which fluid collects around a testicle, causing painless swelling of the scrotum. The fluid builds up in a thin sac that surrounds the testicle. Hydroceles are common in newborn baby boys and usually disappear on their own within the first year of life. In adult men, hydroceles typically develop due to inflammation, infection, or injury in the scrotum. While most hydroceles are harmless, large or long-standing hydroceles can cause discomfort, heaviness, and cosmetic concerns, and may need treatment.
Types of Hydrocele
Congenital (Communicating) Hydrocele
Present at birth, caused by failure of processus vaginalis to close, may fluctuate in size, fluid can flow between abdomen and scrotum.
Acquired (Non-Communicating) Hydrocele
Develops later in life, closed sac with trapped fluid, usually results from injury or infection.
Symptoms
- Painless swelling on one or both sides of the scrotum
- Feeling of heaviness or dragging in the scrotum
- Swelling that increases during the day or with activity
- Discomfort due to the size or weight of swelling
- Scrotum may glow when light is shone through it (transillumination)
- Usually no pain unless very large or infected
- In babies, swelling may come and go
Risk Factors
- Premature birth or low birth weight (infants)
- Age over 40 years (adults)
- Previous testicular or epididymal infections
- Scrotal injury or trauma
- Testicular tumors
- Prior hernia surgery
- Living in areas with parasitic infections (e.g., filariasis)
Benefits of Treatment
- Permanent cure with high success rate — Hydrocelectomy offers a definitive solution with over 95% success and minimal recurrence
- Relieves heaviness, pressure, and discomfort — Eliminates scrotal swelling-related pain, improving walking, sitting, and daily comfort
- Prevents future complications — Avoids infection, testicular compression, and progressive enlargement
- Restores normal scrotal appearance — Removes visible swelling, improves body confidence
- Improves physical and sexual function — Enables exercise, sports, and normal sexual activity without discomfort
- Enhances quality of life and peace of mind
When to Consult a Doctor
Seek immediate medical care if you experience sudden scrotal pain or rapid swelling, fever with scrotal swelling, or nausea or vomiting with testicular pain. Schedule a doctor's visit if you notice any scrotal swelling (even if painless), swelling continues to increase, heaviness or discomfort affects daily activities, or you are concerned about changes in the scrotum or testicles. Doctors usually confirm hydrocele with physical examination and ultrasound, which helps rule out serious conditions such as testicular tumors or hernias.