Hydrocele

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What is a Hydrocele?

A hydrocele is a fluid-filled sac in the scrotum that causes swelling, affecting one or both sides. It’s more common in infants but can also occur in adults.

Types of Hydroceles

  • Communicating Hydrocele: Fluid flows from the abdominal cavity into the scrotum due to an open connection (processus vaginalis). Swelling may change size throughout the day.
  • Noncommunicating Hydrocele: No connection to the abdominal cavity, but fluid remains around the testicle. It may develop at birth or later in life.

Symptoms

  • Scrotal swelling (feels like a water balloon)
  • Discomfort or pain
  • Heaviness in the scrotum
  • Swelling size may vary during the day

Causes

Hydroceles often result from incomplete closure of the processus vaginalis during fetal development.

Who Is Affected?

Hydroceles are common in 10% of newborns and usually resolve within a year. Only 1% of adults develop hydroceles, which often disappear without treatment.