A hydrocele is a condition in males in which fluid gets accumulated in the scrotum which causes swelling in the scrotum. Nearly 10 percent (one in every ten) male infants suffer from congenital hydrocele. Baby boys may develop hydroceles due to abnormal development of the scrotal region in the gestation period. Whereas, older boys and men may get hydrocele due to an injury, inflammation or trauma.
Hydroceles may or may not be accompanied by hernia. An inguinal hernia is a condition in which a small part of the bowel membranes drops into the scrotum with the testicles. This results in the formation of a lump in the scrotum. Let’s look further at the major causes that lead to this unusual condition.
Causes of Hydrocele with Hernia
Hydroceles with a hernia may develop when the opening between the scrotum and the abdomen stay open even after birth. Due to this, a weak area develops in the groin. In such cases, pressure and strain during heavy lifting, bowel movements, coughing, etc. may cause the intestine to push through the weak spot. Such a condition can be really painful. Leaving hydrocele untreated can cause further complications. Therefore, get in touch with a specialist doctor as soon as you notice the symptoms of hydrocele with or without a hernia.
Signs and Symptoms
Hydroceles result in swelling of the scrotum. Most hydroceles are painless but the increased size of the scrotum can cause discomfort or pain during walking or sexual activity.
Hernias, on the other hand, cause a bulge in the scrotal area. Hernias may cause pain in about 25 percent of the cases.
Hydroceles in most cases do not pose any risk to life. But, if redness or pain is present, you should see a specialist doctor timely to check for other serious complications. (Also Read: Yoga For Hydrocele)
A person who suffers from a hydrocele with a hernia may experience all the above-mentioned symptoms. The intensity of pain and swelling can be severe in such a case. Hence, timely diagnosis and treatment is a must.
Depending upon the symptoms of hydrocele with a hernia that you tell your doctor, the doctor will conduct a physical examination. Your doctor will check for tenderness in the scrotum. He will apply pressure to the scrotum and abdominal area to check for the presence of an inguinal hernia.
After the physical exam, your doctor may recommend some tests as well. The major diagnostic tests include urine tests or ultrasounds to look for tumors, infections and incarcerated hernia (tissue gets trapped in the weak area and may obstruct the bowel movement).
How to treat the condition of hydrocele with a hernia?
Hydrocele and hernia are considered to be surgical conditions in the conventional mode of treatment. But, Ayurveda and Homeopathy also prescribe certain medicines for providing relief from the symptoms.
Ayurvedic medicines for hydrocele include herbs like Kanchanar, Varun, Vridhivadhika Vati, Chandraprabha Vati, etc. For hernia, Ayurveda recommends herbs like Gokshur, Haritaki, Amalaki, Chitrak, etc. Ayurvedic treatments have no side effects and can be effective in providing relief from pain and swelling due to the conditions. The dosage of these medicines depends upon the severity of the condition of hydrocele with a hernia.
In Homoeopathy, medicines like Cornium, Arnica, Nux Vomica, Clematis, Rhododendron, etc are prescribed to get relief from hydroceles. Whereas, for hernia, medicines like Calcarea Carbonica, Lycopodium Clavatum, Silicea and Rhus Toxicodendron prove to be very effective. Homeopathic medicines are completely safe for use and the chances of side-effects are rare.
Although Ayurveda and Homoeopathy can provide symptomatic relief, chances of recurrence of the conditions in non-surgical treatments are relatively higher. If the above-mentioned treatments do not provide relief or if the condition of hydrocele with hernia reappears, you should consult your doctor and preferably undergo surgical treatments.
Surgical treatment for hydrocele
The surgical treatment of hydrocele is known as hydrocelectomy. In hydrocelectomy, the fluid accumulated in the scrotum is drained out. The conventional hydrocelectomy involves incisions in the scrotum to drain out the fluid.
With the advancement of technology, modern methods like laser hydrocelectomy have come into existence. Laser hydrocelectomy is a minimally invasive and painless procedure that offers speedy and smooth recovery. It involves no cuts and the laser beam directly acts on the hydrocele. This modern treatment of hydrocele is highly recommended as it has nil chances of recurrence. Also, the patient recovers fully within a week after undergoing laser hydrocelectomy.
For hernia surgery, an incision is made in the groin area so that both the conditions can be treated at the same time. The fluid is drained out and the abdominal wall is strengthened with stitches. This procedure is called hernia repair.
The laparoscopic procedures can also be used for the treatment. A laparoscope is a telescope-like instrument that has a tiny camera in it. The surgeon inserts this laparoscope into the area through a small incision. This allows the doctor to get a clear view of the internal structure on the monitor. Hydrocele and hernia are then treated through other small instruments inserted through other small incisions.
So, Hydrocele and hernia are both curable. There is nothing much to fret about the condition. You only need to get timely medical attention. Once you undergo the advanced treatment, you will be free of hydrocele with a hernia and can lead to a better quality of life.