To better diagnose the condition, the expert doctor will have to perform a physical exam. If you have a hydrocele or your kid has it, you may find the scrotum is swollen. The doctor can also check for tenderness in the scrotum. If the fluid is present, the scrotum will allow light transmission. Also, an expert doctor may apply pressure to the abdomen to check for other underlying conditions. The doctor may also ask you to cough or may take a blood or urine sample to test for infections.
Hydrocele if not resolved naturally, usually requires fluid drainage and seal closing of the abdominal tract. Based on the type of your hydrocele (communicating/ non-communicating), the severity of your condition, and personal choices, your doctor may recommend drainage through either one of the following:
Needle Aspiration: Here, your doctor drains the scrotum fluid with the help of a needle. Once your body is numbed through anesthesia, he would drain the fluid out through a vacuum-like effect through a syringe.
Laser Hydrocelectomy: Here, your doctor opens your scrotum lining through a small incision via laser. Then, once the fluid is drained out, he removes or reverses the lining to help prevent reoccurrence. Open cut surgery: Here, your doctor would first manually cut open the scrotum with a small incision. Then, after draining the fluid out of the scrotum, he would seal close the abdominal cavity to permanently close the communication channel and prevent reoccurrence.