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About Hydrocele

When abdominal fluid flows into the scrotum and gets collected there, the condition is called hydrocele. It does not cause pain but swelling. In babies, hydrocele can disappear on its own. In adults, hydrocele is usually the result of either some inflammation or an injury of the scrotum.

Hydroceles are of two types:

  • Noncommunicating hydrocele: It is when the sac closes like normal, but the body doesn't absorb the fluid inside it.
  • Communicating hydrocele: It is when the sac doesn't seal and has an opening into the abdomen. It causes swelling to the scrotum.
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Overview

Hydrocele
Hydrocele in Different Languages
  • Hydrocele in Hindi- हाइड्रोसील
  • Hydrocele in Tamil- ஹைட்ரோசெல்
  • Hydrocele in Telugu- హైడ్రోసెల్
  • Hydrocele in Bengali- হাইড্রোসিল
Side Effects of Hydrocele Operation
  • Infection
  • Blood clots
  • Recurrence of hydrocele
  • Injury to the testicle or nearby structure
  • Swelling and bruising
Why Pristyn Care?
  • Free cab pick-up & drop
  • USFDA approved hydrocele treatment
  • Free follow ups post surgery
  • Covid free hospital, doctors and staff
Hassle-free Insurance Approval
  • Cashless insurance facility
  • All insurances covered
  • No hidden charges
  • No cost EMI
Types of Hydrocele
  • Primary Hydrocele
  • Secondary Hydrocele
  • Infantile hydrocele
  • Congenital Hydrocele
  • Encysted hydrocele
  • Funicular hydrocele
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Treatment

Diagnosis

To better diagnose the condition, the specialist doctor will thoroughly perform a physical exam. If you have a hydrocele or your kid has it, you may find the scrotum is swollen. If the fluid is present, the scrotum will allow light transmission. Also, the 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 check for any infections.

Procedure

Open hydrocelectomy: This is a surgical procedure that is usually performed under the influence of general anesthesia. During this procedure, the surgeon makes a cut in the scrotum or groin area and drains out the fluid via suction. The surgeon then closes the communication to the canal between the abdominal cavity and the scrotum, before removing the hydrocele sac and closing the incisions with sutures or surgical strips.

Needle Aspiration– This technique is performed by inserting a needle in the scrotum while applying the suction to pull out the hydrocele. The doctor will try to extract as much fluid as possible from the sac. However, this procedure gives temporary relief but has higher chances of recurrence.

Frequently Asked Questions

What to expect after hydrocele surgery?

If you have already undergone the surgery, you may experience pain in the area of the scrotum. Use OTC pain relievers or prescribed pain medications by your doctor to ease the pain. You can also use ice packs for the first 24 hours.

Is there any home remedy to shrink hydrocele? 

There are some home remedies available that can help to control and manage the symptoms of hydrocele. However, there is no assurance that these remedies will shrink the hydrocele.

The common home remedies are:

  • Eat lots of Fruits
  • Eat boiled veggies more often
  • Try epsom salt bath to shrink hydrocele
  • Stay hydrated
  • Drink black tea and ginger tea
  • Try aloe vera and amla juice
  • Wear a scrotal support for hydrocele
  • Apply ice packs to reduce hydrocele pain and swelling
  • Make healthy lifestyle choices
Is there any medicine for hydrocele in Ayurveda? 

There are several medicines for hydrocele treatment in ayurveda, including:

  • Chandraprabha Vati
  • Vridhivadhika Vati
  • Arogyavardhini Vati
  • Varun or Crataeva Nurvala
  • Swedana
  • Vedhana karma

These medicines will help to control and manage the symptoms of hydrocele. However, there is no guarantee that these ayurvedic treatments can cure hydrocele.

What are the popular homeopathic medicines for hydrocele? 

Various homeopathic medicine for hydrocele are:

  • Conium
  • Arnica
  • Berberis Vulgaris
  • Nux Vomica
  • Clematis
  • Rhododendron
  • Pulsatilla
Is hetrazan tablet for hydrocele effective? 

Hetrazan is an anti-helminthic medicine that works for patients in which hydrocele occured due to filarial infection. This medicine will address the underlying cause and treat the symptoms, giving relief from the pain and discomfort.

Are there any hydrocele pain relief exercises? 

Usually, there are no exercises that can effectively reduce hydrocele pain. All kinds of exercise will put excessive pressure on the scrotum and only aggravate the pain and discomfort (if it exists).

Why does hydrocele usually occur on the left side of testicles? 

The primary reason for hydrocele more commonly occurring on the left side than the right is the length of the left renal vein. As the left vein is longer, it faces more difficulties in draining. That’s why the left testicle is more prone to developing hydrocele than the right one.

Can hydrocele occur in a newborn? 

Yes. In fact, hydrocele is most common in newborns. This usually happens when the baby’s growth is disturbed during the gestation period. The tube between the scrotum and the abdomen doesn’t close properly, giving rise to hydrocele.

Does insurance cover hydrocele operation cost in Kochi? 

Yes. In most scenarios, hydrocele treatment cost in Kochi is covered under insurance. However, there may be some scenarios where hydrocele operation won’t be covered under the rules and regulations of the insurance plan. One of these rules is if the hydrocele is asymptomatic. To get clear answers, it will be better if you contact the insurance provider.

What kind of doctor treats hydrocele? 

Most people don’t know which doctor to consult for hydrocele. The right kind of doctor for hydrocele treatment is a doctor who specializes in treating conditions of the urinary and reproductive tract, i.e., a urologist.

Where can I find a hydrocele specialist doctor near me in Kochi? 

You can find the best hydrocele surgeon in Kochi near you at Pristyn Care. We have a dedicated team of esteemed doctors who are well-trained and highly experienced in treating hydrocele and other urology-related conditions as well.

How do I find the best hospital for hydrocele treatment near me? 

To find the best hospital for hydrocele treatment near you, check if the hospital-

  • Provides high-quality medical care at affordable prices
  • Has state-of-the-art facilities
  • Uses modern diagnostic and surgical tools
  • Follows a patient-centric approach
  • Provides assistance to the patient

Pristyn Care follows these principles and provides advanced hydrocele treatment in Kochi at our partnered hospitals in a seamless manner.

Is hydrocele dangerous? 

No. Hydrocele isn’t usually dangerous. However, it may be a sign of another serious testicular condition, even cancer. Therefore, it is important that you get properly diagnosed and address the problem properly.

Does hydrocele have a cure?

Yes. The cure for hydrocele is surgical repair that resolves the root cause of the problem

What happens when a hydrocele bursts? 

If a hydrocele bursts, the blood and fluid will leak out and may cause haematoceles. Fortunately, hydrocele rupture is a rare incidence.

Can hydroceles become infected?

Yes. A hydrocele may become infected either during sexual activities or during aspiration. If it happens, the inflammation and swelling will further increase, making it difficult for the patient to bear the pain.

Does hydrocele affect fertility? 

Hydrocele rarely affects fertility. However, in rare conditions, a large-size hydrocele can compress the spermatic cord and cause testicular atrophy that will affect the male fertility to a certain extent.

What is the difference between hydrocele and varicocele?

A hydrocele is the accumulation of fluid in the scrotum whereas varicocele is the enlargement of the veins within the scrotum.

Is it possible to cure hydrocele without operation? 

It is possible to treat hydrocele without operation by using the needle aspiration method. However, it won’t be a permanent cure as this method will only drain out the fluid and won’t address the cause of the hydrocele.

What is hydrocele surgery called?

Hydrocele surgery or hydrocele repair surgery is called hydrocelectomy. During the surgery, the fluid is drained and the channel between the abdomen and scrotum is also closed properly to prevent recurrence of hydrocele.

What type of anesthesia is used during hydrocelectomy procedure? 

Hydrocelectomy operation can be done using general or local anesthesia. The anesthetist will ask you some questions to determine if you are allergic to some compound used in the anesthesia and then decide which type will be used.

How many days of rest is required after hydrocele operation? 

You will need complete rest for 1-2 days after hydrocele surgery. This is recommended to ensure that you don’t accidentally rupture or break the stitches.

Will I need a supporter after hydrocele surgery?

Yes. The doctor will give you scrotal support or jockstrap to ensure that you don’t feel pressure or discomfort while performing regular activities. You will have to wear the support for at least 1-2 weeks.

When will I be able to recover completely after hydrocelectomy? 

The complete recovery after hydrocelectomy will take around 3-4 weeks. You will be able to perform daily activities within the first week. But you’ll still have to take precautions until the wound heals completely.

What is the success rate of different hydrocele treatment methods? 

The success rate of hydrocele treatment varies based on the technique used-

  • Hydrocele aspiration success rate- 70-80%
  • Sclerotherapy success rate- 80-90%
  • Hydrocelectomy success rate- 85-95%
How to reduce hydrocele size by yoga?

Yoga is most certainly helpful to maintain a healthy body. However, before you try yoga for hydrocele, it is crucial that you talk to the urologist and then decide which yoga poses can help you.

More Questions

Different Types of Hydrocele

Hydrocele is divided into the following types:

  • Primary Hydrocele- In this type, the swelling is soft and nontender. It can grow very large in size as they are often asymptomatic. However, if left unattended, it may cause atrophy of the testis due to compression or obstruction of the blood supply.
  • Secondary Hydrocele- The hydrocele that occurs due to a testicular disease is called secondary hydrocele. The cause can be cancer, hernia, orchitis, or any other kind of trauma. Secondary hydrocele is most commonly associated with acute or chronic epididymo-orchitis. It often goes away when the primary lesion is treated.
  • Infantile hydrocele- This type of hydrocele has the tunica and processus vaginalis distended to the inguinal ring, but there is no direct connection of the hydrocele with the peritoneal cavity. It can occur in infants as well as adults.
  • Congenital Hydrocele- It is a type of hydrocele that connects with the general peritoneal cavity. Though the communication is very small, there is still a possibility that the fluid may drain into the peritoneal cavity.
  • Encysted hydrocele- In this type of hydrocele, there is a smooth oval swelling very close to the spermatic cord. Due to the swelling, many patients mistake it for inguinal hernia. It is also called spermatic cord hydrocele and has no communication with the peritoneal cavity.
  • Funicular hydrocele- In funicular hydrocele, the sac has a direct communication with the peritoneum connecting it with the internal inguinal ring. However, no connection exists between the sac and tunica vaginalis. It can grow very large in size due to straining.

During initial diagnosis, the doctor will identify which type of hydrocele you have and narrow down the complications associated with the procedure. Then the doctor will start the treatment right away.

What complications can arise if hydrocele is left untreated?

Severe cases of hydrocele can cause serious complications. Some of the potential complications are listed below:

  • If the size of the hydrocele continues growing, it can lead to obstruction in the blood flow. And when the blood flow is not proper in the testicles, it will further give rise to testicular atrophy causing degeneration of the testicular cells.
  • Another complication that can arise if hydrocele is rupture. Due to the large volume of fluid accumulation in the scrotum, the hydrocele may rupture due to minimal spontaneous trauma.
  • The hydrocele may transform into a haematocele if there is bleeding in the sac. And if the haematocele is not drained, a clotted haematocele will form as a result.
  • Calcification of the sac is also a potential complication of leaving hydrocele untreated.
  • The hydrocele may become infected during aspiration which will increase the swelling and inflammation.
  • Infected hydroceles can also cause pyocele, accumulation of pus in the scrotum.

Normally, these complications can be identified during diagnosis before the treatment method is selected. All these complications are observed for at least 24-48 hours before proceeding with the treatment.

Foods to Avoid with Hydrocele

Many people don’t know this, but the foods you eat on a regular basis can either improve the hydrocele symptoms or make them worse. Therefore, you should avoid the following foods to manage hydrocele symptoms:

  • Processed Items- These foods contain excess salt and sugar and have fiber content.
  • Preserved Foods- These foods are not good to eat because they have artificial preservatives and other chemicals.
  • Junk Foods- It includes food items like pizza, burger, fries, etc. that are low in nutritional value. They can cause indigestion and hinder the bowel movements as well.
  • Spicy and Heavy Foods- Minimize the spice intake as well if you have hydrocele. Excessive spices can upset the stomach and cause a lot of discomfort during bowel movements.
  • Pickles and Caffeine- These food products are also not good for the body and should be strictly avoided.

All these food items have a direct impact on the digestion process and the individual has a hard time passing stools. This will put strain on the groin region and worsen the hydrocele symptoms.

Post Hydrocelectomy Care Plan

After you’ve had hydrocelectomy, the doctor will give you a detailed recovery plan to ensure that the wound heals quickly and you will be able to perform all activities without any difficulty.

The most common tips that are included in the post-surgery care plan are given below:

  • Take complete bed rest immediately after the surgery for at least 1 day.
  • Allow your body to heal at its own pace. Do not push yourself to perform an activity even if it hurts.
  • Start taking small walks once you feel like you can.
  • Make sure that you don’t indulge into strenuous exercises that can strain or put pressure on the stitches.
  • Refrain yourself from lifting heavy weights for at least 2-4 weeks until you recover completely.
  • Post-surgery, you can eat your normal diet but make sure to stay away from oily, greasy, spicy, and processed food items as they can cause constipation and also slow down the healing process.
  • Incorporate fiber-rich foods in your diet and drink plenty of water to stay hydrated.
  • Pay special attention to the hygiene of the scrotal region and keep it clean and dry. Wash the wound with warm water and mild soap, then pat it dry.
  • In the first 2 days, the doctor will ask you to avoid bathing. So, do not take a shower until the doctor gives you permission.
  • Do not take baths in hot tubs and avoid swimming as well until the wound heals completely.
  • Wear scrotal support or jockstrap for at least 1-2 weeks after hydrocele surgery. It will minimize the pressure in the scrotal region and allow you to perform regular activities without pain or discomfort.
  • Avoid wearing tight clothes around the waist and groin area as they can irritate the scrotal region.
  • Refrain from sexual activities as well until the doctor says it’s fine.

When you follow the doctor’s instructions properly, it becomes a lot easier to resume the daily activities and get back to the regular life after hydrocelectomy.

Prevention of Hydrocele

There is no assured way to prevent hydrocele in a baby. However, in adults, hydrocele usually occurs due to some infection, inflammation, or injury that can be avoided. Here are some preventative tips that will help:

  • Proper prenatal care
  • Try to avoid being injured, follow the safety & protection rules like wearing athletic cups or support while playing sports.
  • Practice safe sex to reduce the chances of contracting sexually transmitted infections (STIs).
  • Avoid pressure activities like horse riding that can put pressure on the scrotum.
  • Treat cough properly as recurrent and chronic cough creates intra abdominal pressure and puts strain on the scrotum.
  • Address constipation as soon as possible.
  • Appropriate care should be taken to prevent hernia and if you already have it, get proper treatment to reduce the chances of hydrocele development.

In rare cases, hydrocele may also develop due to hereditary issues, such as a side effect of Ehlers-Danlos Syndrome. Therefore, it is also important that you keep a watch on your health and take the necessary measures to prevent hydrocele.

Read More

Hydrocele का इलाज कैसे करे? | अंडकोष की सूजन | Hydrocele Operation in Hindi | Pristyn Care Clinic

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