Your doctor may diagnose the presence and severity of your hydrocele based on the following four tests:
- Physical examination: The doctor would look if your scrotum has enlarged in its size, is tender/ have chances of inguinal hernia.
- Transillumination: The doctor would shine through a specialized light through your scrotum area. If it is the case of hydrocele, the filled liquid would shine through.
- Blood and Urine Tests: To confirm the severity, the doctor might also recommend a few blood and urine tests to check for infections such as epididymitis.
- Imaging test: Imagining tests such as ultrasound may be recommended to rule out other underlying causes such as inguinal hernia or testicular tumor.
Hydrocele treatment usually requires fluid drainage. Depending on your choice/ severity of your condition, your doctor may either do it by :
- Needle Aspiration: Here, the doctor drains the fluid by injecting a needle inside the scrotum sack and vacuuming the fluid out.
- Laser Hydrocelectomy: Here, the incision made to drain out the fluid is done through laser and then, the surgeon removes or reverses the scrotum sac to seal the abdominal cavity and prevent a recurrence.
- Open Surgery: Here, the surgeon manually makes an incision on the scrotum sac and vacuums the fluid out. Once the fluid is drained, he seals the abdominal cavity to prevent a recurrence.
All Procedures are done under local/ general anaesthesia to make the procedure painless and comfortable for the patient.