A testicular hydrocele is an enlargement of the contents of the scrotum caused by the accumulation of serous contents within the testicle’s own sheath. It can appear in men of any age, even in infants. However, in young children, testicular hydrocele is not a threat, unlike in adults, in whom it can even be cancer. So diagnosis & testicular hydrocele treatment in Noida, Ghaziabad should be done at earliest.

What is a testicular hydrocele?

Testicular hydrocephalus is a condition characterized by an enlarged scrotum due to the accumulation of amber serous content within the testicular sheath. In other words, it is a type of cyst, i.e. a formation in which there is a fluid surrounded by sheaths. A testicular hydrocephalus may appear as a result of the abnormal descent of the testicles into the scrotum, and more specifically, the non-attachment of the vaginal process after the testis descent.

Under normal conditions, the appendix should close up during the development of the fetus and be placed on the front surface of the testicle as an empty sac. The testicular hydrocele prevents the vaginal process from closing, which in turn leads to the accumulation of peritoneal fluid in it, which transforms into a hydrocele.

Testicular hydrocele treatment in Noida

The causes of the testicular hydrocele

Testicular hydroids may be congenital or acquired. The former are formed during organogenesis, and their presence is diagnosed after the child is born. In contrast, acquired hydrocele arises for various reasons, most often due to:

  • testicular inflammation
  • epididymitis,
  • testicular trauma,
  • testicular cancer,
  • varicocele surgery,
  • inguinal hernia surgery.

Symptoms of testicular hydrocele

A testicular hydrocele is usually characterized by a one-sided enlargement of the scrotum (usually on the right side). In the evening, the difference in the appearance of the scrotum is more noticeable than in the morning, then the amount of fluid is increased. The testicle is enlarged and on its surface the patient can feel an oval, soft and sliding lump. Manual examination of a hydrocele is not painful (with the exception of testicular hydrocele, which is the result of cancer or acute inflammation).

In adult men with an “acquired” testicular hydrocele, the amount of fluid in the scrotum increases gradually and rapidly. There are also situations in which the patient is unable to move normally due to a large hydrocele. Interestingly – it does not cause problems during micturition. A testicular hydration can cause infertility because new sperm synthesis is missing and the testicle is lost.

Summary of testicular hydrocele symptoms:

  • enlargement of the hydrocele in the evening hours,
  • increasing the size of the testicle and its surface taut without reddening,
  • painless passing urine, not accompanied by discomfort,
  • light scattering through the scrotum,
  • problems with walking (sometimes),
  • rarely pain.

Testicular hydration – diagnostics

As mentioned above, a characteristic feature of a testicular hydrocele is an enlarged scrotum. Therefore, every man who has noticed an enlarged size of the scrotum should necessarily see a urologist in Noida. The doctor will perform a palpation examination, which is the basis for the diagnosis of testicular hydrocele. He will also use diaphanoscopy, which consists in x-raying the scrotum with light coming from a flashlight. The doctor checks if it shines through the scrotum, if so – there is fluid in it. However, if the light does not penetrate the scrotum – it is a solid mass. Another basic examination is imaging in the form of ultrasound.

Specialists diagnosing testicular hydrocele also remember about other ailments that may affect the correct diagnosis. They take into account, among others: acute orchitis, scrotal hernia or testicular cancer.

Testicular hydrocele treatment in Noida, Ghaziabad

Testicular hydrocele treatment in Ghaziabad, Noida is operative and consists in opening the cyst and cutting or evolving its wall. In the case of congenital hydrocele, it is usually followed up for several months because in many cases it is self-absorbed by the age of one.

“Acquired” testicles are treated in two ways:

  • puncture of a hydrocele to drain the fluid – this procedure is not recommended because it is unstable, the disease comes back soon, and because it is easy to overlook a testicular tumor when treating it through subsequent punctures;
  • surgical treatment – consists in opening the cyst and cutting out or evolving its wall.

Among the indications predisposing to treatment, we distinguish:

  • risk of complications,
  • infertility,
  • trouble with a thorough test of the testicle,
  • nagging pain,
  • the inability to distinguish between a testicular hydrocele from an inguinal hernia,
  • appearance (aesthetic problem).