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Hydrocele Treatment In Bhubaneswar

Hydrocele

Hydrocele Treatment In Bhubaneswar

Hydrocele occurs when abdominal fluid is collected in thin sacs, called scrotum, that surround and hold the testicle. Although the condition is mostly seen in newborn males, it can affect adults for possible reasons such as scrotal inflammation or injury, especially iatrogenic causes. Other causes could be parasitic infections, such as Wuchereria bancrofti, or patients having small hernias. Sometimes in the fetus, the processus vaginalis, a tunnel that helps the testicles go down during foetal development, does not close completely. Normally, after the testicles move down from the abdomen into the scrotum, this tunnel should close to prevent fluid from moving back and forth. However, if the processus vaginalis closes partially, it can result in a congenital hydrocele.

Hydrocele affects either one side of the scrotum or both (bilateral hydrocele). The severity of the hydrocele depends on the size of the swelling. In most cases, hydroceles do not cause any bothersome or pain and usually go away, while large hydroceles may affect one’s normal routines, such as sitting and walking. Hydrocele surgery in Bhubaneswar at Manipal Hospitals helps in correcting this condition with quick recovery and no side effects.

FAQ's


Common symptoms associated with hydrocele include:

  • Swelling at one or both sides of the scrotum. Sometimes, swelling may occur less in the morning and become larger later.

  • Severe pain and discomfort

  • Feeling of heaviness
     

Symptoms of hydrocele are often similar to those of inguinal hernia, epididymal cyst, spermatocele, testicular tumour, varicocele, and scrotal oedema. Therefore, proper physical and diagnostic evaluations are made to rule out other conditions. 

A discussion on symptoms and medical history is made, followed by a physical examination, which involves examining your testicles. Specialists may shine a light through your scrotum to determine hydroceles. The scrotum lights up if the sac is accumulated with clear fluid. The stomach area is also pressed to check if the size of the fluid collection changes, which may indicate an inguinal hernia. Specialists may also recommend diagnostic examinations, such as

 

  • Blood tests or urine tests to rule out any infections.

  • Imaging scans such as ultrasounds or computer tomography (CT) scans to identify the presence of a tumour, hernia, or other causes of swelling.
     

Depending on the stage of the condition, treatments employed to address hydroceles include:

  • Watchful waiting: Hydroceles in infants usually go on their own. In the case of adults, the disease usually resolves if the swelling is small and evaluation results are promising. In both cases, if the swelling becomes large, alternative interventions are recommended.

  • Surgery: A procedure called a Hydrocelectomy is typically performed, which involves the removal or repair of the hydrocele. During the procedure, an incision is made in the scrotum or abdominal wall. The fluid around the testis is then drained out, followed by sealing of processus vaginalis. The surgery typically lasts under an hour.

  • Drainage: Specialists employ a needle and a syringe to drain the fluid. However, the fluid comes back and fills the sac.

  • Sclerotherapy: An injection is administered that stops the recurrence of hydrocele after draining the fluid. This therapy is usually recommended for those who are not candidates for surgery.
     

Complications that may arise that are associated with hydrocele and its treatment include:

  • Infection

  • Haematocele usually occurs when there is bleeding in the hydrocele sac

  • Pyrocele, characterised by accumulation of pus in the hydrocele sac

  • Testicular atrophy, identified by shrinkage of testes

  • Infertility due to increased pressure from oedema, reducing blood supply to the testes and affecting the process of spermatogenesis

  • Hydrocele sac rupture

  • Rare case of hernial hydrocele

Other complications include allergy due to anaesthesia, scrotal injury, such as nerve damage or heavy bleeding, or thrombosis during surgery. 


Recovery time generally depends on the type of condition and the therapy addressed, along with the general condition of the patient and the pace of recovery. In the case of surgery, you should be able to return to normal activities within two days. Moreover, in the case of large hydroceles, you will have stretched and loose skin around your scrotum, and returning to its original size may take a few weeks to months. Recurrence of hydroceles is possible, irrespective of the type of interventions performed. However, surgery has a long-lasting minimal recurrence rate compared to other interventions. Our specialists will conduct regular follow-ups to check for any chances of a recurrence.

General recovery instructions you can follow to enhance your healing after hydrocele surgery include:

  • Adhering to pain medications to address post-treatment pain, which may go away within a week after surgery.

  • Restricting yourself from strenuous activities, including riding bikes or driving for at least 3 weeks.

  • Take care of your incisions by using a sponge or shower bath to prevent infections.

  • Taking adequate rest after surgery. If required, apply ice packs around your scrotum. Moreover, you may need 5 to 7 days to return to your work. However, for jobs that require manual and strenuous labour, it may take up to 2 weeks or more. 

  • Adhering to regular follow-ups scheduled by our specialists.

  • Staying from sexual intercourse and other skin-to-skin genital contact to prevent any sexually transmitted infections (STIs).

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