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A hydrocele is a fluid-filled sac that forms around a  testicle  . Hydroceles are most common in infants.

Almost 10% of men are born with a hydrocele . However, they can affect men of any age.

Hydroceles are generally not a threat to the testes. They are usually painless and go away without treatment. However, if you have  scrotal swelling  , see your doctor to rule out other more harmful causes such as  testicular cancer  .

What causes a hydrocele?

Towards the end of  pregnancy  , a male child's testicles descend from his abdomen into the scrotum. The  scrotum  is the sac of skin that holds the testicles together once they descend.

During development, each testicle is surrounded by a natural sac that contains fluid. Normally, this sac closes and the body absorbs the fluid inside during the baby's first year. However, this does not happen for babies with a hydrocele. Babies born prematurely are at higher risk for hydrocele, according to our experts.

Hydroceles can also form later in life, mostly in men over 40. This usually happens if the duct through which the testes descend hasn't closed completely and fluid is now entering or the duct reopens. This can cause fluid to move from the abdomen to the scrotum. Hydroceles can also be caused by inflammation or injury in the scrotum or along the duct. The inflammation can be caused by an infection (  epididymitis  ) or another condition.

Natural herbal treatment

The  natural remedy against communicating hydrocele  that we offer is effective, fast, durable and above all it will prevent you from going through an operation. It is composed of two elements: an herbal tea and an ointment. The combined action of the powder and the ointment is very effective. It results in the efficient absorption of all the fluid contained in the scrotum. Thus, the first effects will be felt very quickly. As a result, you will notice that your testicles will gradually return to normal. It is the perfect solution for those who want to avoid surgery

To discover our natural remedy for treating testicular hydrocele, click on the image below

Tel / Whatsapp: 00229 90 43 17 26 00 

Types of hydroceles

The two types of hydroceles are non-communicating and communicating.

Not communicating

An uncommunicative hydrocele occurs when the sac closes, but your body does not absorb the fluid. The remaining fluid is usually absorbed by the body within a year.


Communicating hydrocele occurs when the sac surrounding your testicle does not close completely. This allows fluid to enter and exit.

What are the symptoms of a hydrocele?

Hydroceles usually do not cause pain. Usually the only symptom is a  swollen scrotum  .

In adult men, there may be a feeling of heaviness in the scrotum. In some cases, the swelling may be worse in the morning than in the evening. It is usually not very painful.

Seek medical treatment if you or your child experiences   sudden or severe pain in the scrotum. It could be a sign of another condition called  testicular torsion  . Testicular torsion occurs when the testicles twist, usually due to an injury or accident. Testicular torsion is not common, but it is a medical emergency because it can lead to a blockage of the blood supply to the testicle and ultimately  infertility  if left untreated. If you think you or your child has testicular torsion, go to a hospital emergency room right away. It must be assessed and treated immediately.

Diagnosis of hydroceles

To diagnose a hydrocele, your doctor will perform a physical exam. If you have a hydrocele, your scrotum will be swollen, but you won't have any pain. Your doctor will not be able to feel your testicle well through the sac filled with fluid.

Your doctor can check the sensitivity of the scrotum and shine a light through the scrotum. This is called  transillumination  . This allows your doctor to determine if there is fluid in the scrotum. If fluid is present, the scrotum will allow light transmission and the scrotum will appear to light up with the light passing through. However, if the swelling of the scrotum is due to a solid mass (  cancer  ), the light will not shine through the scrotum. This test does not provide an accurate diagnosis but can be very helpful.

Your doctor may also apply pressure to the abdomen to check for another condition called  inguinal hernia  ; your doctor may also ask you to cough or break down to check for this. It can happen when part of the  small intestine  protrudes from the groin due to a weak point in the abdominal wall. Although it's not usually fatal, a doctor may recommend surgery to fix it.

They may take a sample of blood or urine to check for infections. Less commonly, your doctor may give an  ultrasound  to look for  hernias  , tumors, or other cause of scrotal swelling.

How to medically treat a hydrocele

If your newborn baby has hydrocele, it will likely go away on its own in about a year. If your child's hydrocele does not go away on its own or becomes very large, he may need surgery by a  urologist  .

In adults, hydroceles usually go away within six months, according to our experts. A hydrocele usually only needs surgery if it causes discomfort or if it's a communicating hydrocele, which can lead to hernias.


Surgery to remove a hydrocele is performed under anesthesia. In most cases, you will be able to go home a few hours after the surgery. A small cut is made in the abdomen or scrotum (depending on the location of the hydrocele) and the hydrocele is surgically removed. Your surgeon will most likely apply a large bandage to the site of your incision. Depending on the location and size, you may also need a drainage tube for a few days.

The risks associated with anesthesia include:

allergic reactions

breathing difficulties

heart rhythm disturbances

The risks associated with this procedure include:

excessive blood clots or bleeding

scrotal injury, including nerve damage


Ice packs, a support strap for your scrotum, and plenty of rest will ease the discomfort after surgery. Your healthcare professional will likely recommend a checkup because sometimes a hydrocele can recur.

Needle aspiration

Another option for treating hydrocele is to drain it with a long needle. The needle is inserted into the bag to extract the liquid. In some cases, medicine may be injected to prevent the bag from filling again. Needle aspiration is commonly performed on men who are at high risk of complications during surgery.

The most common side effects of needle aspiration are temporary pain in the scrotum and the risk of infection.

What to expect after surgery

Whether your hydrocele goes away on its own or requires surgery, the outlook is excellent.

If you have surgery, the pain will probably go away in about a week. Your doctor may prescribe pain relievers if you feel it is necessary. You probably won't return to your normal activities for a few weeks. This involves avoiding anything that involves riding, like riding a bicycle, for at least three weeks. Other strenuous activities should also be avoided during this time.

The stitches at the incision site usually dissolve on their own, but your doctor may want to check them after a few weeks. Keeping the area clean using showers or sponge baths will help prevent infection.

For more information, please contact our experts at:

Tel / Whatsapp: 00229 90 43 17 26 00 

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