Are you noticing an unusual swelling or lump in your infant's testes? Is it bothersome for you and your child? Are you noticing changes in size? Don’t worry! It might just be a hydrocele.
Although hydrocele is not a major health issue, it is highly uncomfortable. Good thing, it’s treatable. Book your appointments and enjoy our expert services to get rid of your hydrocele, now!
We aim to provide maximum guidance and high-quality treatment with our expert clinicians. We prioritize your health and choose to help you put your mind at rest. Our healthcare will guide you through all the necessary checkups, management plans, and aftercare. We make sure you are satisfied with one-to-one interaction between patient and doctor.
Understanding the hydrocele
A hydrocele is an accumulation of serous fluid around testicles in a sac within the scrotum. It presents as a painless swelling in the scrotum i.e. the sac that carries testicles.
In fact, hydrocele is a fairly widespread condition. 10% of newborn males have this condition, more commonly in premature-borne boys. 1% of adult men can have it. Men over the age of 40 commonly present with it.
Hydrocele feels like a small fluid-filled balloon within the scrotum, which might occur in one or both testicles. It is smooth and mainly in front of the testes. Being painless, the swelling may or may not increase in size. Other than this, hydrocele is also non-tender.
A hydrocele can enlarge and cause discomfort in walking, or also affect sexual activity. It may also be an early indication of some serious disease, so it is important to consult a doctor as soon as you notice unusual swelling or experience any pain. Hydrocele can mimic other abnormalities. Best to get it checked earliest.
Types of hydrocele
The sac closes normally, but the body doesn't absorb the fluid inside. This type doesn't undergo any size changes, so it actually might be considered a pretty bearable condition.
The sac doesn't seal and is in communication with abdominal fluids, the swelling may grow bigger during the day, and on squeezing, fluid moves from scrotum to belly.
Causes Of hydrocele
Normally testes are surrounded by a protective sac that you cannot normally feel. A small amount of fluid produced in it allows it to move freely. Excess fluid is drained by veins around it. An imbalance between the production and drainage of this fluid can lead to hydrocele.
Communicating hydrocele is due to failure of processus vaginalis to close (a tract made of thin membrane extending through the inguinal canal and into the testes). Non-communicating hydrocele is due to no obvious reason.
Some hydroceles can be due to infection, injury, or tumour. Sometimes they develop when there is generalized swelling of the lower half of the body due to fluid retention.
In fact, there is nothing one can do to prevent hydrocele, especially in newborns. Adolescents and adults can avoid it by keeping away from any injury to the scrotum or testes. If a sport can injure you, best is to use an athletic cup.
All you need to know about Hydrocele Treatment
You may have other questions regarding the treatment that may not have been answered yet. Here are some of the most frequently asked questions.
Yes. Hydroceles are not a major health issue.
No, Hydrocele is not associated with infertility or erectile dysfunction.
The prognosis of hydrocele is generally positive and surgery has a high success rate.
If you notice a lump in the scrotum or above it, the swelling is painful, there is an association with nausea or loss of appetite, there is an association with vomiting.
No. So far hydrocele can only be treated by surgical means.
You can go home the same day.
Yes, although it is less commonly seen.
• Rest if you feel tired. Getting enough sleep will help you recover.
• Try to walk each day. Start by walking a little more than you did the day before. Gradually increase the amount you walk. Walking boosts blood flow and helps prevent constipation.
• You may shower 24 hours after surgery if your doctor says it is okay. Pat the incision dry.
• You may return to work/ school when you are ready. This is usually in about 4 to 7 days.
• Avoid strenuous activities, such as bicycle riding, jogging, weightlifting, or aerobics, until your doctor allows
• For a few weeks, avoid lifting anything that would make you strain. This includes heavy grocery bags and heavy containers, a heavy briefcase, or a child.
You can eat your normal diet. If your stomach is upset, try bland, low-fat foods like plain rice, boiled chicken, bread, and yogurt. Drink a lot of fluids to avoid dehydration.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.
Make sure you properly plan your appointment with your doctor. Explain your symptoms clearly, make a list of questions in your mind that you want to get answered. Make sure you are satisfied and aware of the illness, diagnosis, and treatment.
Diagnosis and treatments for hydrocele
Our urologists perform a physical exam consisting of checking for tenderness, a simple test called transillumination, in which a light is shone through the testicle, if light passes through and appears bright - it is positive. If the light doesn't pass through or appears dark- it is negative.
Ultrasound confirms the diagnosis. If it is large and a doctor cannot feel your testicle. Fluid may be drained by a needle and syringe, but before that, local anaesthesia is used to make the procedure painless. Apart from this, a blood test helps rule out any other worrisome underlying cause. Some hydroceles resolve spontaneously in six to twelve months. Some are drained with the help of a needle and syringe, but it is common for the sac to refill.
For persistent hydroceles or large and uncomfortable hydroceles, we offer a surgery called hydrocelectomy performed under general anaesthesia. The duration of surgery is 30 mins and involves a small incision in the scrotum or abdominal wall to drain fluid. The passage between testis and abdomen is sealed off so that a hydrocele does not occur in the future. For pain, painkillers are prescribed.
Besides, sclerotherapy is an injection of a solution to stop hydrocele from recurring after it is drained. This is not commonly done. Offered to people not suitable for surgery.
Complications of surgery
The most common complications following surgery for draining hydroceles are pain, persistent scrotal swelling, haematoma formation, wound infection, and injury to epididymis and testes.
Bleeding or scrotal haematoma
Either poor intraoperative haemostasis or excessive cord dissection (with inguinal approaches) may lead to postoperative bleeding. Haematomas mostly resolve over time on their own. If the patient has evidence of ongoing bleeding or is extremely symptomatic, exploration with haematoma evacuation is warranted.
Injury to spermatic cord structures
The vas deferens or testicular vessels may be injured in 1-3% of inguinal approaches. Some testicular shrinkage has been seen in about 10% of children undergoing surgery.
Ilioinguinal or genitofemoral nerve injury
These nerves may be entrapped or divided during inguinal approaches. The injury may be temporary or permanent.
Postoperative infections and complications
Postoperative wound infections are very uncommon, especially in children. Wound infections should be managed with antibiotics and, if necessary, the opening of the wound.
Post-operation medicines and aftercare
After the surgery, it is important to keep the area dry and clean. You will be guided on how to do it. This will be followed by a follow-up visit to make sure it is healing properly. In fact, you need to be aware that the hydrocele may occur again in the future, although it is less common.
Take pain medicines as directed by the physician. If the doctor gave you a prescription medicine for pain, take it as prescribed. If you are not taking prescription pain medicine, ask your doctor if you can take an over-the-counter medicine or ask him to prescribe you one. Take your medicine after meals (unless the doctor has told you not to).
Ask your doctor to tell you when you can restart your medicines. If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics with proper compliance.
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Great staff, great service, very knowledgeable, great prices! Definitely go again and recommended to friends! Thanks so much Jessica!
September 19, 2020
Very friendly staff with a wide range and treatments, and the knowledge of how to apply those treatments. Very relaxed atmosphere, where you can discuss (without pressure) what you would like to enhance, about the way you look. They've altered my life and how I feel about myself in a very short time. I had no idea that I could alter (without surgery) my physical shape. This seemed to happen almost magically while we were chatting through the totally painless procedure. I'm very happy that I found you guys at Medispa, many thanks
September 18, 2020
I have been visiting EF Medispa, Edgbaston for a few months now and I can honestly say it has so far been a very positive experience. The team are so friendly and welcoming, you are always greeted with big warm smiles. I initially had my consultation with Sarah, who was lovely and very knowledgeable. She explained the whole procedure to me before treatments commenced. I also cannot speak highly enough of Kelly who has been carrying out my treatments. She always makes me feel at ease, from the very start she has walked me through the process of the whole procedure, answers all my questions and tells me what the benefits are. I would highly recommend coming to EF Medispa, Edgbaston, it is a spotless and pristine clinic and not only that, you will be well looked after by all the professional, friendly and welcoming staff from the moment you walk through the door.
February 18, 2019
I have been going to Ef Medispa for a couple of months now for ongoing treatments and it is one of the best decisions I have ever made. Not only can I see mass amount of improvements, I’ve created such a friendship with the staff. I walked in feeling under confident and insecure, however, Beth and Sarah have both made my self esteem higher than ever. Can’t thank them enough, going here is more like a catchup with friends!
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February 18, 2019
Our Medical Team
Edgbaston Wellness Medispa strives to be the best place to undertake minimal surgical and non-surgical procedures.
Our friendly Treatment Coordinators and Medical Practitioners will be at hand before and after the treatment to monitor your progress closely and ensure you get optimum results.
Qualified General Practitioner with a special interest in Gynaecology
She is also a trained Aesthetic Medical Practitioner. She has a wide range of surgical skills and routinely offers surgical and non-surgical treatments.
Urological Surgeon and Aesthetic doctor
Providing a range of Non-Surgical Aesthetic Treatments, including fillers and anti-wrinkle injections. He offers Complete Men’s Health and Women’s Health Consultations.
Senior Consulting Therapist
Performs Aesthetic Treatments like radio frequency, and she has a true passion for skincare and skin health.
Performs Skincare & Beauty Treatments like Tattoo Removal and Laser Hair Removal.
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