Abnormalities within the male reproductive tract may appear as scrotal masses. Masses may be of little significance or may represent life-threatening illnesses. It is necessary to follow a set course of action to determine the nature of the masses and the most appropriate treatment option. For example, testicular cancer is a source of great concern and uniformly requires prompt intervention. Other masses, such as varicoceles, can cause pain or impair reproductive function. Spermatoceles are benign and generally painless masses that extend near the testicle. Thus, it is important for a patient to seek prompt medical attention when he identifies a scrotal mass or abnormality while performing testicular self examination. The following information will assist you when talking to a urologist about hydroceles.serious man2.jpg

What is a hydrocele?

A hydrocele is a condition in which the testicle is surrounded by an abnormal amount of fluid. This can cause the scrotal sac to swell and become larger than normal. A hydrocele can occur on one or both sides. A hydrocele is usually painless and does not cause any other symptoms. However, if the hydrocele is large enough, it can cause discomfort or be cosmetically bothersome. In very rare cases, a hydrocele can be a symptom of testicular or scrotal cancer.

What are the causes of a hydrocele?

There are a number of potential causes of a hydrocele.

In newborns, the most common reason is a blockage in the processus vaginalis, a sac-like structure that normally surrounds the testicle and helps it descend into the scrotum. If this structure becomes blocked, it can cause fluid to build up around the testicle, leading to a hydrocele.

For adults, however, a hydrocele can occur due to an injury or infection. It can also occur following surgery in the area, such as hernia repair or vasectomy. Rarely, the swelling can occur due to tumors or other growths within the scrotum. Most often, there is no identifiable reason for the swelling.

When should you see a doctor?

In most cases, a hydrocele will disappear without treatment within a few months. However, in some cases, a hydrocele may require treatment.doctor patient consult.jpg

Adult men with a hydrocele usually do not require treatment unless the hydrocele is large, causes discomfort or is cosmetically disturbing. If you are an adult man with a hydrocele, you should see a urologist if:

  • The hydrocele is large and causes pain or discomfort
  • The hydrocele does not go away after a few months
  • You have other symptoms, such as fever, redness or swelling in the groin, or a lump in the testicle

How are hydroceles treated?

A hydrocele is usually harmless and requires no treatment but, in some cases, the swelling may be bothersome enough to be drained or the fluid-filled sac surgically removed.

At UroPartners, we offer a promising nonsurgical treatment options for men with a problematic hydrocele. Aspiration and sclerotherapy is an effective treatment option.

How does aspiration and sclerotherapy work?

Aspiration: A needle and syringe are used to remove excess fluid from the hydrocele or spermatocele.

Sclerotherapy: A solution is then injected into the sac to scar the inner lining, preventing fluid buildup in the future.

Benefits of Aspiration & Sclerotherapy:

  • Minimally invasive: Performed as an outpatient procedure in our clinic.
  • Fast recovery: Most patients experience minimal discomfort and can resume normal activities quickly.
  • Effective: Offers a high success rate with minimal risk of complications.
  • Durable results: Sclerotherapy can provide long-lasting relief.

Is Aspiration & Sclerotherapy Right for You?

Your urologist will discuss your individual situation and determine if aspiration & sclerotherapy is the best approach for you. Factors he considers include:

  • Severity of your symptoms
  • Size and location of the hydrocele
  • Your overall health

UroPartners are committed to providing men with comprehensive and personalized care. If you're experiencing symptoms of a hydrocele, don't hesitate to schedule an appointment. We can help you explore all treatment options and find the best solution to regain your comfort and confidence.

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