What’s a hydrocele?

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A hydrocele is a benign pocket of fluid that can occur in the testicles or other parts of the body. It can be uncomfortable and should be evaluated by a doctor. The cause is often unknown, but it can be congenital or caused by trauma, drugs, tumors, or blocked lymph nodes. Treatment options include draining the fluid or surgically removing the pouch. Any unusual changes in the body should be evaluated by a doctor.

A hydrocele is a pocket of fluid that builds up in a body cavity. These benign conditions most often occur in the testicles, although they can occur elsewhere on the body as well. A hydrocele itself is generally not a cause for concern, although it can be uncomfortable, but should be evaluated by a doctor to confirm that the swelling is indeed a hydrocele and not something else. A doctor may also recommend treatment issues for people who are uncomfortable or for people who find a hydrocele unpleasant.

The underlying cause of most hydroceles is not known. When drained, these sacs contain serous fluid, such as that found in the lymphatic system. Some are congenital, caused by a small malformation that occurs during fetal development, while others can be associated with trauma, certain drugs such as chemotherapy, tumors or blocked lymph nodes.

Testicular hydrocele, as hydroceles in the testicles are known, is a common problem in infants and adult men. Like other hydroceles, it presents as a swelling that can be seen and felt. Some people experience pain around the site, while others find it disconcerting. A doctor can confirm that the problem is a hydrocele by illuminating it with a light or using medical imaging such as ultrasound. These techniques can also be used to identify hydroceles in other regions of the body.

In case a swelling is actually caused by the presence of a hydrocele, there are two treatment options. A doctor may choose to aspirate it with a needle, drawing out the fluid buildup, although the sac may fill with serous fluid after it is drained. Doctors can also surgically remove the entire pouch, preventing the hydrocele from recurring. Surgical removal may be recommended if a doctor is concerned about a recurrence of fluid buildup.

Swellings and unusual changes in body structure and shape are definitely a cause for concern, because there are a number of potential causes of physical changes, ranging from a benign hydrocele to a fast-moving malignant tumor. For this reason, people should definitely see a doctor if they observe a change so that the doctor can determine what is causing the change and how to deal with it. Patients who have already experienced hydroceles may want to bring them to the attention of the doctor, so that he is aware of the patient’s history when he evaluates the situation.




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