Hydrocele is a non-painful swelling in the inguinal region or scrotum produce by a collection of fluids.
Two types of Hydrocele:
1) Communicating hydrocele
- Present at birth
- Failure of the opening between abdominal cavity and scrotum to close properly and completely thus, allowing the abdominal fluid to pass into the sac around the testes.
- Small in size during sleep and has the tendency to increase its size (when crying, straining, or severe coughing).
2) Non-vommunicting Hydrocele
- Maybe present at birth or develops as the child grows.
- Tail end of the process vaginalis was appropriately closed thus, the fluid surrounding the testicles created by the process vaginalis lining can’t be drained nor reabsorbed properly.
- Size does not change since the fluid is walled-off.
How are Hydroceles diagnosed
Physical examination by a physician and a bedside test (Transillumination) confirms the condition.
95% of hydroceles which are present at birth resolve completely by one year of age. Those lasting more than a year and for non-communicating hydrocele, surgical repair are needed. This is done as a day case surgery with minimum pain and very low risk of complication.