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Hydrocele

WHAT YOU SHOULD KNOW

When fluid collects in the scrotum, causing it to swell, the condition is called a hydrocele (HIGH-dro-seel). Usually only one side is affected. The condition is more common in young boys, but can also develop in older men. If the swelling doesn't clear up on its own, surgery may be needed.

Causes

Babies are sometimes born with a hydrocele. Teenage boys and older men may get one from an infection or an injury. In younger boys, the problem may result from an inguinal hernia---a protrusion of the abdominal contents into the groin.

Signs/Symptoms

Typically, the scrotum becomes hard, swollen, and bright pink. In babies, the condition is usually painless. Older men may suffer pain in the scrotum and groin, and, if the hydrocele is large, in the lower back.

Care

In babies, most hydroceles disappear during the first year of life. However, if a hernia is the cause, an operation will be necessary. Surgery is also more likely if the condition is causing problems for an older man. While waiting to see whether the hydrocele disappears on its own, the doctor will want to see you every 3 to 6 months.

WHAT YOU SHOULD DO

  • Continue your normal activities and eat healthy foods.
  • Wearing a scrotal support (athletic supporter) and using ice may help the scrotal swelling. Put the ice in a plastic bag and cover it with a towel. Use the ice pack for 15 to 20 minutes out of every hour as long as you think you need it. Do not sleep on the ice pack.

Call Your Doctor If...

  • The swelling gets worse.
  • You are running a high temperature.
  • You develop severe pain in the scrotum or the area around it.

Seek Care Immediately If...

  • You have trouble breathing.
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