Men's Health

Hydrocele

A hydrocele is a fluid collection around the testicle. It often causes painless scrotal swelling.


Symptoms

Painless scrotal swelling or heaviness, usually unilateral.


Causes and risk

Secondary hydrocele can result from injury, infection, or epididymitis. Primary hydrocele in adults is often idiopathic.


How it is evaluated

Physical exam and scrotal ultrasound are used to confirm the diagnosis and rule out other causes.


Treatment

Treatment depends on size, symptoms, and cause. Small asymptomatic hydroceles can be observed. Larger ones may require aspiration or surgery.


When to seek care

Seek care for acute scrotal swelling with pain, fever, or rapid growth.


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