Understanding Hydrocele in Children

Hydrocele is a common condition in children characterized by swelling in the scrotum, which may sometimes extend into the groin area. Parents often notice this as an unusually large scrotum in their child mostly by the end of the day. While it can be concerning, hydrocele is generally a treatable condition.
What Is Hydrocele?
Hydrocele occurs when a fluid-filled sac around the testicle remains open. During fetal development, this sac plays a role in bringing the testicle into the scrotum. Normally, the sac closes after the testicle descends. However, if the sac stays open, it can allow fluid to accumulate, leading to hydrocele.
Causes of Hydrocele
The primary cause of hydrocele is the failure of the sac around the testicle to close properly after birth. This allows fluid to move into the scrotum and results in noticeable swelling. In some cases, hydrocele may also be associated with other conditions, such as inguinal hernia.
Symptoms of Hydrocele
Signs and symptoms of hydrocele in children include:
- Swelling in the scrotum, which may fluctuate in size.
- In some cases, discomfort or pain associated with the swelling.
Diagnosis and Monitoring
Hydrocele is usually diagnosed through a physical examination. In some cases, an ultrasound may be recommended by a pediatric urologist to confirm the diagnosis and rule out other conditions, such as inguinal hernia or testicular issues.
Treatment Options
Hydrocele often resolves on its own in infants and young children. However, treatment may be necessary in the following cases:
- The hydrocele persists beyond 18 to 24 months of age.
- The child experiences pain or significant discomfort.
Surgical Treatment
- Hydrocele Repair Surgery: This procedure involves closing the patent sac to prevent fluid accumulation.
- Surgical Approaches: The repair can be performed either as an open surgery or laparoscopically, depending on the child’s specific condition.
When to Seek Medical Attention
If you notice persistent swelling in your child’s scrotum or if they experience discomfort, consult a Pediatric Urologist for an accurate diagnosis and timely treatment. Early intervention can help prevent complications and ensure your child’s comfort and well-being.
Contact Us
For expert care, you can choose to consult Dr Prabhu Karunakaran, Consultant Pediatric Urologist and Robotic Surgeon in Hyderabad. To book an appointment or learn more, visit https://drprabhukarunakaran.com/appointment-form/