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Painless bulging in your scrotum? – Hydrocele Symptoms Checker

Hydrocele is a condition in which the scrotum swells, and it is usually filled with fluids from the abdominal cavity. The scrotum is where the testes reside and have several layers of tissue, although it seems very thin.

Hydrocele is a condition that may affect males of all ages, but the cause will vary depending on the age of the patient.

During fetal development, around the seventh month, the testes will begin to descend to the scrotum. In this process, the testes will bring with them a portion of the peritoneum. The latter tissue surrounds the abdominal cavity.

As soon as it goes down, it receives the name of processus vaginalis. During fetal development, it will remain open, allowing the free flow of liquid from the abdominal cavity to the scrotum. This gap can close early before birth or a few weeks later after birth on its own. However, there are kids in which this canal will not close or close erratically, causing hydrocele.

There are two different main types of hydrocele, communicating and non-communicating hydrocele. The communicating hydrocele is caused by a congenital defect that allows the communication between the tunica vaginalis and the scrotum with the abdominal cavity. On the other hand, the non-communicating hydrocele does not have contact with the abdominal cavity. This type of hydrocele has different causes. For example, direct trauma to the scrotum, testicular torsion, infectious diseases such as filariasis, and testicular tumor.

Hydrocele is very common among newborn males as around 80% to 90% have a patent processus vaginalis. The number reduces significantly from 25% to 40%. By the time these kids grow up and reach two years old, most of them have a closed processus vaginalis. Nonetheless, only a few portions of these patients present symptoms and clinic of hydrocele.

The symptoms of hydrocele can be straightforward to detect. It is a condition that is not dangerous if it is a simple hydrocele. The swollen scrotum is the cardinal symptom of this condition. Moreover, the simple hydrocele will not be painful rather than uncomfortable. Older patients may feel the area heavier than usual. The size of the hydrocele can also vary on its size throughout the day, being bigger in the afternoon and smaller in the morning.

The tool is a Hydrocele Symptoms Checker. It gathers the most important signs, symptoms, and risk factors for this disease.

The treatment for hydrocele will depend on the cause and if it is persistent. On children, their doctors may wait until two years old to give a chance for the processus vaginalis to close on its own. If it does not repair on its own, the option is a surgical procedure that receives the name hydrocelectomy.

During the latter surgery, the doctor may remove the tunica vaginalis or suture on different portions to close it. For patients that may not tolerate the surgical procedure, doctors use an aspiration technique to remove the liquid, but it has several risks.

To diagnose hydrocele, doctors will perform an exhaustive physical examination to rule out other possible causes. Among these causes are hernias, testicular torsion, and tumors, among others. To confirm the diagnosis, doctors may ask for imaging tests like an ultrasound to see what is happening and what is inside the scrotum.

Consequently, remember that this tool does not replace an adequate assessment by a medical doctor or all the necessary laboratory and imaging exams for the diagnosis. The tool will only talk about a likelihood because many other diseases could have similar symptoms and risk factors. 

Using the tool is free and would only take a few minutes. Find out if you have risk factors or your symptoms are compatible with Hydrocele.

  • Question of

    Do you have a soft, non-tender fullness in just one side of your scrotum?

    • Yes
    • No
  • Question of

    Does this fullness on just one side of the scrotum cause you pain?

    • Yes
    • No
  • Question of

    Do you feel heaviness in that half portion of the scrotum?

    • Yes
    • No
  • Question of

    Is the swelling worse in the morning than in the evening?

    • Yes
    • No
  • Question of

    Do you have a fever? (preferably use a thermometer which needs to shows more than 101,3 °F or touch your forehead and determine if the temperature is increased)

    • Yes
    • No

Written by Dr. Esteban Kosak

Doctor of Medicine - MD Recently Graduated from Medical School and inspired to aid the global population during this situation. I think that we shall no longer be waiting to see a doctor when we feel sick. Several times we feel disease searches in Google drive us to a rabbit hole and come out thinking that we may die of cancer or something very serious, given that symptoms may seem to fit a wide variety of illnesses. Since I recently graduated from medical school. I have all the medical information fresh in my mind. My thorough experience as an expert researcher allows me to very-well known the different diseases and conditions that affect human bodies. Empowered by the United Nations 17 Sustainable Development Goals (SGDs). I think that we all can provide a grain of sand to help humanity. That's why we created Symptoms.Care a place where you can come and screen your symptoms and find what different illnesses can be related to them. Armed with the right information you can instantly, discretely, secure and from the comfort of your home talk with a Doctor that can Evaluate your Symptoms and help you seek the right treatment.

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