A hydrocele is a fluid-filled sac around a boy’s testicle, often seen in infants and young children. While usually painless, it may cause concern due to swelling in the scrotum. In most cases, hydroceles are harmless and resolve on their own—but in some, surgical correction by a pediatric urologist is necessary.
Understanding hydrocele early helps parents ensure timely care and avoid unnecessary complications. In Nagpur, Dr. Sadashiv Bhole offers precise diagnosis and safe treatment for pediatric hydroceles with minimal discomfort and quick recovery.
What Is a Hydrocele?
- A hydrocele is a collection of fluid within the scrotum, surrounding the testicle.
- It may appear at birth (congenital) or develop later.
- Occurs due to a patent processus vaginalis—an opening between the abdomen and scrotum that doesn’t close as it should.
Hydrocele may be mistaken for inguinal hernia, but a proper examination and ultrasound help differentiate them.
Types of Pediatric Hydroceles
- Communicating Hydrocele
- Opening between the abdomen and scrotum remains open.
- Fluid may increase during the day or with crying.
- Often associated with inguinal hernia.
- Surgery is typically needed.
- Non-Communicating Hydrocele
- No connection with abdominal cavity.
- Fluid is trapped and usually reabsorbs by 1–2 years of age.
- Often resolves on its own.
Symptoms of Hydrocele in Children
- Swelling in one or both sides of the scrotum
- Swelling may be soft, non-tender, and fluctuant
- Size may vary during the day (in communicating hydrocele)
- Rarely causes pain
- No redness or fever unless infected
If pain, redness, or fever appears, other conditions like testicular torsion or infection must be ruled out.
Diagnosis of Hydrocele
Diagnosis is primarily clinical, but confirmation may involve:
- Physical examination – shows soft scrotal swelling that transilluminates (light passes through)
- Scrotal ultrasound – confirms the presence of fluid and rules out hernia or testicular torsion
- Examination for inguinal hernia if the swelling is dynamic or extends upward
When Does a Hydrocele Need Surgery?
Surgery is recommended when:
- The hydrocele persists beyond 12–18 months of age
- Size increases over time
- There’s an associated inguinal hernia
- It’s a communicating hydrocele
- There are recurrent symptoms or parental concern
Hydrocele Surgery: What to Expect
The procedure is known as hydrocelectomy or hernia repair (if associated).
- Daycare surgery – most children go home the same day
- Performed under general anesthesia
- Small incision in the groin
- The sac is removed or closed off to prevent fluid reaccumulation
- Minimal blood loss and quick healing
- Recovery within 7–10 days
Postoperative Care and Recovery
- Mild discomfort, swelling, or bruising for a few days
- Avoid rough play for 2–3 weeks
- Follow-up visit to check healing
- Excellent long-term outcome with very low recurrence
Hydroceles in children are common and often harmless. However, persistent or enlarging swellings need expert evaluation. With timely diagnosis and expert surgical care, hydroceles can be resolved quickly and safely—restoring comfort, appearance, and peace of mind.
If your child has swelling in the scrotum, consult Dr. Sadashiv Bhole, Nagpur’s trusted pediatric urologist, for the best diagnosis, guidance, and treatment plan.
