Treatment of Scrotal Hydrocele in New York City
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Scrotal Hydroceles: What are they?
Hydrocele is a collection of fluid in the scrotal sac surrounding the testes. Swollen scrotum is the most commonly caused by hydrocele. Often hydroceles are caused by trauma to the scrotum which leads to fluid accumulation. Hydroceles may also occur as a side effect of scrotal surgery such as varicocele repair. Hydroceles occur in children as well as in adults.
Mostly in children, hydroceles may also be caused by fluid from the abdominal cavity, so-called communicating hydroceles.
What are the symptoms of hydroceles?
Most often hydroceles cause swelling of the scrotum. Most men with small hydroceles do not have any other symptoms. Some men particularly with larger hydroceles develop scrotal ache, discomfort and pain. They may experience scrotal or testicular pain with walking and other activities. Large hydroceles may also interfere with sexual activity.
How is hydrocele diagnosed?
Hydrocele can be diagnosed by a urologist on physical exam of the scrotum and testes. A scrotal ultrasound is usually performed to confirm the presence of hydrocele. Small hydroceles may only be diagnosed on scrotal ultrasound.
What are the treatment options for hydroceles?
In men without symptoms, no treatment is necessary. When hydroceles become large enough to cause discomfort or pain, treatment becomes advisable. In rare circumstances, hydroceles may become infected and may need to be treated urgently.
The 2 Options for Treatment of Scrotal Hydroceles:
1. The most effective treatment option is hydrocelectomy which leads to permanent resolution of hydrocele in greater than 90% of men. Hydrocelectomy as an outpatient same-day procedure that is typically done under anesthesia. Most men are able to return to work within a few days after the procedure.
2. Hydrocele aspiration is an office procedure where a small needle is used to aspirate the fluid from the hydrocele sac. Hydrocele aspiration is an effective temporary procedure that can lead to immediate relief of symptoms but most of the time the fluid re-accumulates within a few weeks.
How large can Hydroceles be?
Hydrocele can be as large as >2 liters of hydrocele fluid (> 1/2 gallon) on each side.
Dr. Alex Shteynshlyuger is an experienced urologist who offers treatment for hydroceles. He has extensive experience with hydrocelectomy in adults of all ages. We offer weekday, weekend and evening office hours.