Hydrocele treatment without surgery in adults: the 4 treatments (in detail)
In this article we’ll talk about a specific scrotum condition: the hydrocele. In particular, we will dive deep into into the hydrocele treatment without surgery in adults.
We’ll take a look at the two different types of hydrocele, the causes and the treatment.
But first, let’s see what is hydrocele and what are its symptoms.
What is hydrocele
A hydrocele is a condition that occurs when there’s an accumulation of fluids inside the scrotum (the sac that holds the testicles). This accumulation of fluid leads to swelling in the scrotum. Hydrocele is relatively common in newborn but can affect male adults. In the first case, it usually resolve on its own within the first year of life.
Hydroceles are usually painless, but sometimes they can cause discomfort or a sensation of heaviness in the scrotum, especially if they become large. In children, hydroceles appears as a fluid-filled swelling in the scrotum, which may change in size or disappear when the child is lying down. In adults, hydroceles may be more noticeable and may not change in size significantly.
The symptoms of hydrocele
As we said, hydroceles in newborn often resolve on their own, while in older males may require medical intervention. The main symptoms of the hydrocele are discomfort in the scrotum and the scrotum growing larger. Surgery is often used to cure hydrocele, but there are also hydrocele treatments without surgery in adults.
The two types of hydrocele
There are two different types of hydrocele:
- Communicating hydrocele: it occurs when there’s a connection between the abdomen and the scrotum, allowing fluid to accumulate in the scrotum. This connection is usually present during fetal development, but it should close before birth. If this connection remains open, the fluids can flow into the scrotum, leading to a hydrocele.
- Non communicating hydrocele: in this case there’s no connection between the abdomen and the scrotum. Instead, the fluids accumulate within the sac surrounding the testicle. The causes are usually irritation, inflammation, or injury within the scrotum.
What causes hydrocele
Hydrocele can develop for different reasons. For instance, it can be congenital or acquired later in life. Some of the factors that can trigger hydrocele are:
Congenital: In newborns, hydrocele often develop as a result of the failure of the connection between the abdomen and the scrotum to close properly before birth.
Inflammation or infection: these factors, such as apididymitis or orchitis, can lead to the accumulation of fluid, resulting in hydrocele.
Trauma or injury: trauma to the scrotum, like a direct blow or even an injury during surgery, can cause inflammation and fluid buildup, leading to hydrocele.
Blockage of the lymphatic system: the lymphatic system helps drain fluid from the tissues. If there’s a blockage in the lymphatic vessels in the scrotum, fluid may accumulate in it.
Tumors or cancer: it’s a rare occasion, but testicular tumors or cancer can lead to fluid accumulation, leading to hydrocele.
Hernia Repair Surgery: another rare case, hydrocele can develop after hernia repair surgery, especially in cases where the processus vaginalis was not completely closed during the procedure.
Hydrocele treatment without surgery in adults: the different types of treatment
Hydrocele is often cured with surgery, but there are also some non-surgical options. These options are usually chosen when the hydrocele is small and is not causing significant discomfort.
The possible hydrocele treatments without surgery in adults are:
- Monitoring: If the hydrocele is small and is not causing any discomfort or complications, the doctor may recommend an approach based on observation. This involves regular monitoring to ensure that the hydrocele is not growing or causing any complications.
- Medication: there are specific medicines that can be taken to treat hydrocele. They’re non-steroidal anti-inflammatory drugs (NSAIDs): ibuprofen and acetaminophen. These medicines help reduce any pain or discomfort associated with hydrocele.
- Aspiration (drainage or hydrocelectomy): this procedure involves using a needle to drain the fluid from the hydrocele. This can provide temporary relief from swelling and discomfort. Hydrocelectomy can’t be fully considered a permanent solution, as the fluids may reaccumulate over time.
Sclerotherapy: it involves draining the fluid from hydrocele and then injecting a substance called sclerosing agent (which is alcohol or a saline solution) into the sac. Sclerotherapy can be effective for some people, but it carries the risk of complications such as infection or recurrence.
Do you need help? Contact us and speak with a private consultant.
