Hydrocele

Painless accumulation of fluid inside the sac around the testis.

Etiology

1. Congenital Hydrocele
   • Due to patent processus vaginalis.
     • Peritoneal fluid flows into the scrotum ( Communicating Hydrocele )
     • Peritoneal cavity may not be in direct communication with the scrotum ( Non – Communicating Hydrocele
2. Acquired Hydrocele
   • Due to Trauma, Tumour, Torsion, infection ( Wuchereria bancrofti )
3. Idiopathic causes

Clinical Features

• Fluctuant painless swelling
• Positive transullimnation

Diagnosis

• Clinical Diagnosis
• Ultrasound – Hypoechoic Fluid

Differential Diagnosis

• Testicular Tumour
• Inguinal Hernia

Treatment

Congenital Hydrocele – Resolves within 6 months

Surgery

1. After six months without resolution
2. Discomfort
3. Infertility

Procedures

• Hydrocelectomy
  • Percutaneous aspiration of the fluid