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Hydroceles and Inguinal Hernia

Hydrocele Image © 2003 Fairman Studios, LLC. Inguinal Hernia Hydroceles occur when fluid fills a sac in the scrotum of the penis (in the "inguinal canal"). About 10 in 100 male infants have a hydrocele at birth. Hydroceles can also develop with swelling or injury of the scrotum. An inguinal hernia occurs if a small part of the intestine drops into the scrotum with the testes. The intesti...

Treatment

Hydroceles call for surgery if they cause symptoms, become large, or show a change in size during the day. If the hydrocele is "non-communicating," meaning that there is no related inguinal hernia, a cut is made in the scrotum. The hydrocele is cut out and tissue is removed. If there is "communication," or a related inguinal hernia, a cut is made in the upper groin area. This allows the hernia to...

Causes

How the testicles descend into the scrotum during pregnancy Image © 2003 Fairman Studios, LLC. Hydroceles The testicles develop near the kidneys in the abdomen. By the end of pregnancy, they move down to their normal position in the scrotum. A muscle lining opens in the scrotum (the inguinal ring) to let the testes drop from the abdomen, forming a sac or canal. If the ring stays open or re...

Diagnosis

Your health care provider will often ask about your health history, conduct a physical exam, and may use imaging tests (like ultrasound) to look closer. He or she may: apply pressure to the abdomen and scrotum to check for tenderness and an inguinal hernia. ask you to cough to see how the bulge changes in your groin or abdomen with pressure shine a light through the scrotum (transillumination) to...

After Treatment

After surgery, there will be pain that will require medication. In most cases, the pain will lessen during the first week so that drugs are no longer needed. Full activity may be restricted for a few weeks, based on your child's age and whether both sides were treated. If your son still plays on straddle toys, such as a rocking horse, he may have to avoid them for a while. The testes and scrotum m...

Symptoms

Hydroceles don't often cause symptoms. Even though the swelling may worry new parents, it does not bother a baby and often goes away in the first year. In older males a hydrocele is most often painless, but may cause some pain due to the increased size of the scrotum. What are the Signs of a Hernia? Only about 25% of hernias cause pain. If the bulge forms where the thigh and groin meet, it can oft...

Symptoms

Signs of a testicular tumor in children are: a painless lump in the testicle (the most common sign) a feeling of weight in the scrotum swelling of the testicle (with or without pain) pain or a dull ache in the testicle, scrotum or groin It is key to see a urologist right away, especially if these signs last for more than 2 weeks. The urologist must rule out other issues such as epididymitis (sw...

Symptoms

Signs of a testicular tumor are: A painless lump in the testicle (the most common sign) Swelling of the testicle (with or without pain) or a feeling of weight in the scrotum Pain or a dull ache in the testicle, scrotum or groin Tenderness or changes in the male breast tissue If you find any lump or firm part of the testicle, you should see a doctor to find out if it is a tumor. Very few men who ...

Scrotum Testicular Ultrasound

Male Reproductive SystemMedical Illustration Copyright © 2015 Nucleus Medical Media, All rights reserved A man's testicles (testes) are in a skin-covered muscular sac called the scrotum. The testicles make sperm cells for reproduction. They also make the male hormone, testosterone. The main reason for scrotal ultrasound is to check swelling or pain. It’s also used to check masses in t...

Symptoms

Acute Epididymitis and Acute Epididymo-orchitis Infections in the scrotum may be caused by an infection somewhere else in the body. The symptoms can be felt in the infected epididymis and/or testis, and in other parts of the groin area. In some cases, the main symptom you'll notice is pain in the scrotum. The pain starts at the back of one testis. But it can soon spread to the whole testis, scrotu...

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