Hydrocele testis
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A hydrocele testis is an accumulation of clear fluid in the tunica vaginalis, the most internal of membranes containing a testicle. A primary hydrocele causes a painless enlargement in the scrotum on the affected side and is thought to be due to the defective absorbption of fluid secreted between the two layers of the tunica vaginalis (investing membrane). A secondary hydrocele is secondary to either inflammation or a neoplasm in the testis.
A hydrocele usually occurs on one side. The accumulation can be a marker of physical trauma, infection or tumor, but the cause is generally unknown.
Symptoms
A hydrocele feels like a small fluid filled balloon inside the scrotum. It is smooth, and is mainly in front of one of the testes. Hydroceles vary greatly in size. Hydroceles are normally painless and harmless. Large hydroceles cause discomfort because of their size. As the fluid of a hydrocele is transparent, light shown through a hydrocelic region will be visible from the other side.
Symptoms of a hydrocele can easily be distinguished from testicular cancer, as a hydrocele is soft and fluidy, where a testicular cancer feels hard and rough.
Through diagnostic ultrasound the accumulation of fluids can be diagnosed correctly.
Treatment
The accumulation should generally be removed surgically. If the hydrocele is not surgically removed, the hydrocele continues to grow. The hydrocele can be drained as a temporary solution but it only removes the symptoms, not the hydrocele's growth process in the vaginalis.
Fertility
A hydrocele testis does not affect fertility.