Have you noticed a thicker testicle in yourself? Then you could be suffering from a hydrocele!

At first you probably didn’t notice anything, but at some point you noticed that at least one side of your scrotum is thicker than the other? But since there is no pain at the beginning, you may not have attached any importance to the condition. You should never do such a thing, because this could be the start of a hydrocele.

The illness Hydrozele is a water inlay in the scrotum – either one sided or both sided. This disease is not life-threatening and whether treatment without surgery can be performed is decided by the specialist.

First you will notice that the scrotum swells and dramatic images will appear in your head. If you touch it with your fingers, you will notice that a liquid collection has taken place in a bubble. You can tell that by the fact that the thickening can be pressed in a little and is generally mobile. The testicle is not painful.

However, if you leave the symptoms unnoticed for a long time, then the testicle swells very strongly and can even attack both sides. Most of the time there is still no pain, but you will have some complaints when walking or cycling. In other words: with all movement your testicles will hurt and limit your life.

Testis congenital hydrocele mainly affects infants and young children

If you notice on your son or another baby or infant a testicular swelling, it is to be assumed that this illness is congenital. A very conspicuous feature is that the swelling occurs while the child is standing and disappears again when lying down. Especially babies born too early suffer from the disease. It is highly unlikely that a congenital hydrocele will be discovered until later in life.

The water inlay at later age is usually a consequence of another disease

If you notice a testicle enlargement in yourself, it is definitely a consequential disease you are suffering from:

  • If you already have testicular inflammation, the consequence can also be an accumulation of water in the testicles
  • If someone has violently kicked you in your genitals or if you have slipped unhappily while doing gymnastics, a hydrocele can also be used.
  • In the case of a hernia it is possible that the abdominal wall cannot hold back fluids and that these can be transferred to the testicles
  • Another possibility is a tumor disease (especially in the genital organs) that can be responsible for a hydrocele.
  • For all pre-existing conditions you should inform your doctor about the change in testicle size if he does not do it himself.

If you have noticed the typical symptoms of a hydrocele on you or your baby, you should not hesitate to quickly consult a doctor. As a specialist either a urologist or a paediatrician can be considered. The examination itself is harmless and you don’t need to be afraid of it. The physician will first scan the scrotum to see if the swelling consists only of water.

To be absolutely sure, he will use Ultrasonic device to confirm his suspicion and also use a flashlight for fluoroscopy. Only if he is uncertain about the diagnosis, he will prescribe a magnetic resonance tomography (MRT). Thus similar diseases can be excluded. A testicular varicose vein or a normal tissue change can e.g. cause the same symptoms as a hydrocele.

Maybe the Urologist will also use an additional Urinteststeifen to see if you have Inflammation on the bladder.

Meist ist eine Operation bei der Anschwellung eines Hoden nötig

At Baby almost always the the 2nd year of life is waited for. Usually the swelling disappears by itself again, because the child is growing and the organs are still changing.

The situation is different with hydrocele, which occurs at adult age and is the result of violence or primary disease. Here the urologist will often suggest immediate surgery as therapy, because only in this way a quick healing is possible. If you wait too long with the decision, further complications can occur: Too much pressure in the scrotum can reduce your vital ability . If you want to have children, you should have the hydrocele operated quickly. Furthermore, the bulging testicle can also cut itself off, as it could rotate around itself. This makes blood circulation almost impossible.

Can the operation take place on an outpatient basis?

Everyone has a natural fear of a major operation. But the removal of the accumulated water from the testicle is none very great thing.

The surgeon will make a small incision through the skin layers on one side of the scrotum until he comes into contact with the water. With the help of a small tube the water is pressed out and the wound is then sutured with a pair of stitches.

If you are otherwise healthy and not a risk patient, there is little to be said against outpatient surgery. However, if you are a hemophiliac or allergic to some medical substances, the risk of outpatient surgery would be too high. Therefore, it is important that you answer all questions about pre-existing conditions truthfully answered to the physician in advance.

As with all outpatient surgery you should be aware that general anesthesia is performed and that you cannot drive home alone on the same day by car. The best thing is if you have someone at your side for up to 2 days to help you and take care of you.

In the past, testicles were also treated simply by puncturing to drain the water. However, since this procedure always caused a lot of inflammation, this method is no longer used by doctors today.

No matter if the OP is outpatient or inpatient – a immediate healing is of course not given. The surgical site has been sutured and a natural swelling will develop . For the pain you will of course get medication. For the first days it is recommended to place a sitting or lying a small pillow under the operated testicles when sitting> or lying>. For walking you should get a Suspensorium. These things make your life a bit easier and the swelling will quickly decrease. avoid in any case after the operation sport or sex. You will have to live a week or two with some restrictions, but you will not feel really ill.

However, if you notice something unusual such as unbearable pain, blue coloration of the testicles, fever or even bleeding, you should contact your doctor immediately to have him look at it again. Normally you will get better after a procedure and complications are not to be expected.

Ein dicker Hoden kann durch ein Wasserbad mit Salz eventuell behandelt werden

According to orthodox medicine, only surgery can help with water accumulation in the testicles and there is no alternative treatment . Nevertheless, some people shy away from an operation with general anaesthesia and hope that there is a house remedy from grandmother’s times which helps just as well. But this will only be hard to find.

You can try it in the beginning with Bittersalz in a warm sitting bath. Epsom salt extracts water from the body. Sometimes the skin or muscle area relaxes with warmth, so that the accumulated water distributes itself again in the body. However, if you do Symptoms Aggravate, you should immediately consult a doctor, because then inflammation could have occurred.

This post is also available in: German

William C. Hilberg
As an author, Mr. Hilberg has published several papers on health issues that have gained international recognition. He is close to nature and loves the seclusion and activity as a freelance journalist. In his function as editor William C. Hilberg manages the entire content of PENP. Our team greatly appreciates his expertise and is proud to have him on board.