Congenital hernia/ Hydrocele

​​​​​​​A hydrocele is the building-up of abdominal cavity fluid from the narrow channel, around a boy’s/ baby’s testicles in the scrotum .And hernia is the sliding of a piece of intestine into the channel.
Girls are also mildly susceptible to hernia through such open channel connecting abdomen and genitalia.
This is an emergency not to be ignored.

Types Of Hydrocele :

  • Noncommunicating Hydrocele: Trapped fluid in the space around testicles.
  • Communicating Hydrocele: Fluid alternates between abdomen/ scrotum resulting in hernia and thus swelling.
  • Spermatic Cord Hydrocele: Fluid is in the upper region of scrotum, absorbed into the body.

Causes Of Hydrocele :

  • Premature birth.
  • Testicular Torsion.
  • Appendix testis torsion.
  • Undescended testes.
  • Children with surgical shunt tube between abdomen and the brain.
  • History of varicocele surgery.

Symptoms Of Hydrocele:

  • Groin area bulge.
  • Enlarged scrotum.
  • Bluish scrotum.
  • Retained bulge that appears after child coughs/ cries/ strains.
  • Light fever.
  • Vomiting.
  • Irritation.
  • Fussiness.
  • Groin pain.
  • Mild to acute groin pain.
  • Lower abdominal pain.
  • Weakness.
  • Nausea.
  • Sensation of vomiting.
  • Swelling on the scrotum.
  • Higher appearance of one testicle.
  • Shortened spermatic chord.

Diagnostic Tests For Hydrocele :

  • Blood tests.
  • Urine tests.
  • Physical Examination.
  • Reflexes checkup.
  • Appendix testis torsion test.

Hydrocele Treatment :

  • Self absorption of the excess scrotum fluid.
  • Aspiration.
  • Anti-inflammatory agents .
  • Antibiotic medicines.
  • Surgical correction.

Risks Risk Of Hydrocele :

  • Recurrent bleeding.
  • Testicle injury.
  • Injury to the ducts of the testicles.
  • Infection.
  • Pulled up testicle.
  • Apnea.

Prevention & Precaution is Better than Cure :

  • Regular check-up and tests.
  • Should be monitored by the doctor for apnea.

Alternative Therapies :

  • Psychological counseling.

All above, treatments are finalized taking into consideration the overall health, severity, age and other ailments of the patient.