Hydrocele Hernia

What is a hydrocele?

A hydrocele is a collection of fluid in the scrotum. The baby's scrotum will appear swollen or large and may fluctuate in size throughout the day.

There are two types of hydroceles:

  • Communicating hydrocele -- This is a hydrocele that has contact (or communication) with the fluids of the abdominal cavity. A communicating hydrocele is caused by the failure of the processus vaginalis (the thin membrane that extends through the inguinal canal and descends into the scrotum) to close completely during prenatal development. If this membrane remains open, there is a potential for both a hernia and a hydrocele to develop.
  • Non-communicating hydrocele -- This condition might be present at birth or might develop years later for no obvious reason. A non-communicating hydrocele usually remains the same size or has a very slow growth.

How can a hydrocele be repaired?

A hydrocele usually does not need to be surgically repaired, since it usually goes away on its own within six to 12 months. If the hydrocele does not resolve on its own, then it needs to be surgically repaired to prevent further complications. The surgery takes about an hour and is usually an outpatient procedure (which means the patient can go home the same day of the procedure).

Hydrocele Hernia

Before the surgery

Someone will call you the day before surgery to give you preoperative and day-of-surgery instructions.

During the surgery

  • An anesthesiologist (a physician who specializes in pain relief) gives your child general anesthesia, which puts him asleep.
  • A small incision, or cut, (2 cm.) is made in the skin fold of the groin.
  • The hydrocele "sac" containing the fluid is identified.
  • The surgeon empties the fluid from the sac. The sac is removed.
  • The muscle wall is reinforced with stitches to prevent a recurrent hernia or hydrocele.

After the surgery

Usually, your child will feel fine again the evening after surgery or by the next morning. For four weeks after surgery, your child should avoid straddle toys, climbing, bike riding, roughhousing, etc.

Your child will receive a prescription for oral pain medication at the time of discharge. Please have these prescriptions filled, and take them as directed.

Caring for your child after surgery

Usually, your child will feel fine again the evening after surgery or by the next morning. As soon as your child is able, he can resume normal eating habits and activities.

You may give your child a sponge bath the day after surgery. Tub baths are permitted two days after surgery.

The small pieces of tape covering your child's incisions (called steri-strips) will gradually fall off on their own. Do not pull these strips off yourself. If the strips do not fall off on their own, your health care provider will remove them at your child's follow-up appointment.


When to call your child's health care provider

You might notice some minor swelling around the incision. This is normal. However, call your health care provider if your child has:

  • A fever
  • Excessive swelling
  • Redness
  • Bleeding
  • Increasing pain

Follow-up appointment

A follow-up appointment will be scheduled one month after your child's surgery. Your health care provider will assess your child's wound sites and evaluate his recovery.

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This information is provided by the Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition. This document was last reviewed on: 2/4/2014…#4312