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Topic Summary: Swelling of the scrotum as a result of increased accumulation of fluid in the membranes around the testicles hydrocele Or, as it is popularly known, it is defined as a water hernia. This may occur around one or both testicles.

Water hernia, which is usually seen in young children and newborn babies, is a common health problem. hydrocele symptoms It usually manifests itself with more than normal swelling in one or both testicles. The disease, which is common in newborn babies and children, is also seen in adults in some cases. 

What is Hydrocele?

Hydrocele occurs as a result of swelling of the testicles due to increased fluid in the bag. The disease, also known as swelling and blistering of the bags, is frequently encountered in newborn babies. In the treatment of the disease seen in childhood, it is usually added until the age of 2. If spontaneous recovery does not occur, surgical treatment is applied with the approval of the physician. In some cases, it is possible to encounter swollen bags in adults. Water hernia seen in adults treatment Surgical methods should be used.

hydrocele

Urology Specialist Op. Dr. Serhat Dönmezer Explained His Hydrocele Disease

In men, the scrotum, where sperm are located, is covered with a protective sheath with a double layer and membrane structure. They contain a certain liquid so that sperm can move easily and protect themselves against external influences. While this fluid is secreted by one of the layers, it is absorbed by the other. If this balance is disrupted, the bag will swell and fill as the liquid increases. The swelling of the bag is called hydrocele in medical terms.  

Water hernia disease may occur due to various factors. This condition can be seen in newborn babies and children, as well as in adult men. The causes of the disease are divided into two groups: congenital water hernia and adult water hernia. Op., who has deep-rooted experience in the field of urology and has performed many successful operations. Dr. From Serhat Dönmezer hydrocele treatment You can get detailed information about.

Hydrocele Symptoms

What is Congenital Hydrocele?

The type of water hernia seen in babies and the type seen in adults occur for different reasons. Although swelling in the testicle area of newborn babies may worry parents at first, it is not among the conditions that require immediate treatment. For the treatment of water hernia in babies, the disease is primarily monitored by the physician. Hydroceles usually return to normal by the time the child reaches the age of 1.

Congenital hernia occurs in approximately 6 percent of newborn males. Most neonatal water hernias occur during birth. In the period following birth, the abdominal membrane vesicle form closes. If the sac does not close, intra-abdominal fluid passes through the opening and accumulates around the testicle, causing swelling. In this case, a water hernia occurs. The disease may occur during birth or may occur due to circulatory disorders, infections and tumors.

What is Adult Hydrocele?

Mostly men aged 40 and over have adult %1. hydrocele It is seen. Water hernia disease, which is seen in advanced age, usually occurs due to various infections. Water hernia can also occur after varicocele surgery applied to men. In addition, the disease can occur due to radiotherapy, testicular tumors, inflammatory diseases in the testicle and traumas of the scrotum. Unilateral water hernia formation is seen in of patients with kidney transplantation.

Hydrocele Symptoms

What are the Symptoms of Hydrocele?

Water hernia that usually does not cause any complaints symptoms In cases where the size increases, it may disrupt the blood flow of the testicle or it may grow to a large extent and cause a bad cosmetic appearance. hydrocele symptoms These include tension and pain. In some cases, it may also cause difficulty during sexual intercourse. The most important symptom of the disease is considered to be swelling in the scrotum. Additionally, when the testicle is touched, a feeling of a water-filled balloon occurs.

How to Diagnose Water Hernia?

The diagnosis of hydrocele, which is seen in both newborn babies and adults, is easily made with the patient's history and physical examination. During the testicular examination performed by the physician on the patient, the hernia is observed to be located in the upper front part of the testicle. Water hernia is detected by manual examination of the swollen and enlarged testicle. The physician cannot feel the testicles during manual examination due to the fluid accumulated in the testicles. In addition, the physician can look for the presence of a mass that has formed for different reasons by shining a light behind the testicles. In some cases, the presence of infection can be investigated by taking blood and urine samples from the patient. Ultrasound is also used to confirm the diagnosis of water hernia.

Hydrocele Treatment

When Should Hydrocele Be Treated?

If swelling is noticed in newborn babies, a physician should be consulted without delay. There may be other underlying reasons for this swelling, and it is very important to detect this situation. It is expected that water hernia formation in babies will disappear spontaneously within 1 year. However, if the hydrocele does not disappear and grows, surgical intervention is performed.

If the disease occurs in adult men, it is expected to disappear spontaneously within 6 months. However, if it causes discomfort to the patient or if an infection occurs, hydrocele seen in adults should be treated without delay.

How is Hydrocele Surgery Performed?

In order for water hernia disease not to go away on its own and not to cause more serious disorders, surgical intervention must be performed on hydrocele structures. In order to remove the hydrocele structure from the body, water hernia surgery is performed on the patient by a specialist urologist. The operation, performed under anesthesia, is performed in a short time depending on the experience of the physician.

It is performed by making a 2-3 cm incision on the groin. hydrocele treatment It is performed using microsurgical techniques.  As with every surgical operation, hydrocele surgery also involves various complications. These complications include blood clot formation, infection, and anesthesia complications. In water hernia surgery, which has a high success rate, the experience of the physician is among the factors affecting the success of the surgery.

Hydrocele Treatment

Frequently Asked Questions About Hydrocele

Questions frequently asked by patients and their relatives regarding water hernia:

Recovery Process After Hydrocele Surgery

Performing the surgery through a small incision positively affects the patient's recovery process. After hydrocele surgery is performed in a short time, the patient is usually discharged in a short time. The patient, who returns to daily life in a short time, needs to clean and dress the area regularly. The patient's regular use of medications and necessary check-ups accelerates the recovery process.

What Happens If Hydrocele Is Untreated?

Water hernia, which is an extremely important disease, should not be neglected. A doctor should definitely be consulted for water hernia disease that does not go away on its own. If the disease is left untreated and progresses, it may cause pain, increase testicular temperature, and infertility, as well as aesthetic impairment.  

Does water hernia disease go away on its own?

It is known as the accumulation of water around the testicles. hydroceleIt is harmless in male babies up to 1 year of age. The disease resolves spontaneously in a high rate in newborn babies. Water hernia, which is seen in adult patients, may take up to 6 months to resolve spontaneously. If the disease, which occurs in both newborn babies and adult patients, does not go away on its own, a physician should be consulted without delay and the necessary treatments should be applied.

What Causes Blistering in the Testicles?

The sperm in the scrotum must contain a certain amount of fluid in order to move more easily and protect themselves against external influences. This fluid is secreted by one of the layers and absorbed by the others. Under normal conditions, this process is in balance. If the balance is disrupted, the amount of fluid between the layers increases and the bag swells and becomes a filled sac. For this reason, the testicles begin to collect water.

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How to Identify Water Hernia?

The most important symptom of hydrocele is swelling. This swelling in the scrotum grows slowly. The disease does not go away on its own and needs to be treated as it gradually grows. In some cases, the enlargement of the water hernia can be noticed when touched and may cause pain.

Does Water Hernia Progress?

Water hernia disease may grow larger if left untreated. The intestines may also be involved and turn into a hernia.

When is Hydrocele Surgery Performed?

When the water hernia disease in newborn babies and children should be treated is among the issues that parents are especially curious about. Generally, water hernia heals spontaneously 1 to 1.5 years after birth. In this way, no surgical intervention is performed. If no improvement is seen within the specified period, surgical intervention may be required.

How Long Does It Take to Heal After Hydrocele Surgery?

Generally, the patient is discharged shortly after the operation. The patient is given various preventive antibiotics and painkillers. After the surgery, the patient is called for a check-up 7 to 10 days later for wound healing and infection. It is very important for the patient not to neglect his check-ups in order to recover faster.

Does Water Hernia Cause Testis Pain?

Physicians are often asked whether a water hernia causes pain in the testicle. Patients usually consult physicians for painless swelling in the scrotum. The patient may feel heaviness and fullness in the scrotum. As a result of the patient's complaints, the necessary examinations are performed on the forehead by the specialist physician and the treatment process is started.

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