Hydrocele in Children: Causes & Treatment

Hydrocele is a common condition in children. It occurs when fluid collects around the testicle, causing noticeable swelling. This condition is usually seen at birth or shortly after. While it is not typically painful, it may concern parents. Understanding the causes, symptoms, and treatment options helps ensure proper care.

Why Does Hydrocele Occur?

• During fetal development: As the testicles descend from the abdomen into the scrotum, a sac surrounds them. Normally, this sac closes and the fluid is absorbed. If the sac fails to close properly, fluid accumulates and forms a hydrocele.
• Injury: In rare cases, trauma to the scrotum may lead to hydrocele.

Symptoms of Hydrocele

• Swelling in the scrotum, soft to touch
• Usually painless
• Swelling may increase in size over time

Types of Hydrocele

• Communicating Hydrocele: Connected to other parts of the body, allowing fluid movement.
• Non-communicating Hydrocele: Isolated and not connected to other areas.

Treatment Options

• Observation: In many infants, hydrocele disappears on its own as the child grows, especially within the first year. Doctors often recommend waiting before intervening.
• Surgery: If hydrocele persists beyond one year, becomes large, or causes discomfort, surgical correction is required. The procedure removes the sac and prevents fluid accumulation.

Benefits of Surgery

• Permanent removal of swelling
• Normal growth and development of the child
• Reduced risk of complications

Risks of Surgery

As with any procedure, risks may include infection, bleeding, or reaction to anesthesia. These risks are rare under proper medical care.

When to See a Doctor

Consult a pediatric specialist if your child has:

• Persistent or increasing scrotal swelling
• Redness, warmth, or tenderness in the scrotum
• Fever or pain

Conclusion

Hydrocele in children is usually not serious, but timely evaluation is important. If your child shows signs of swelling in the scrotum, consult a pediatric surgeon for the best treatment plan. At Evercare Hospital Chattogram, our expert team provides safe, advanced care to ensure your child’s healthy growth and recovery.