Diagnosis and treatment of hydrocele at OpenMed Warsaw
A hydrocele is a condition involving the accumulation of fluid in the membranes surrounding the testicle, which leads to scrotal enlargement. It is most often benign in nature, but it always requires assessment by a urologist or paediatric surgeon to rule out other causes of testicular enlargement. If you notice scrotal asymmetry, a feeling of heaviness or any worrying changes within the testicles, we invite you to OpenMed in Warsaw (Wola). We offer diagnostics and treatment of hydrocele with a clear management plan and a full explanation of the results.
A hydrocele forms when there is an imbalance between fluid production and absorption within the membranes around the testicle. It can occur in newborns (the congenital form) and in adult men as an acquired hydrocele. A congenital hydrocele is often related to incomplete closure of the processus vaginalis, while in adults it may appear after trauma, inflammation or surgery, or without any clear cause.
Causes and symptoms of a hydrocele
The symptoms of a hydrocele usually develop gradually. Most often there is enlargement of one side of the scrotum, which is soft, painless, and may change in size during the day. Some patients experience a feeling of heaviness or discomfort, particularly when walking or during physical activity.
The most common causes of a hydrocele include previous trauma, infections of the testicles or epididymis, complications after surgical procedures and disturbances of lymphatic drainage. In every case it is necessary to rule out other conditions, such as an inguinal hernia or neoplastic changes.
Specialists in hydrocele diagnosis and treatment
Book an appointment to assess the hydrocele and establish an individual treatment plan - conservative or surgical.
What does diagnosis of a hydrocele at OpenMed look like?
Diagnosis of a hydrocele begins with a medical consultation and a physical examination. Our specialists assess the size and consistency of the scrotum and palpate the testicles. The key element of the diagnosis is a scrotal ultrasound, which allows us to confirm the presence of fluid and rule out other abnormalities.
The ultrasound examination is painless and non-invasive, and the result is available immediately. Based on this, the doctor determines the next steps and discusses the available treatment methods.
Treatment of a hydrocele
The choice of treatment depends on the size of the hydrocele, the severity of symptoms and the patient's age. In the case of small lesions and the absence of complaints, observation and regular follow-up are possible. If a hydrocele causes discomfort or is enlarging, our doctors may propose surgical treatment.
The most commonly used method is the surgical removal of the hydrocele, which involves draining the fluid and appropriately addressing the membranes around the testicle to prevent recurrence. The procedure is performed under anaesthesia and usually does not require a long hospital stay.
The treatment plan may include:
- observation with follow-up scrotal ultrasound examinations,
- causative treatment in the case of inflammatory conditions,
- surgical procedure in the case of persistent symptoms or a large hydrocele.
Recovery and follow-up
After treatment, the patient remains under medical supervision. We discuss recommendations for recovery, physical activity and any symptoms that may require another consultation. In most cases the prognosis is good, and treatment performed correctly helps to avoid recurrences.
Treatment of a hydrocele at OpenMed Warsaw
If you notice scrotal enlargement or have concerns about testicular health, book a visit at OpenMed Warsaw (Wola). Telephone and online registration available - we will help you choose a convenient appointment and plan the diagnostic process.
FAQ Hydrocele Warsaw
It is most often benign in nature, but it requires diagnostic work-up to rule out other conditions.
In children, a congenital hydrocele may resolve spontaneously. In adults it usually requires observation or treatment.
The procedure consists of removing the accumulated fluid and securing the membranes around the testicle to prevent recurrence.
Yes, scrotal ultrasound is the basic examination that allows the diagnosis to be confirmed and other causes of scrotal enlargement to be ruled out.
The most common symptom is a painless enlargement of one side of the scrotum. It may be accompanied by a feeling of heaviness or discomfort when walking. The swelling may vary in size throughout the day.
Specialist rehabilitation is not usually required. The doctor advises limiting physical activity for several weeks and informs about symptoms that require a follow-up consultation.