Hydroceles: What are they?

A hydrocele is a collection of fluid in the scrotal sac surrounding the testes. The swollen scrotum is the most commonly caused by hydrocele.  Often hydroceles are caused by trauma to the scrotum which leads to fluid accumulation.  Hydroceles may also occur as a side effect of scrotal surgery such as varicocele repair.

What are the Symptoms of Hydroceles?

Most often hydroceles cause swelling of the scrotum.  Most men with small hydroceles do not have any other symptoms.  Some men, particularly with larger hydroceles, develop scrotal ache, discomfort, and pain.  They may experience scrotal or testicular pain with walking and other activities. Large hydroceles may also interfere with sexual activity.

How is a Hydrocele Diagnosed?

A hydrocele can be diagnosed by a urologist on physical exam of the scrotum and testes.  A scrotal ultrasound is usually performed to confirm the presence of hydrocele.  Small hydroceles may only be diagnosed on scrotal ultrasound.  We perform scrotal and testicular ultrasound in our office at New York Urology Specialists.