I decided after being diagnosed with a Hydrocele that I should do a quick writeup for lpsg and thunders. What it Is A hydrocele is a buildup of wattery fuid around the testicles. Sometimes it is just one, other times it is both. The buildup is painless and generally is not dangerous. The scrotum and/or groin will slowly swell. There are two types of hydroceles: a Congenital hydrocele develops at birth while a aquired hydrocele develops later in life. Aquired hydroceles are most common in men over 40, it occurs in 1-2% of men. How it Happens When the testicals migrate from the abdominal cavity to the scrotum a small piece of abdominal lining goes with the testicals. Generally this lining wears away and leaves the testicals in the scrotum, this generally closes within the first two years of life. With a hydrocele the closing of this is delayed or does not happen. If this does not close abdominal fluid slowly fills the space and causes the swelling. Aquired Hydroceles sometimes result form an injury to the groin area. Symtoms Some symtoms of a hydrocele are swelling, the swelling: -is painless -may be soft or firm -cannot be reduced by position changes -changes size through course of day, small in morning large at night -translucent, light will shine through it. If painful it is more likely a hernia and you should see a doctor right away. Diagnosis My urologist knew as soon as he saw my swelling that I had a hydrocele. It is generally obvious because of the swelling. Light is used to check for hernias. If light shines through it is a hydrocele, otherwise it is a hernia. I am scheduled for a followup appointment that will include an ultrasound to double check for hernias or other things. Treatment If the hydrocele is an aquired one it is generally taken care of with surgery to avoid the risk of a hernia. For congenital hydroceles if they do not go away within two years surgery is used. Surgery The surgery is a simple outpatient operation. First a genreal anesthesia is given to numb the area. Then a small incision is made in the groin on the side with the hyrdocele. The surgeon will remove the fluid from the sac and removes it. Stitches are used to strengthen the area and to prevent the hydrocele from reforming. Sometimes the other testical will be inspected as well to make sure there is nothing present. After that you are stitched up and free to go home. After the surgery the area must be cleaned daily to avoid risk of infection. You should also watch for any swelling, fever, etc that could indicate a complication. It is also likely that a medication wil be given to help with any post-op pain that you have. My urologist says that it takes about 6 weeks to heal fully and that i should avoid strenuous activity and heavy lifting for that time if possible. Conclusion So thats it. If you see swelling, see the doc. I'm looking forward to having this thing removed so I don't show a bulge in everything I wear. If you have any questions ask here or pm me and I'll get back to you asap.