{"id":2533,"date":"2021-03-12T08:01:54","date_gmt":"2021-03-12T01:01:54","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=2533"},"modified":"2026-08-28T02:28:25","modified_gmt":"2026-08-27T19:28:25","slug":"hydrocele-%e1%9e%80%e1%9f%92%e1%9e%93%e1%9e%bb%e1%9e%84-%e1%9e%94%e1%9e%bb%e1%9e%9a%e1%9e%9f%e1%9e%96%e1%9f%81%e1%9e%89%e1%9e%9c%e1%9f%90%e1%9e%99","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/km\/2021\/03\/12\/hydrocele-in-adult-men\/","title":{"rendered":"\u1787\u17c6\u1784\u17ba\u1791\u17b9\u1780\u1780\u17d2\u1793\u17bb\u1784\u1797\u17d2\u1793\u17c2\u1780\u1785\u17c6\u1796\u17c4\u17c7\u1794\u17bb\u179a\u179f\u1796\u17c1\u1789\u179c\u17d0\u1799\u17d6 \u17a0\u17c1\u178f\u17bb\u17a2\u17d2\u179c\u17b8\u1794\u17b6\u1793\u1787\u17b6\u179c\u17b6\u1780\u17be\u178f\u17a1\u17be\u1784 \u1793\u17b7\u1784\u1796\u17c1\u179b\u178e\u17b6\u178a\u17c2\u179b\u179c\u17b6\u178f\u17d2\u179a\u17bc\u179c\u1780\u17b6\u179a\u1796\u17d2\u1799\u17b6\u1794\u17b6\u179b"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, 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href=\"https:\/\/drsoaraweeurology.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Soarawee Weerasopone, Urologist<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok hospital Headquarter, Bangkok<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\" target=\"_blank\" rel=\"noreferrer noopener\">Samitivej Sriracha Hospital \u2014 Urology department: <strong>088-022-1445<\/strong><\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-small-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" 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1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 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0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">A painless scrotal swelling is one of the commonest reasons men come to an andrology clinic. Most turn out to be a hydrocele \u2014 fluid collecting in the space around the testicle. The word <em>most<\/em> is doing important work in that sentence, which is where this page starts.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand\u00a0<a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a>\u00a0<a href=\"tel:02-310-3009\">02-310-3009<\/a>\u00a0<a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi&nbsp;<a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">First: a new swelling is scanned before it is called a hydrocele<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The earlier version of this article described hydrocele as benign and never life-threatening, twice. That is true <strong>of a hydrocele<\/strong> \u2014 and it is the wrong thing to lead with, because the reason every new scrotal swelling gets an ultrasound is that <strong>a testicular tumour can present as one.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A tumour can produce a surrounding collection of fluid that hides it completely on examination, and testicular cancer occurs mainly in young men, in whom a painless swelling is easily dismissed. <strong>So the sequence is: scan first, reassure second.<\/strong> Once the scan shows fluid and a normal testicle, the reassurance is complete and genuine.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The practical version: <strong>a new or enlarging scrotal swelling should be examined and scanned, not watched.<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2543\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/2021\/03\/12\/hydrocele-in-adult-men\/young-blonde-doctor-working-on-ultrasound-machine-in-new-clinic-helthcare-concept\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Scrotal-ultrasound.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;caption&quot;:&quot;Young blonde doctor working on ultrasound machine in new clinic. Helthcare concept.&quot;,&quot;copyright&quot;:&quot;LENA MAY&quot;,&quot;title&quot;:&quot;Young blonde doctor working on ultrasound machine in new clinic. Helthcare concept&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Scrotal ultrasonography is frequently used imaging modality in scrotal hydrocele.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Scrotal ultrasonography is frequently used imaging modality in scrotal hydrocele.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Scrotal-ultrasound.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Scrotal-ultrasound.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Scrotal ultrasound confirming a hydrocele and excluding an underlying testicular tumour\" class=\"wp-image-2543\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Scrotal-ultrasound.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Scrotal-ultrasound.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Scrotal-ultrasound.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Scrotal-ultrasound.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Scrotal-ultrasound.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">The scan is what separates a hydrocele from the things that look like one.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">What a hydrocele is<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Between the testicle and the scrotal wall lies a thin membrane, the tunica vaginalis, containing a small amount of fluid that lets the testicle move freely. Fluid is continuously produced and continuously reabsorbed. When that balance tips \u2014 too much produced, or too little absorbed \u2014 fluid accumulates.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A classic hydrocele is soft, painless, and <strong>transilluminates<\/strong>: shine a torch against it in a dark room and the whole swelling glows, because light passes through clear fluid. A solid lump does not. It is a crude test and a useful one, and a swelling that does <em>not<\/em> transilluminate needs explaining.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You can also usually feel above a hydrocele, whereas a hernia extends up towards the groin and you cannot \u2014 one of the ways the two are separated at the bedside.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why it happens in adults<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>No identifiable cause<\/strong> \u2014 the commonest situation by some distance, usually developing gradually in a middle-aged or older man through reduced reabsorption.<\/li>\n\n\n\n<li><strong>Inflammation<\/strong> \u2014 <a href=\"https:\/\/drsoaraweeurology.com\/2020\/09\/25\/testicular-infection\/\">infection of the testicle or epididymis<\/a>, which often leaves a reactive hydrocele behind after it settles.<\/li>\n\n\n\n<li><strong>Injury<\/strong>, and <strong>after surgery<\/strong> \u2014 particularly after hernia repair or <a href=\"https:\/\/drsoaraweeurology.com\/2021\/03\/05\/varicocele-varicose-vein-testicle\/\">varicocele repair<\/a>, where it is a recognised complication.<\/li>\n\n\n\n<li><strong>Tumour<\/strong> \u2014 uncommon as a cause, and the reason for the scan.<\/li>\n\n\n\n<li><strong>Filariasis<\/strong>, which remains a cause in parts of Asia and Africa and produces a characteristically thick-walled hydrocele. Worth mentioning to your doctor if you have lived in an endemic area.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"541\" data-attachment-id=\"2540\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/2021\/03\/12\/hydrocele-in-adult-men\/hot-air-balloons-over-cappadocia\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Balloon-like-appearance.jpg?fit=1200%2C812&amp;ssl=1\" data-orig-size=\"1200,812\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;6.3&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark II&quot;,&quot;caption&quot;:&quot;Hot air balloons flying over spectacular Cappadocia&quot;,&quot;created_timestamp&quot;:&quot;1434437367&quot;,&quot;focal_length&quot;:&quot;17&quot;,&quot;iso&quot;:&quot;200&quot;,&quot;shutter_speed&quot;:&quot;0.005&quot;,&quot;title&quot;:&quot;Hot air balloons over Cappadocia&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Scrotal hydrocele &amp;#8211; A Balloon-like appearance inside the scrotal sac.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Scrotal hydrocele &amp;#8211; A Balloon-like appearance inside the scrotal sac.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Balloon-like-appearance.jpg?fit=800%2C541&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Balloon-like-appearance.jpg?resize=800%2C541&#038;ssl=1\" alt=\"Hydrocele producing a soft balloon-like scrotal swelling around the testicle\" class=\"wp-image-2540\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Balloon-like-appearance.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Balloon-like-appearance.jpg?resize=300%2C203&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Balloon-like-appearance.jpg?resize=1024%2C693&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Balloon-like-appearance.jpg?resize=768%2C520&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Balloon-like-appearance.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Soft, painless and fluid-filled \u2014 and it transilluminates, which a solid lump does not.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Most hydroceles need no treatment<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This was absent from the earlier version, which moved from diagnosis straight to surgery \u2014 and it is the correct management for a large proportion of men.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A hydrocele that is small, comfortable and not bothering you can simply be left alone.<\/strong> It does not damage the testicle, it does not turn into anything, and it does not have to be removed because it exists. Where one follows an infection, it often resolves by itself over months as the inflammation settles.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Treatment is for size, discomfort, heaviness, interference with sitting, walking or sex, or appearance that genuinely troubles you. Those are legitimate reasons \u2014 and so is deciding you would rather not.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If treatment is wanted<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Surgery (hydrocelectomy)<\/strong> \u2014 the sac is opened and either removed or turned inside out so fluid can no longer collect. Done under anaesthesia as a day case, and it is the definitive treatment with much the lowest recurrence.<\/li>\n\n\n\n<li><strong>Needle drainage<\/strong> \u2014 quick and done in the clinic. The earlier version described it as carrying a <em>higher<\/em> recurrence rate, which understates it: <strong>drainage alone nearly always refills<\/strong>, often within weeks to a few months, because nothing has been done about the sac that produces the fluid. Injecting a sclerosant afterwards improves durability considerably and is what makes the approach worth considering at all \u2014 usually for a man who is unfit for or unwilling to have an operation.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">One firm rule: <strong>a hydrocele is not drained until a tumour has been excluded on ultrasound.<\/strong> Putting a needle into an undiagnosed scrotal mass is exactly what should not happen.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What the operation can cost you<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Also absent from the earlier version, and it belongs on a page a man reads before consenting to a procedure he does not medically need.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Bleeding into the scrotum<\/strong> \u2014 the commonest problem, and the reason for a compression dressing and support afterwards.<\/li>\n\n\n\n<li><strong>Infection<\/strong>, and <strong>swelling that takes weeks to settle<\/strong> \u2014 the scrotum looks worse before it looks better, which surprises men who were expecting an immediate result.<\/li>\n\n\n\n<li><strong>Persistent scrotal ache<\/strong> in a minority.<\/li>\n\n\n\n<li><strong>Recurrence<\/strong>, which is uncommon after surgery but not impossible.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2542\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/2021\/03\/12\/hydrocele-in-adult-men\/team-of-surgeons-performing-operation-in-operation-theater-at-hospital\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Operation-for-Hydrocele.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;3.2&quot;,&quot;credit&quot;:&quot;Wavebreak Media LTD&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;Team of surgeons performing operation in operation theater at hospital&quot;,&quot;created_timestamp&quot;:&quot;1468022400&quot;,&quot;focal_length&quot;:&quot;35&quot;,&quot;iso&quot;:&quot;400&quot;,&quot;shutter_speed&quot;:&quot;0.005&quot;,&quot;title&quot;:&quot;Team of surgeons performing operation in operation theater at hospital&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Surgical intervention will be considered when scrotal hydrocele becomes complicated.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Surgical intervention will be considered when scrotal hydrocele becomes complicated.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Operation-for-Hydrocele.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Operation-for-Hydrocele.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Hydrocelectomy, the definitive surgical treatment for a symptomatic hydrocele\" class=\"wp-image-2542\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Operation-for-Hydrocele.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Operation-for-Hydrocele.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Operation-for-Hydrocele.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Operation-for-Hydrocele.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Operation-for-Hydrocele.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Surgery is definitive \u2014 and it is an operation for comfort, so its trade-offs are worth knowing.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms that need attention rather than an appointment<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sudden severe testicular pain<\/strong> \u2014 that is not a hydrocele and is treated as <a href=\"https:\/\/drsoaraweeurology.com\/2021\/02\/19\/testicular-torsion-urologic-emer\/\">torsion<\/a> until proved otherwise, with what can be saved decided in hours.<\/li>\n\n\n\n<li><strong>A firm lump within the testicle itself<\/strong>, or a swelling that does not transilluminate \u2014 needs assessing promptly rather than assuming it is fluid.<\/li>\n\n\n\n<li><strong>Rapid enlargement<\/strong>, or swelling accompanied by weight loss, breast tenderness or a lump in the abdomen.<\/li>\n\n\n\n<li><strong>Fever with a red, hot, painful scrotum.<\/strong><\/li>\n\n\n\n<li><strong>A swelling you cannot get above, that changes size with standing or straining<\/strong> \u2014 more suggestive of a hernia, which has its own risks.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About Hydrocele<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Is a hydrocele dangerous?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A confirmed hydrocele is benign \u2014 it does not damage the testicle and does not become cancerous. The important qualification is <em>confirmed<\/em>: a testicular tumour can present as a scrotal swelling with surrounding fluid, so a new swelling is scanned before it is called a hydrocele. After a normal scan the reassurance is complete.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Does it have to be treated?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">No. A hydrocele that is small and comfortable can be left alone indefinitely, and one following an infection often resolves by itself over months. Treatment is for size, discomfort, heaviness, interference with daily life or appearance \u2014 not because it exists.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Can it just be drained with a needle?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It can, and drainage alone nearly always refills within weeks to months because the sac producing the fluid is untouched. Adding a sclerosant improves durability and makes it a reasonable option for someone unfit for or unwilling to have surgery. Nothing is drained until a tumour has been excluded on ultrasound.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How do I tell a hydrocele from something serious at home?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">You cannot, reliably, and should not try to. A hydrocele is typically soft, painless and transilluminates when a torch is held against it in a dark room, and you can usually feel above it. A firm lump, a swelling that does not transilluminate, sudden pain or rapid enlargement all need examining.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Will surgery affect fertility or testosterone?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Hydrocelectomy does not remove the testicle and is not expected to affect hormone production. The recognised problems are bleeding into the scrotum, infection, prolonged swelling and persistent ache in a minority, with recurrence uncommon.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Arranging a consultation<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Soarawee Weerasopone sees patients at <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Bangkok Hospital Headquarters<\/a> and at Samitivej Sriracha Hospital in Chonburi on <a href=\"tel:0880221445\">088-022-1445<\/a>. Bring any previous scrotal ultrasound, and note roughly when the swelling appeared and whether it has been changing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. Samitivej Sriracha is in-person only. Enquiries about cost are answered by the hospital, not by this website. <strong>A scrotal swelling needs examining in person; it cannot be assessed remotely.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters, and is intended for education only. It is not medical advice, diagnosis or a prescription for any individual, and no advice, diagnosis or prescription is given through personal messaging channels or social media. Dr. Soarawee operates no public social media account; any account offering private consultation in his name is fraudulent. In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/03\/12\/hydrocele-in-adult-men\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2021\/03\/12\/hydrocele-in-adult-men\/\",\n      \"name\": \"Hydrocele in Adult Men: Why It Happens, and When It Needs Treating\",\n      \"description\": \"Hydrocele is benign once confirmed, but a new scrotal swelling is scanned first because a testicular tumour may present the same way. Most require no treatment, and needle drainage alone almost always recurs.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2021-03-12\",\n      \"dateModified\": \"2026-08-28\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/03\/12\/hydrocele-in-adult-men\/#hydrocele\" },\n      \"audience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"disambiguatingDescription\": \"The earlier version led with the statement that hydrocele is benign and never life-threatening. That is true of a confirmed hydrocele but is the wrong emphasis, since a testicular tumour may present as a scrotal swelling with surrounding fluid that conceals it on examination; the article now establishes that a new swelling is scanned before it is called a hydrocele. Conservative management was absent although observation is correct for a large proportion of men, and the article moved from diagnosis directly to surgery. Needle drainage was described as carrying a higher recurrence rate; aspiration alone nearly always refills within weeks to months, and sclerosant instillation is what makes the approach viable. 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Secondary causes include epididymo-orchitis, scrotal trauma, complications of inguinal hernia or varicocele repair, filariasis in endemic regions, and underlying testicular tumour.\",\n      \"typicalTest\": {\n        \"@type\": \"MedicalTest\",\n        \"name\": \"Scrotal ultrasound\",\n        \"description\": \"Confirms fluid collection and, critically, excludes an underlying testicular tumour, which may be concealed by surrounding fluid on clinical examination. Required before any aspiration.\"\n      },\n      \"possibleTreatment\": {\n        \"@type\": \"MedicalProcedure\",\n        \"name\": \"Observation, hydrocelectomy, or aspiration with sclerotherapy\",\n        \"howPerformed\": \"Small, comfortable hydroceles require no treatment, and reactive hydroceles following infection often resolve spontaneously. Hydrocelectomy by excision or eversion of the sac is definitive with the lowest recurrence. Aspiration alone almost invariably recurs; sclerosant instillation improves durability and is reserved for patients unfit for or declining surgery.\"\n      },\n      \"possibleComplication\": \"Surgical complications include scrotal haematoma, infection, prolonged oedema, persistent scrotal pain in a minority, and uncommon recurrence. Aspiration of an undiagnosed scrotal mass must be avoided.\"\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/03\/12\/hydrocele-in-adult-men\/#faq\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/03\/12\/hydrocele-in-adult-men\/#webpage\" },\n      \"mainEntity\": [\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Is a hydrocele dangerous?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"A confirmed hydrocele is benign and does not become cancerous. The qualification matters: a testicular tumour can present as a scrotal swelling with surrounding fluid, so a new swelling is scanned before it is called a hydrocele.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Does a hydrocele have to be treated?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"No. A small, comfortable hydrocele can be left alone indefinitely, and one following infection often resolves over months. Treatment is for size, discomfort or interference with daily life, not because it exists.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Can a hydrocele be drained with a needle instead of surgery?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Drainage alone nearly always refills within weeks to months, since the sac producing the fluid is untouched. Adding a sclerosant improves durability, making it reasonable for someone unfit for or declining surgery. Nothing is drained until ultrasound has excluded a tumour.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Will hydrocele surgery affect fertility or testosterone?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Hydrocelectomy does not remove the testis and is not expected to affect hormone production. Recognised problems are scrotal haematoma, infection, prolonged swelling and persistent ache in a minority, with uncommon recurrence.\" }\n        }\n      ]\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>\u1791\u17b9\u1780\u1780\u1780\u1793\u17c5\u1787\u17bb\u17c6\u179c\u17b7\u1789\u179f\u179a\u17b8\u179a\u17b6\u1784\u17d2\u1782\u1794\u1789\u17d2\u1785\u17c1\u1789\u1791\u17b9\u1780\u1780\u17b6\u1798 \u1787\u17b6\u1792\u1798\u17d2\u1798\u178f\u17b6\u1782\u17d2\u1798\u17b6\u1793\u179a\u17c4\u1782\u179f\u1789\u17d2\u1789\u17b6 \u1793\u17b7\u1784\u1798\u17b7\u1793\u1794\u1784\u17d2\u1780\u1782\u17d2\u179a\u17c4\u17c7\u1790\u17d2\u1793\u17b6\u1780\u17cb\u17a2\u17d2\u179c\u17b8\u17a1\u17be\u1799\u17d4 \u1794\u17c9\u17bb\u1793\u17d2\u178f\u17c2\u1780\u17b6\u179a\u1780\u17be\u1793\u17a1\u17be\u1784\u1793\u17c3\u179f\u1789\u17d2\u1789\u17b6\u1790\u17d2\u1798\u17b8\u1798\u17bd\u1799\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799\u178a\u17c4\u1799\u17a2\u17c1\u1780\u17bc \u1798\u17bb\u1793\u1796\u17c1\u179b\u179c\u17b6\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u17a0\u17c5\u1790\u17b6 Hydrocele\u17d4 \u1787\u17b6\u1792\u1798\u17d2\u1798\u178f\u17b6 \u1798\u17b7\u1793\u1785\u17b6\u17c6\u1794\u17b6\u1785\u17cb\u1792\u17d2\u179c\u17be\u1780\u17b6\u179a\u1796\u17d2\u1799\u17b6\u1794\u17b6\u179b\u17a2\u17d2\u179c\u17b8\u17a1\u17be\u1799 \u17a0\u17be\u1799\u1780\u17b6\u179a\u178a\u1780\u1799\u1780\u1785\u17c1\u1789\u178a\u17c4\u1799\u1794\u17d2\u179a\u17be\u1780\u17b6\u17c6\u1794\u17b7\u178f\u1798\u17b7\u1793\u1798\u17c2\u1793\u1787\u17b6\u179c\u17b7\u1792\u17b8\u179f\u17b6\u179f\u17d2\u179a\u17d2\u178f\u178a\u17cf\u1786\u17b6\u1794\u17cb\u179a\u17a0\u17d0\u179f\u178a\u17bc\u1785\u178a\u17c2\u179b\u1798\u17be\u179b\u1791\u17c5\u1793\u17c4\u17c7\u1791\u17c1\u17d4.<\/p>","protected":false},"author":185281453,"featured_media":10016,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Hydrocele causes, why every new scrotal swelling is scanned to exclude a testicular tumour, why most need only observation, and why needle aspiration alone almost always recurs.","jetpack_seo_html_title":"Hydrocele in Adult Men: Causes & Treatment | Dr. Soarawee Bangkok","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1363],"tags":[1412,1411],"class_list":["post-2533","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mens-health","tag-hydrocele","tag-scrotal-hydrocele"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-ER","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Adult-Hydrocele.webp?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/posts\/2533","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/comments?post=2533"}],"version-history":[{"count":24,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/posts\/2533\/revisions"}],"predecessor-version":[{"id":11760,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/posts\/2533\/revisions\/11760"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/media\/10016"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/media?parent=2533"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/categories?post=2533"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/tags?post=2533"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}