{"id":2533,"date":"2021-03-12T08:01:54","date_gmt":"2021-03-12T01:01:54","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=2533"},"modified":"2026-05-18T09:58:39","modified_gmt":"2026-05-18T02:58:39","slug":"%d0%b3%d0%b8%d0%b4%d1%80%d0%be%d1%86%d0%b5%d0%bb%d0%b5-%d1%83-%d0%b2%d0%b7%d1%80%d0%be%d1%81%d0%bb%d1%8b%d1%85-%d0%bc%d1%83%d0%b6%d1%87%d0%b8%d0%bd","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/ru\/2021\/03\/12\/hydrocele-in-adult-men\/","title":{"rendered":"\u0413\u0438\u0434\u0440\u043e\u0446\u0435\u043b\u0435 \u0443 \u0432\u0437\u0440\u043e\u0441\u043b\u044b\u0445 \u043c\u0443\u0436\u0447\u0438\u043d: \u041f\u043e\u0447\u0435\u043c\u0443 \u044d\u0442\u043e \u043f\u0440\u043e\u0438\u0441\u0445\u043e\u0434\u0438\u0442?"},"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\/ru\/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\" 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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 most common presentations in my andrology clinic. The condition we must always be aware of is a Hydrocele \u2014 an abnormal accumulation of fluid within the scrotal sac surrounding the testicle.<\/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<p class=\"wp-block-paragraph\">To understand why hydrocele occurs, a brief review of scrotal anatomy is helpful. Between the scrotal skin and the testicle lies a space covered by a layer called the Tunica vaginalis, which contains a small amount of fluid that allows the testicle to move freely. This space has a balanced system of fluid production and absorption. When this equilibrium is disrupted \u2014 either through overproduction or reduced absorption \u2014 fluid accumulates, creating a hydrocele.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"541\" data-attachment-id=\"2540\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ru\/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;credit&quot;:&quot;&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;copyright&quot;:&quot;&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 scrotal swelling\" 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\">Scrotal hydrocele \u2014 a balloon-like fluid accumulation within the scrotal sac surrounding the testicle.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">2 major causes of <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK559125\/\">Hydrocele<\/a> in adult men<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Overproduction of fluid<\/strong>:\n\n<ul class=\"wp-block-list\">\n<li>Inflammatory processes \u2014 infection of the testis (orchitis) or epididymis (epididymitis), or syphilis<\/li>\n\n\n<li>Trauma \u2014 scrotal injury, or as a complication after inguinal hernia repair<\/li>\n\n\n<li>Malignancy \u2014 tumor in or around the genital area<\/li>\n<\/ul>\n<\/li>\n\n\n<li><strong>Abnormal fluid absorption<\/strong> \u2014 failure of the Tunica vaginalis to reabsorb fluid at the normal rate<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2544\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ru\/2021\/03\/12\/hydrocele-in-adult-men\/doctor-and-patient-are-discussing-something-just-hands-at-the-table\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Full-history-taking.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;4&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;X-T1&quot;,&quot;caption&quot;:&quot;Doctor and patient are discussing something, just hands at the table&quot;,&quot;created_timestamp&quot;:&quot;1491666806&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;55&quot;,&quot;iso&quot;:&quot;200&quot;,&quot;shutter_speed&quot;:&quot;0.016666666666667&quot;,&quot;title&quot;:&quot;Doctor and patient are discussing something, just hands at the table.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Full history taking and physical examination will be done once patients visit at Urology office.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Full history taking and physical examination will be done once patients visit at Urology office.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Full-history-taking.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Full-history-taking.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Urologist history taking hydrocele\" class=\"wp-image-2544\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Full-history-taking.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Full-history-taking.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Full-history-taking.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Full-history-taking.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/03\/Full-history-taking.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">A thorough history and physical examination is performed at the urology office to rule out serious diagnoses.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">When a patient presents with a scrotal swelling, a full history is taken and a careful physical examination performed to exclude other important diagnoses that may appear similar:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Inguinal hernia<\/li>\n\n\n<li>Epididymo-orchitis (infection of the testicle and epididymis)<\/li>\n\n\n<li>Testicular tumor<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Scrotal ultrasonography is the gold standard imaging tool for confirming hydrocele. It measures the fluid size and characteristics, and \u2014 critically \u2014 it can confirm whether any suspicious testicular tumor is hidden within the sac.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2543\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ru\/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;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Young blonde doctor working on ultrasound machine in new clinic. Helthcare concept.&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;LENA MAY&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&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 hydrocele\" 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\">Scrotal ultrasonography is the most important imaging tool for confirming hydrocele and excluding testicular tumor.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Once hydrocele is confirmed, treatment targets the underlying cause. If the hydrocele does not resolve after treating the cause, surgical intervention is offered. Two surgical techniques are available:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Open scrotal surgery<\/strong> \u2014 performed in the operating room under anesthesia; lowest postoperative complication and recurrence rate; the preferred definitive treatment<\/li>\n\n\n<li><strong>Needle aspiration<\/strong> \u2014 an in-office option for patients who decline surgery; however, carries higher risk of intra-scrotal bleeding and a higher recurrence rate compared to surgery<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2542\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ru\/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;copyright&quot;:&quot;&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=\"Hydrocele surgery\" 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\">Open scrotal surgery is considered when hydrocele does not resolve with conservative management.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">The key message is that hydrocele is a benign condition \u2014 it is never life-threatening, but it can significantly affect quality of life. Surgery is the most effective treatment, though some recurrence remains possible with any approach.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About Hydrocele<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">What is a hydrocele and is it dangerous?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A hydrocele is an abnormal accumulation of fluid in the space between the testicle and the inner scrotal wall (Tunica vaginalis), causing painless scrotal swelling. It is a benign condition \u2014 it is never life-threatening and does not become cancerous. However, a large hydrocele can cause discomfort, heaviness, and reduced quality of life. The most important first step is scrotal ultrasound to confirm the diagnosis and exclude hidden testicular tumor, which can occasionally present similarly.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What causes hydrocele in adult men?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In adult men, hydrocele is caused by either overproduction of scrotal fluid or impaired fluid absorption. Overproduction occurs secondary to inflammation (testicular or epididymal infection, syphilis), scrotal trauma, hernia repair complications, or nearby malignancy. Impaired absorption occurs when the Tunica vaginalis lining loses its ability to reabsorb fluid at the normal rate. Many adult hydroceles develop gradually without a clearly identifiable trigger and are classified as idiopathic. A thorough evaluation is essential to exclude treatable secondary causes.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">When is surgery needed for hydrocele and what are the options?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Surgery is indicated when the hydrocele does not resolve after addressing the underlying cause, or when it causes significant discomfort. Open scrotal surgery (hydrocelectomy) performed under anesthesia in the operating room offers the lowest complication and recurrence rates and is the gold standard approach. Needle aspiration is an in-office alternative for patients who prefer to avoid surgery, but carries higher rates of intra-scrotal bleeding and recurrence. After surgery, regular follow-up is recommended to monitor for recurrence.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have a scrotal swelling and would like specialist evaluation, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Book a Consultation<\/a>.<\/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. It is intended for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What is a hydrocele and is it dangerous?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Hydrocele is painless scrotal fluid accumulation around the testicle. It is benign and never life-threatening. Can cause discomfort and reduced quality of life. Scrotal ultrasound is essential to confirm diagnosis and exclude hidden testicular tumor.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What causes hydrocele in adult men?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Causes: (1) Overproduction of fluid \u2014 testicular\/epididymal infection, syphilis, trauma, hernia repair complications, nearby malignancy. (2) Impaired absorption by the Tunica vaginalis. Many are idiopathic. Evaluation needed to exclude treatable secondary causes.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"When is surgery needed for hydrocele and what are the options?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Surgery when hydrocele persists or causes significant discomfort. Gold standard: open hydrocelectomy under anesthesia (lowest complication and recurrence rate). Alternative: needle aspiration (higher bleeding and recurrence risk). Regular follow-up after treatment.\"\n      }\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>A painless scrotal swelling is one of the most common presentations in my andrology clinic. The condition we must always be aware of is a Hydrocele \u2014 an abnormal accumulation of fluid within the scrotal sac surrounding the testicle. To understand why hydrocele occurs, a brief review of scrotal anatomy is helpful. Between the scrotal [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10016,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Hydrocele in adult men: causes (infection, trauma, malignancy, impaired absorption), diagnosis with scrotal ultrasound, and treatment options including surgery and needle aspiration.","jetpack_seo_html_title":"Hydrocele in Adult Men: Causes & Treatment | Dr. Soarawee Bangkok Hospital","jetpack_seo_noindex":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_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_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Adult-Hydrocele.webp?fit=1200%2C630&ssl=1","jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-ER","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/posts\/2533","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/comments?post=2533"}],"version-history":[{"count":23,"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/posts\/2533\/revisions"}],"predecessor-version":[{"id":9739,"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/posts\/2533\/revisions\/9739"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/media\/10016"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/media?parent=2533"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/categories?post=2533"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/tags?post=2533"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}