Patient's question:
Half a year swelling, redness, hardness recentlyDoctor's answer:
Hello, the treatment methods for hydrocele include conservative therapy, aspiration therapy, and surgical therapy. The most appropriate method should be selected based on the patient's age, the amount of fluid accumulation, the severity of symptoms, the presence of complications, and the etiology.Recommendations:
1. Conservative Therapy
Hydroceles in children under 2 years old often resolve spontaneously. Treatment is not required unless there is severe infection or other associated conditions. Primary hydroceles with a short course, small fluid volume, low intracapsular tension, no obvious symptoms, no testicular atrophy, or male infertility also do not require treatment. Traumatic hydroceles or acute inflammatory hydroceles should focus on treating the underlying cause. Local heat application or physical therapy can be used to promote absorption. If the fluid does not absorb, further treatment may be needed later.
2. Puncture and Injection Therapy
This method uses drugs to stimulate adhesion between the visceral and parietal layers of the tunica vaginalis, leading to closure of the hydrocele cavity or suppression of excessive fluid leakage, thereby achieving therapeutic goals. Commonly used drugs include: 95% ethanol, 5% sodium selenite, tetracycline, etc.
3. Surgical Therapy
Surgical treatment is the definitive method for hydrocele. It is suitable for all types of hydroceles and has a cure rate of 99%. During surgery, the tunica vaginalis and internal scrotal organs can be examined under direct vision, and rapid histological examination may be performed if necessary.
Lifestyle Management:
It is recommended that you take your child to a children's hospital for diagnosis and treatment. Cooperate with the doctor's treatment plan and choose the best therapeutic approach. We believe your child will recover quickly.