Patient's question:
Doctor, hello. I would like to ask about the best treatment method for hydrocele. A while ago, I often felt discomfort in my testicles and went to the hospital for a check-up. They said it was hydrocele and mentioned that if it's severe, it could lead to male infertility. I want to ask how to treat hydrocele more effectively?Doctor's answer:
1. Neonates with hydrocele of the tunica vaginalis often resolve spontaneously before the age of two, so treatment is not urgent. If it has not resolved by age two, aspiration is performed. Most cases do not recur after aspiration. This method is not suitable for adults. After aspiration in adults, the hydrocele tends to recur shortly thereafter.2. Injection therapy: After aspiration, irritating drugs such as silicone or sodium selenite are injected into the tunica vaginalis to induce inflammatory adhesion, aiming to obliterate the tunica vaginalis. This method causes significant reactions, incomplete adhesion, and may lead to multilocular hydrocele, making surgical treatment more difficult. It is currently used less frequently.
3. Surgical treatment: Congenital hydrocele cannot be treated with the methods mentioned above and is primarily treated surgically. The goal of the surgery is to ligate the inguinal hernia at the internal ring at a high position to block the downward flow of abdominal fluid. This concludes the explanation of treatment methods for hydrocele of the tunica vaginalis.