Patient's question:
Doctor, hello. I would like to consult about the best methods for treating 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 would like to ask how to treat hydrocele more effectively.Doctor's answer:
Experts point out:1. In neonates, hydrocele of the tunica vaginalis often resolves spontaneously before the age of two, so treatment is not urgent. If it does not disappear after two years, puncture and aspiration should be performed. Most cases do not recur after aspiration. This method is not suitable for adults. In adults, the swelling often returns to its original size shortly after aspiration.
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 above methods and is primarily treated surgically. The goal of surgery is to ligate the inguinal hernia at a high position, blocking the downward flow of abdominal fluid. This concludes the explanation of treatment methods for hydrocele of the tunica vaginalis.