Symptoms | Water in the testicles

Symptoms

The symptoms that occur when water accumulates in the testicles can be quite different. In affected patients, visible swelling in the area of the scrotum usually occurs quickly. Depending on the cause of the hydrocele, these swellings can be unilateral or bilateral.

The extent of the swelling depends mainly on where the water accumulates in the testicle and how much fluid is in the scrotum. Especially in the early stages, the water in the testicle often does not cause any discomfort. With increasing fluid accumulation within the scrotum, however, sometimes severe symptoms can occur.

People who have water in the testicles typically suffer from pain and a pronounced feeling of pressure or heaviness. The so-called acute hydrocele is a special form of hydrocele. This clinical picture typically involves an acute scrotum. This means that the affected patients suffer from sudden, severe pain in the area of the testicles.

Therapy

In the case of accumulation of water in the testicles, the therapy depends mainly on the underlying cause. In addition, the symptoms experienced by the affected patient play a decisive role in choosing the most appropriate treatment strategy. In the case of a congenital hydrocephalus hernia, treatment does not usually need to be initiated initially.

The reason for this is that a congenital hydrocephalus hernia is usually completely harmless and fully recovers within a few weeks without medical intervention. If, however, in addition to the water in the testicles, there is also a hernia, surgical intervention may become necessary immediately. Pure hydrocele, on the other hand, is usually observed first.

If the water in the testicle does not recede within the first years of life or the hydrocele continues to increase in volume, surgical therapy is recommended. During surgery, the attending physician must expose the hydrocele through a small incision in the groin and close the connection between the abdominal cavity and the scrotum. If water only accumulates in the testicles after birth, the treatment must aim primarily to eliminate the cause of this change.

Once the treatment of the cause has been completed, the water in the testicles usually disappears completely by itself. However, if the water remains in the testicle, the water breakage should be exposed in a surgical procedure, the excess fluid drained off and excess testicular skin removed. In adult men who have water in the testicles, the accumulated fluid can also be aspirated through a cannula.