Address: 27 Welbeck Street, London, W1G 8EN
Tel: 020 7101 3377


Understanding Hydrocele: Causes, Symptoms, Diagnosis, and Treatment

Hydrocele is a common condition characterized by the accumulation of fluid around the testicle, leading to swelling and discomfort in the scrotum. While hydroceles are generally benign and may not require immediate treatment, they can cause concern and discomfort for affected individuals. At London Private Ultrasound, located in Central London, we offer comprehensive ultrasound services to diagnose and manage hydrocele, providing individuals with accurate diagnosis and personalized treatment options for optimal reproductive health.

Causes of Hydrocele:

  • Hydroceles can develop due to various factors, including:
    • Injury or trauma to the scrotum
    • Infection or inflammation of the testicles or surrounding tissues
    • Congenital abnormalities in the development of the male reproductive system
    • Blockage or dysfunction of the lymphatic system, hindering the drainage of fluid from the scrotum


  • Hydroceles can affect individuals of all ages but are more common in newborns and older adults. In newborns, hydroceles may occur due to the persistence of the connection between the abdomen and the scrotum, which typically resolves within the first year of life. In adults, hydroceles may develop gradually over time and can persist if left untreated.

Symptoms of Hydrocele:

  • Many individuals with hydrocele may not experience any symptoms, especially if the swelling is small or mild. However, some common symptoms may include:
    • Swelling or enlargement of the scrotum, which may vary in size
    • Heaviness or discomfort in the scrotum, particularly when standing or exerting pressure
    • Transparency of the fluid-filled sac within the scrotum, which may be visible with a light source (transillumination)

Role of Ultrasound in Diagnosis and Treatment:

  • Ultrasound imaging plays a crucial role in the diagnosis and management of hydrocele. A scrotal ultrasound allows our experienced sonographers to visualize the fluid accumulation around the testicle and assess its size, location, and characteristics. This non-invasive procedure provides detailed information to accurately diagnose hydrocele and determine the most appropriate treatment approach.

Treatment Options:

  • Treatment for hydrocele may vary depending on the severity of symptoms and underlying causes. Treatment options include:
    • Observation: In cases where hydroceles are small, asymptomatic, and not causing any complications, observation may be recommended, with periodic monitoring to assess any changes.
    • Aspiration (drainage): A needle may be used to remove the excess fluid from the hydrocele, providing temporary relief from swelling and discomfort.
    • Surgical repair (hydrocelectomy): In cases where hydroceles are large, persistent, or causing significant discomfort, surgical removal of the fluid and repair of the affected tissue may be necessary to prevent recurrence.

Conclusion: Hydrocele is a common condition that can cause swelling and discomfort in the scrotum. At London Private Ultrasound in Central London, we specialize in the diagnosis and management of hydrocele, offering state-of-the-art ultrasound imaging services. Our dedicated team of experienced sonographers and healthcare professionals is committed to providing personalized care and support to individuals seeking solutions for hydrocele-related concerns

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Address: 27 Welbeck Street, London, W1G 8EN

Telephone020 7101 3377