Hydrocoele Health Dictionary

A collection of ?uid connected with the testis (see TESTICLE) or spermatic cord. When there is no obvious cause, it is classi?ed as primary: such hydrocoeles are usually large and tense, and are commonly found in middle-aged and younger men, presenting as a large, painless scrotal swelling. Congenital hydrocoeles may occur in infants, when they are often associated with a hernial sac (see HERNIA). Hydrocoele of the cord is rare. Secondary hydrocoele is generally smaller and lax; it is usually secondary to a tumour or in?ammation of the underlying testis or epididymis.

Treatment Congenital hydrocoeles usually disappear spontaneously and may be safely watched; surgery is only indicated when there is a hernia, or if the condition persists after the ?rst year. Hydrocoeles in adults should be tapped and the testis palpated to exclude primary lesions. Primary hydrocoeles may be managed by intermittent tapping, or, preferably, by surgical removal. Secondary hydrocoeles require treatment of the underlying condition.