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  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
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Hydrocele: Understanding Treatment Options at UPNT

At Urology Partners of North Texas (UPNT), we recognize that scrotal swelling and discomfort can be concerning. If you’ve been diagnosed with a hydrocele, understanding your treatment options is essential. While hydroceles are typically harmless, they can enlarge over time, leading to discomfort and necessitating intervention.

This guide provides insights into:
  • What a hydrocele is
  • Causes of hydroceles
  • When treatment is advisable
  • Comparing surgical and interventional radiology (IR) treatment options
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What Is a Hydrocele?

A hydrocele is a fluid-filled sac surrounding a testicle, resulting in scrotal swelling. Although often painless, larger hydroceles may cause:

  • Heaviness or discomfort
  • Noticeable scrotal enlargement
  • Interference with physical activities
  • Aesthetic concerns

Causes of Hydroceles

Hydroceles develop due to fluid accumulation around the testicle, which can be attributed to:

  • Congenital factors: Common in newborns, usually resolving spontaneously.
  • Injury or trauma: Post-impact fluid buildup.
  • Infections or inflammation: Conditions like epididymitis.
  • Previous surgeries: Such as hernia repairs or varicocele surgeries.
Note: Hydroceles are non-cancerous and do not impact fertility.

Determining the Need for Treatment

Not all hydroceles require intervention. Treatment at UPNT is recommended if:

  • The hydrocele causes significant discomfort.
  • There's a noticeable increase in size over time.
  • It hampers daily activities or exercise routines.
  • It doesn't resolve on its own.
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Treatment Options at UPNT

1. Surgical Removal (Hydrocelectomy)

Ideal for: Large, symptomatic, or recurrent hydroceles.
  • Procedure: An outpatient surgery performed under anesthesia, involving the removal of the hydrocele sac through a small incision in the scrotum or groin.
  • Recovery: Patients typically return home the same day. Swelling may persist for a few weeks, with light activities resuming in 1-2 weeks and full recovery in 4-6 weeks.
Hydrocelectomy offers a definitive solution with a low recurrence rate.
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2. Interventional Radiology (IR) Drainage & Sclerotherapy

Ideal for: Patients preferring a less invasive approach.
  • Procedure: Conducted by an Interventional Radiologist at UPNT's IR Centers, this involves draining the hydrocele fluid using a needle under ultrasound guidance, followed by injecting a sclerosing agent to prevent fluid reaccumulation.
  • Recovery: Minimal downtime, with most patients resuming normal activities within 24-48 hours.
While less invasive, there’s a slightly higher chance of recurrence compared to surgery.

Comparing Treatment Options

Treatment

Best For

Procedure Time

Recovery Time

Recurrence Risk

Hydrocelectomy (Surgery)

Large, symptomatic, or recurrent hydroceles
~45 minutes
4-6 weeks
Low (<5%)

IR Drainage & Sclerotherapy

Patients seeking a non-surgical option
~30 minutes
24-48 hours
Moderate (~10%)
Note: Recurrence rates for IR procedures can vary. Some studies report rates up to 25%, while others indicate lower rates around 10%.

Your Treatment Journey at UPNT

1. Initial Evaluation

  • Consultation: A UPNT urologist will perform a physical examination and may recommend an ultrasound to confirm the diagnosis.
  • Discussion: We'll talk about your symptoms, concerns, and treatment preferences to determine the most suitable approach.

2. Choosing a Treatment Plan

  • Hydrocelectomy: Recommended for those seeking a permanent solution.
  • IR Drainage & Sclerotherapy: Suitable for those favoring a minimally invasive procedure.

3. Undergoing the Procedure

  • Hydrocelectomy: Outpatient surgery with a small incision to remove the hydrocele sac.
  • IR Procedure: Ultrasound-guided fluid drainage followed by sclerotherapy to prevent recurrence.

4. Recovery and Follow-Up

  • Hydrocelectomy: Expect swelling for a few weeks, with full recovery in about a month.
  • IR Procedure: Quick recovery, resuming normal activities within a couple of days.
  • Follow-Up: A scheduled visit to monitor healing and address any concerns.

Frequently Asked Questions

Do all hydroceles need treatment?

No, especially if they’re small and painless. Treatment is considered if they cause discomfort or grow in size.

Hydrocelectomy offers a permanent solution with a low recurrence rate.

IR Drainage & Sclerotherapy is less invasive but may have a slightly higher chance of recurrence.

No, these treatments don’t impact testosterone levels, sperm production, or sexual function.
Recurrence is uncommon after hydrocelectomy. With IR procedures, there’s a modest chance of recurrence, which can be managed with additional treatments if necessary.

Why Choose UPNT?

  • Expertise: Our team comprises skilled urologists and interventional radiologists experienced in both surgical and non-surgical hydrocele treatments.
  • Comprehensive Care: We provide both hydrocelectomy and IR options, allowing personalized treatment plans.
  • Advanced Facilities: Procedures are conducted in state-of-the-art centers ensuring safety and comfort.
  • Patient-Centered Approach: We prioritize your well-being, aiming for effective treatment with minimal disruption to your daily life.

Schedule a Consultation

If you’re experiencing scrotal swelling or discomfort, the specialists at UPNT are here to assist. We’ll guide you through your options and help determine the best treatment plan tailored to your needs.

CONTACT

866-367-8768
  • 5005 S. Cooper St. Suite 250 Arlington, TX 76017
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