Health To Way Q&A Men’s Health

Is surgery necessary for hydrocele?

Asked by：Drusilla

Asked on：Apr 03, 2026 05:43 AM

Answers：1 Views：594

Adelaide
Apr 03, 2026

Hydrocele is a disease that easily occurs in men. Especially when newborns grow to 6 to 18 months, the probability of hydrocele is relatively high. In fact, hydrocele mainly refers to the accumulation of fluid in the patient's hydrocele cavity that exceeds the normal amount. Generally speaking, drainage can only be achieved through surgery. But is surgery necessary after suffering from hydrocele?

Hydrocele does not necessarily require surgery. Whether hydrocele requires surgery mainly depends on the size of the hydrocele and the age of the patient, and different treatment plans are adopted. If the amount of hydrocele is small, it may be absorbed by itself and can be treated conservatively with anti-inflammatory measures. If a patient with hydrocele is under two years old, it may be absorbed by itself and no surgical treatment is required for the time being. For a large amount of hydrocele that causes clinical symptoms such as testicular pain and discomfort, lower abdominal discomfort, etc., at this time, hydrocele decapitation and decompression surgery can be considered.
1. Scrotal hydrocele, the accumulated liquid bacterial culture medium, is particularly easy to breed bacteria. Bacteria live a comfortable life in a comfortable environment and continue to reproduce. With simple antibiotic treatment, the amount of drugs that can enter the hydrocele is very small. Using surgical methods to incise the testicular hydrocele to drain the infected hydrocele will improve the disease. 2. Huge scrotal effusion will cause a lot of troubles to the patient’s friends, such as: uncomfortable lower body discomfort and a heavy sinking feeling in the scrotum and testicles, inconvenience in walking and labor, hindering sexual life, and in serious cases, it can also lead to infertility in men.
Hydrocele can be divided into 2 types according to whether the coelomycete is closed or not: the hydrocele is called testicular hydrocele if the coleopus is closed and the fluid is limited to the testicular vaginal sac; the hydrocele is called spermatic cord hydrocele if the proximal vaginal canal is open and communicates with the abdominal cavity, and the distal end is atretic. On this basis, if the vaginal cavity connected to the abdominal cavity is thicker, intraperitoneal fluid may appear as a hydrocele with changes in body position, which is also called communicating hydrocele.

Even if hydrocele in children is not a particularly serious disease, it will cause great harm to the child once the condition worsens. If parents choose to give their children some more conservative treatments, but the child's condition does not improve, parents can choose surgery to treat their children.

Not all children with hydrocele require surgery. In some children, as the vaginal canal is occluded after birth, part of it can be absorbed and disappear on its own. Therefore, conservative observation is recommended for those with hydrocele under one year old and those with low tension.