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Hydrocele is the medical term for a small sac that is fluid-filled andthat occurs around a testicle in male infants. Furthermore, occurrence ofhydroceles may lead to the swelling of scrotum, which is located underneath thepenis. Typically this disorder appears in men at birth, but it can bedeveloped as the result of some irritation or the scrotum damage. When hydroceles emerge, they are not hurting and do not need any treatmentunless the scrotum swelling appears. If the swelling of one or both testicles isnoticed, it is recommended to go and consult a doctor. The most common symptoms of this condition in children are redness, feverand excessive swelling. Furthermore, bleeding and increasing pain are also someof the signs of hydrocele in children, although these two symptoms appear insevere cases.

Types of hydrocele

Hydrocele can be divided into two classes: communicating hydrocele and non-communicatinghydrocele.

Communicating hydrocele is thus called because it has the contact with theliquids of the abdominal cavity, which happens due to the failure of the processus vaginalisto close entirely during prenatal development. Processus vaginalis is the thin membranethat stretches through the inguinal canal and goes down into the scrotum.

On the other hand, non-communicating hydrocele does not have the contactwith the fluids in the abdominal cavity, which is why it maintains more or lessthe same size. A non-communicating hydrocele usually disappearsafter six or twelve months; hence, the treatment is not necessary.

In contrastto a non-communicating hydrocele, a communicating hydrocele is recommended tobe surgically fixed in order to avoid further possible complications. The surgery lasts very short, about an hour, and afterit, the patient is immediately allowed to go home.

The surgery, before and after

There are some things that should be known before onedecides to undergo a surgery. First of all, the child should not eat six hoursbefore the surgery. Thus, the risk of vomiting and aspiration during anesthesiais reduced. This surgery is performed with anesthesia. The childreceives general anesthesia and after that he/she sleeps. Then, the surgeon makesa small cut in the skin fold of the groin, identifies the hydrocele and emptiesthe liquid from it. The final step is the removal of sac and reinforcing themuscle wall with stitches. In the majority of cases, children go home a fewhours after surgery. Nevertheless, premature infants and children who sufferfrom certain medical conditions usually stay in hospital for one day for theobservation.

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