How To Treat Testicular Hydrocele

It is time to discover how to treat testicular hydrocele formation when you notice a unilateral scrotal enlargement that is mainly due to fluid accumulation. Since this condition may hint at a cancerous growth or infection, a doctor’s visit is a must.

Prior to getting started with learning how to treat testicular hydrocele development, be sure to have a positive diagnosis in hand. A diagnostic ultrasound is the surest means for the physician to identify the condition and rule out testicular cancer.

1. Undergo a hydrocelectomy. This surgery involves the draining of the pooled fluid and a suturing of the membranes to prevent a recurrence. It is important to note--when trying to decide how to treat testicular hydrocele problems most effectively--that this procedure is the most invasive but also the most successful.
2. Opt for sclerotherapy. The treatment involved in sclerotherapy is far less invasive in that it only involves the sucking out of the fluid accumulation via the insertion of a thin needle into the affected area. Since the membranes are not treated, the danger of a recurrence is relatively high. Clinical trials conducted show a 39 percent failure rate for this treatment.
3. Combine sclerotherapy with the injection of a scarring solution. In this instance the aspirated fluid is partially replaced with a sodium tetradecyl sulfate solution. The resulting scarring of the membranes seeks to mimic the surgical suturing and offers a higher success rate in preventing recurrence than sclerotherapy alone.

Although there are essentially three choices the patient can make when deciding how to treat testicular hydrocele problems, it is crucial to understand that secondary conditions that make the fluid accumulation worse more or less demand the surgical route. A good example would be the presence of a concurrent hernia.