Symptoms of testicular hydrocele

The main symptoms of testicular hydrocele include painless swelling of the scrotum, a feeling of swelling, and a positive light transmittance test. Testicular hydrocele may be related to factors such as congenital unclosure of the sheath, infection, trauma, etc. It usually manifests as symptoms such as increased scrotal volume, local skin tightness, and limited movement. It is recommended to seek medical treatment promptly and follow the doctor's instructions for treatment after determining the cause.

1. Scrotal swelling

Scrotal swelling is the main symptom of testicular hydrocele, which manifests as an increase in unilateral or bilateral scrotal volume and a cystic appearance. The degree of swelling is related to the amount of fluid accumulation. A small amount of fluid accumulation may only show a slight distension of the scrotum, while a large amount of fluid accumulation may cause the scrotum to become significantly enlarged. The swelling is usually painless but may be accompanied by a feeling of fullness or discomfort. Long-term fluid accumulation may cause the skin of the scrotum to become thin and shiny.

2. Positive light transmission test

A positive light transmission test is an important sign in the diagnosis of testicular hydrocele. During the examination, use a flashlight to illuminate the scrotum closely, and the area of ​​fluid accumulation will show uniform light transmission. This performance can be distinguished from diseases such as testicular tumors. The light transmission test is simple to operate, but it needs to be carried out in a dark room environment, and the result judgment needs to be completed by a professional doctor.

3. Feeling of swelling

Some patients will complain of swelling or heaviness in the scrotal area, especially after standing or walking for a long time. This discomfort is usually related to the pressure of fluid on the scrotal tissue, and may be relieved by lying down and resting. The degree of swelling varies from person to person, and in severe cases it may affect daily activities.

4. Restricted activities

A large amount of hydrocele may cause a significant increase in scrotal volume, affecting daily activities such as walking, sitting, and lying. The skin of the scrotum may become sensitive due to long-term traction, and friction from clothing may cause discomfort. Pediatric patients may have abnormal urinary posture due to an enlarged scrotum.

5. Secondary infection manifestations

In rare cases, hydrocele may be secondary to infection, which may manifest as redness of the scrotal skin, increased skin temperature, obvious tenderness, and may be accompanied by systemic symptoms such as fever. Infectious effusions may have a negative radiolucent test and require ultrasound examination to confirm the diagnosis. In this case, timely medical treatment is required for anti-infective treatment.

Patients with testicular hydrocele should keep the perineum clean and dry and avoid strenuous exercise or scrotal trauma. Choose loose-fitting, breathable underwear to reduce friction and avoid standing for long periods of time. Ensure high-quality protein intake in the diet and appropriate vitamin supplements to help tissue repair. If swelling suddenly worsens or redness, heat and pain occur, seek medical attention immediately. Regularly review ultrasound to monitor changes in effusion, and infants and young children need to pay attention to whether there are abnormal symptoms such as crying and food refusal.