A hydrocele is a common, typically painless condition characterized by the accumulation of fluid in the scrotum, surrounding the testicle.

It can develop in infants, commonly disappearing on its own, or in adult men, where it may persist and cause discomfort or aesthetic concerns.

While hydroceles are usually benign, some men experience swelling or pressure that requires treatment.

Want to know more about hydrocele treatments? Wondering what are the natural remedies and medical options available?

In this blog, Mykare Health explores natural remedies, lifestyle adjustments, and medical interventions for hydroceles.

What Causes a Hydrocele?

Hydroceles can develop due to several reasons, including

• Congenital Hydrocele: Occurs when a baby is born with an opening in the scrotal area, allowing fluid from the abdomen to seep in. This typically resolves within the first year of life.

• Acquired Hydrocele: Can develop in adults due to injury, infection, inflammation, or after surgeries, like hernia repair.

Most hydroceles don’t pose a health risk, but treatment can be helpful if they’re causing discomfort or if they’re suspected to be linked to other scrotal conditions.

Natural Remedies for Hydroceles

Some natural remedies and lifestyle adjustments may help manage the discomfort of a hydrocele, though they are not guaranteed to reduce the hydrocele itself.

Warm Compress

Applying a warm compress can help ease swelling and improve blood circulation in the scrotum. This method may reduce discomfort but should be done carefully, as excessive heat can exacerbate swelling.

Dietary Changes

Eating anti-inflammatory foods like turmeric, ginger, garlic, and green leafy vegetables may reduce inflammation. Foods high in antioxidants, such as berries, can also support tissue repair.

Stay Hydrated

Proper hydration aids in regulating the body’s fluid balance, potentially reducing the fluid buildup associated with hydroceles.

Avoid Strain

Avoiding heavy lifting or strenuous exercise may help minimize the risk of aggravating the hydrocele. Rest can also be beneficial, especially if the hydrocele is linked to an injury.

Herbal Supplements

While scientific evidence is limited, herbs like Punarnava and Gokshura, used in traditional medicine, are believed to help with swelling and inflammation. Consulting a healthcare provider before using supplements is essential.

Yoga and Gentle Exercise

Yoga can improve blood flow and lymphatic drainage, potentially aiding in the reduction of fluid buildup in the scrotal area. Gentle poses that focus on the pelvic area, like Cobra Pose and Butterfly Pose, may be helpful.

Over-the-Counter Solutions

Over-the-counter (OTC) treatments may not reduce the hydrocele but can ease associated discomfort

• Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can reduce inflammation and ease discomfort if a hydrocele causes pain or tenderness.

• Supportive Underwear: Wearing snug, supportive underwear or an athletic supporter can help reduce discomfort by providing scrotal support.

Medical Treatments for Hydroceles

For hydroceles that do not resolve on their own or cause significant discomfort, medical interventions may be necessary.

Aspiration

Aspiration involves using a needle to drain the fluid from the hydrocele. This procedure is typically performed in a doctor’s office under local anesthesia. However, aspiration is often considered a temporary solution, as fluid can reaccumulate. Doctors may combine aspiration with sclerotherapy, a method that injects an irritant into the sac to prevent fluid from returning.

Sclerotherapy

Sclerotherapy involves injecting a solution into the hydrocele sac to reduce its size and prevent further fluid buildup. This procedure is typically used for patients who are not suitable candidates for surgery, such as elderly patients or those with high surgical risks.

Hydrocelectomy

Hydrocelectomy, the surgical removal of the hydrocele sac, is a permanent solution. During the procedure, the doctor makes an incision in the scrotum to drain the fluid and remove the sac. Recovery usually takes a few weeks, with potential risks including infection, bleeding, or recurrence.

Laparoscopic Surgery

Minimally invasive laparoscopic surgery may be an option for certain cases. This approach uses small incisions and a camera to guide the surgeon in removing the hydrocele sac. The benefits include a faster recovery time and less postoperative discomfort.

Treatment for Underlying Causes

If a hydrocele is due to an underlying infection, such as epididymitis, treating the infection with antibiotics may resolve the hydrocele. It’s essential to work with a healthcare provider to identify and treat any root causes.

When to See a Doctor

If you suspect a hydrocele or experience symptoms like significant swelling, pain, or pressure, consult a healthcare provider for an accurate diagnosis. In some cases, symptoms similar to a hydrocele can be caused by other conditions, such as hernias, tumors, or infections.

Recovery and Aftercare

For those who undergo surgical treatment, following these recovery tips can aid in healing:

• Rest: Avoid strenuous activities and heavy lifting for several weeks post-surgery.

• Follow-up Appointments: Regular follow-ups ensure that healing is progressing as expected.

• Hygiene: Keep the area clean and dry to reduce the risk of infection.

• Pain Management: Take prescribed pain medications as directed, and avoid OTC medications without consulting your doctor.

• Hydroceles, though generally harmless, can cause discomfort or swelling, particularly in adults. While infants’ hydroceles often resolve naturally, adult cases may require treatment, especially if symptoms persist or worsen.

Natural remedies, lifestyle adjustments, and supportive measures can offer relief, but these do not typically eliminate the hydrocele itself. Medical treatments, such as aspiration, sclerotherapy, or hydrocelectomy, provide more lasting solutions and are recommended for symptomatic or persistent hydroceles.

For those with underlying infections, addressing these conditions can also resolve the hydrocele. Consulting a healthcare provider can help determine the most appropriate treatment path and promote recovery.