Hydrocele

Collection of fluid between the two layers of the tunica vaginalis (mesothelial lining which surrounds the testes)

Clinical presentation

  • Soft, smooth, non-tender swelling around one of the testes
  • Transilluminate with light on examination with a pen torch

Management

  • Simple hydroceles (no connection with peritoneal cavity) usually resolve within 2 years without having any lasting negative effects
  • Communicating hydroceles (have a connection with the peritoneal cavity) are managed surgically