A communicating hydrocele will fluctuate in size, getting smaller at night while lying flat, and increasing in size during more active periods. If the hydrocele is large and tense, it may require more immediate attention. The symptoms of a hydrocele may resemble other conditions or medical problems. Always consult your child's physician for a diagnosis. Diagnosis of a hydrocele is usually made by a physical examination and a complete medical history.
Resolution occurs as the fluid is reabsorbed from the pouch.
A hydrocele that persists longer than 12 to 18 months is usually a communicating hydrocele. A communicating hydrocele usually requires surgical repair to prevent an inguinal hernia from occurring. The surgery involves making a small incision in the groin or inguinal area and then draining the fluid and closing off the opening to the tunica vaginalis. Click here to view the Online Resources page of this Web. Copyright 2000 Lucile Packard Children's Hospital.