Teenage boys and older men may get one from an infection or an injury. Typically, the scrotum becomes hard, swollen, and bright pink. In babies, the condition is usually painless. Older men may suffer pain in the scrotum and groin, and, if the hydrocele is large, in the lower back. However, if a hernia is the cause, an operation will be necessary.
Surgery is also more likely if the condition is causing problems for an older man.
While waiting to see whether the hydrocele disappears on its own, the doctor will want to see you every 3 to 6 months. Put the ice in a plastic bag and cover it with a towel. Use the ice pack for 15 to 20 minutes out of every hour as long as you think you need it. Do not sleep on the ice pack. The swelling gets worse.