Hydrocele
- Collection of fluid within the tunica vaginalis that surrounds the testes
Clinical features
- 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
Spermatocoele
- Fluid-filled cyst that develops at the head of the epididymis
Clinical features
- Unknown cause and usually asymptomatic
- May feel a fullness
- Often present after self-examination
Management
- Smaller/asymptomatic cysts are left alone
- Treatment options (medication, aspiration, surgery) can be considered if cysts are causing pain or are enlarging
Varicocoele
Clinical features