Fluid Hernia

Introduction

Fluid henia is a collection of fluid in the sac of the testes. It is commonly seen in young boys. In most cases is spontaneously resolves. Occassionally, fluid hernia persists and requires treatment. A child with fluid hernia will be noted to have a painless swelling in the scrotum. Most of the time only one side of the scrotum swells.

What causes a hydrocele?

Fluid hernia is a remnant of normal development of the scrotum in boys. It consists of fluid, which communicates with the abdominal space via a canal in the loin of the child.  In some children, the swelling disappears.

What are the options of treatment for a fluid hernia?

Most fluid hernia disappears spontaneously as the child grows.  Conservative management: Unless the swelling bothers the child, your doctor may advise you to leave the swelling alone.  In some cases, your doctor will recommend surgical correction to repair the hernia.

What to expect during fluid hernia surgery?

The child requires admission for at least one day before and  after the surgery. Fluid hernia repair is done when the child is under general anesthesia.  Fluid hernia repair is done by making a small incision in the loin of the child. The canal which communicates between the scrotum and the abdominal space is closed. The child is put to sleep using medication. During the surgery the child is not aware of what is happening and feels no pain.  

What are the risks and complications of fluid hernia surgery?

Fluid hernia repair is generally a safe procedure. Possible complications include: 

  • Bleeding
  • Infection at the site of repair
  • Altered sensation on the skin around the scrotum 
  • Damage to testicle on the same side