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( A hydrocele usually appears as a soft swelling in the membrane surrounding the testes.

While aspiration is usually successful, it is a temporary correction with a high potential for recurrence of the hydrocele.

Aspiration may have longer-term success when certain medications are injected during the procedure (sclerotherapy).

A hydrocele is a pocket of fluid inside a man's testicle (A).

To remove it, the surgeon cuts through the skin and tissue layers (B), then drains the hydrocele with a tube (C).

Hydroceles are usually congenital, found in a large percentage (80% or more) of male children and in 1% of adult males over 40.The most common congenital hydrocele is caused by a failure of a portion of the testicular membrane (processus vaginalis, a membrane that descends with the testicles in the fetus) to close normally.Inflammation is not usually present, although if the hydrocele occurs in conjunction with epididymitis (inflammation of the epididymis), the testes may be inflamed and painful.The main symptom of a hydrocele that occurs without epididymitis is scrotal swelling.

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