At Capio Private Hospital, our experienced urologists can help you with examination and treatment of several disorders of the scrotum, including water hernia, seminal hernia and varicose veins. We are ready to provide you with safe and secure treatment in several locations across the country.
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Scrotal hernias are a common condition in otherwise healthy men. Water hernia, seminal hernia and varicose vein hernia are all relatively harmless conditions that only require treatment if there are increasing symptoms or discomfort from the scrotum. In most cases, treatment will be a minor surgical procedure under local anesthesia. You can read more about the three types of hernias further down the page.
Although a scrotal hernia is not a dangerous condition, it can cause discomfort and anxiety for men to know that something has changed in the scrotum. Many of the symptoms of a hernia can also be similar to those of testicular cancer, but there is no proven link between the conditions, nor does a hernia increase the risk of developing cancer elsewhere later on. However, there is a link between varicose vein hernias and reduced male fertility, as the hernia can affect sperm maturation. However, most men with scrotal varicose veins have normal fertility.
Water hernia (hydrocele)
Water hernia feels like a smooth and round "rubber ball-like" lump at the site of the testicle. There is rarely any direct pain. The condition is caused when the cells inside the mucous sac surrounding the testicle begin to produce too much fluid. The testicle lies inside the change, unlike other nodules in the scrotum, which lie outside the testicle. It is rarely possible to determine the cause of each case, but it is believed to be caused by an irritation of the cells, for example, a viral infection that triggers the process. Having a water hernia is not dangerous in itself, but if the condition is bothersome due to size, discomfort or heaviness, it should be removed.
Water hernias can be treated with a surgical or non-operative procedure. In the non-surgical procedure, called sclerotherapy, the doctor sucks out the fluid in the testicle with a cannula and then injects a fluid that causes the hernia sac to stick together. This treatment will be sufficient in some cases, but in some cases a surgical procedure is necessary to remove the hernia through a small incision in the scrotum. The surgery is performed on an outpatient basis and under local anesthesia.
Herniated sperm (spermatocele)
Seminal hernias are fluid-filled cysts in the ducts connecting the epididymis and testicle. The contents of the cysts are a mixture of seminal fluid and sperm. A seminal hernia feels like a small hard ball in the scrotum. It will often not cause any symptoms and is therefore often discovered by accident. It is also only if the condition causes symptoms, such as a feeling of fullness in the scrotum, that treatment becomes relevant.
The treatment for seminal hernia is almost always surgery, where the hernia is removed via a small incision in the scrotum. The surgery is performed on an outpatient basis and under local anesthesia. You should take it easy for a few days after surgery.
Varicocele (varicocele)
Varicose veins are a condition where the blood vessels in the scrotum become dilated. The condition is typically caused by poor venous valves in the patient, just as it occurs in people with varicose veins. It is rarely necessary to treat the condition and in many cases it causes no discomfort, but if the patient experiences a feeling of heaviness or increased fullness in the scrotum, surgery may be considered.
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