Tests and diagnosisBy Mayo Clinic staff
Your doctor will do a physical exam. The exam may reveal an enlarged scrotum that isn't tender to the touch. Pressure to the abdomen or scrotum may enlarge or shrink the fluid-filled sac, which may indicate an associated inguinal hernia.
Because the fluid in a hydrocele usually is clear, your doctor may shine a light through the scrotum (transillumination). With a hydrocele, the light will outline the testicle, indicating that clear fluid surrounds it.
If your doctor suspects your hydrocele is caused by inflammation, blood and urine tests may help determine whether you have an infection, such as epididymitis.
The fluid surrounding the testicle may keep the testicle from being felt. In that case, you may need an ultrasound imaging test. This test, which uses high-frequency sound waves to create images of structures inside your body, can rule out a hernia, testicular tumor or other cause of scrotal swelling.
- Elder JS. Disorders and anomalies of the scrotal contents. In: Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed Sept. 17, 2011.
- Hydroceles and inguinal hernias. American Urological Association. http://www.urologyhealth.org/urology/index.cfm?article=129. Accessed Sept. 17, 2011.
- Wampler SM. Common scrotal and testicular problems. Primary Care: Clinics in Office Practice. 2010;37:613.
- Barthold JS. Abnormalities of the testes and scrotum and their surgical management. In: Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/das/book/body/208746819-6/0/1445/0.html. Accessed Sept. 17, 2011.
- Albanese CT, et al. Pediatric surgery. In: Doherty GM. Current Diagnosis & Treatment: Surgery. 13th ed. New York, N.Y.: The McGraw-Hill Companies; 2010. http://www.accessmedicine.com/content.aspx?aID=5316074. Accessed Sept. 17, 2011.
- Hydrocele. National Guideline Clearinghouse. http://www.guideline.gov/content.aspx?id=12592. Accessed Sept. 17, 2011.
- Painless scrotal mass. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/genitourinary_disorders/symptoms_of_genitourinary_disorders/painless_scrotal_mass.html. Accessed Sept. 17, 2011.
- Cimador M, et al. Management of hydrocele in adolescent patients. Nature Reviews Urology. 2010;7:379.