The main symptom is a painless, swollen testicle , one or both sides, which feels like a water-filled balloon.
During a physical exam, the doctor usually finds an enlarged scrotum that is not tender. Often, the testicle cannot be felt because of the surrounding fluid. The size of the fluid-filled sack can sometimes be increased and decreased by pressure to the abdomen or the scrotum.
If the size of the fluid collection is variable, it is more likely to be associated with an inguinal hernia. The fluid in a hydrocele is usually clear. Therefore, a light can be shined through the scrotum, outlining the testicle surrounded by clear fluid. An ultrasound may be done to confirm the diagnosis.
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