Question
Pediatrics 47196: My son has a left lateral communicating hydrocele and is currently 4 years old. Can we wait until he is a bit older to treat it? The hydrocele is about 2.5 centimeters in diameter during the day. Will this affect the development of his left testicle?
Answer
Generally speaking, for hydroceles in infants and young children, if the hydrocele is not large, it can be observed and awaited, as some hydroceles may spontaneously absorb during the process of growth and development. However, if the hydrocele is larger, surgical treatment may be considered, such as performing orchidopexy. When choosing surgical treatment, it is necessary to carefully consider the risks of surgery, especially the potential for infection during the surgical process. Once infection occurs in the inner layer of the hydrocele, it is difficult to manage postoperatively, which may lead to repeated incisions for pus drainage and long-term non-healing wounds. Therefore, if surgery is not considered, alternative treatments such as traditional Chinese medicine can be tried, such as certain herbal remedies that have diuretic and moisture-retaining properties and can regulate body functions, with the hope of benefiting the condition.