Can Hydrocele Cause a Hernia?

A hydrocele does not usually cause an inguinal hernia. However, hydrocele and inguinal hernia can occur together, particularly when there is an abnormal opening or weakness in the groin area that allows abdominal contents or fluid to extend toward the scrotum.

A hydrocele is a collection of fluid around the testicle, whereas an inguinal hernia occurs when tissue from inside the abdomen protrudes through a weakened area of the groin.

These conditions are different, but they can sometimes be associated.

An inguinal hernia may cause:

• A bulge in the groin or scrotum
• Swelling that becomes more noticeable while standing, coughing, or straining
• A feeling of pressure or discomfort in the groin
• Swelling that may change in size

A hydrocele generally presents as a smoother, fluid-filled scrotal swelling. Because the two conditions can sometimes look similar or occur together, a physical examination and, when needed, ultrasound can help determine the cause.

If a hernia is present along with a hydrocele, treatment needs to address the specific underlying condition rather than assuming that the swelling is caused by hydrocele alone.

SCI International Hospital

At SCI International Hospital, Dr. Vishal Dutt Gour evaluates scrotal and groin swelling to distinguish hydrocele from an inguinal hernia and other conditions. Appropriate imaging may be recommended when the diagnosis is uncertain or when associated conditions need to be assessed.