Inguinal hernia versus hydrocoeles

Presentation

Both conditions present with a swelling in the groin, often extending down into the scrotum. A hernia usually has loops of bowel which descend into the scrotum, while a hydrocoele consists simply of fluid around a testis.

Complications

A hydrocoele is usually innocuous, while a hernia may obstruct and result in a very sick child with severe tummy pain and vomiting.

Is treatment required

If a hydrocoele is persistent, then it may need surgery anytime between 3-5 years of age , depending on the size. We strongly recommend that a hernia is fixed within 2-3 weeks of diagnosis, to prevent it from obstructing in the future with grave consequences.