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A hydrocele can occur at the same time as an inguinal hernia.Hydroceles can be treated with aspiration or surgery.Hydrocelectomy, also known as hydrocele repair, is a surgical procedure performed to correct a hydrocele.

In addition to filling the tunic vaginalis, the fluid may also fill a portion of the spermatic duct (epididymis) in the scrotum.

More than 80% of newborn boys are reported to have a patent (open) processus vaginalis, but it closes spontaneously in the majority of children before they are 12 months old.

The processus is not expected to close spontaneously in children over 18 months.

Inflammation is not usually present, although if the hydrocele occurs in conjunction with epididymitis (inflammation of the epididymis), the testes may be inflamed and painful.

The main symptom of a hydrocele that occurs without epididymitis is scrotal swelling.

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