An inguinal hernia occurs if a small part of the intestine drops into the scrotum with the testes. The intestine can form a lump in the scrotum.AUASummit-Hernia:Symptoms,Diagnosis&TreatmentAdvertisementUrologyA-ZHydrocelesandInguinalHernia  InThisSectionHydrocelesandInguinalHerniaSymptomsCausesDiagnosisTreatmentAfterTreatmentAdvertisementAdvertisementWhatareHydrocelesandInguinalHernias?Hydrocelesoccurwhenfluidfillsasacinthescrotumofthepenis(inthe"inguinalcanal").About10in100maleinfantshaveahydroceleatbirth.Hydrocelescanalsodevelopwithswellingorinjuryofthescrotum.Aninguinalherniaoccursifasmallpartoftheintestinedropsintothescrotumwiththetestes.Theintestinecanformalumpinthescrotum.Thereare2kindsofinguinalhernias.Indirectinguinalherniasoccurinabout1in100babyboysandtherateishigherinprematureinfants.Directinguinalherniasarefairlycommoninolderadultmales.Hydrocelesandinguinalherniascanbecomeaproblemformales.Femalesdonotgethydroceles,buttheycangethernias.Tentimesmoremalesgetherniasthanfemales.DiagramofHydroceleEnlargeSymptomsHydrocelesdon'toftencausesymptoms.Eventhoughtheswellingmayworrynewparents,itdoesnotbotherababyandoftengoesawayinthefirstyear.Inoldermalesahydroceleismostoftenpainless,butmaycausesomepainduetotheincreasedsizeofthescrotum.WhataretheSignsofaHernia?Onlyabout25%ofherniascausepain.Ifthebulgeformswherethethighandgroinmeet,itcanoftenbeseenandfelt.Ifthebulgingintestineentersthescrotum,itcancausepainand/orswelling.CausesHydrocelesThetesticlesdevelopnearthekidneysintheabdomen.Bytheendofpregnancy,theymovedowntotheirnormalpositioninthescrotum.Amuscleliningopensinthescrotum(theinguinalring)toletthetestesdropfromtheabdomen,formingasacorcanal.Iftheringstaysopenorreopens,asmallamountoffluidcanmovefromthebellytothescrotumthroughthispassage.Thiscausesahydrocele.Inmostboysthiscanalcloses.Hydrocelescanalsohappenafterinjuryandswellingofthescrotum.Theycangetbetterinafewmonths.Ifnot,theyneed medicalattention.IllustrationofDecendingTestesEnlargeHerniasInguinalherniashappenwhenth