{"id":3923,"date":"2022-10-04T09:00:32","date_gmt":"2022-10-04T01:00:32","guid":{"rendered":"https:\/\/asiamd.com\/?p=3923"},"modified":"2025-08-20T16:01:26","modified_gmt":"2025-08-20T16:01:26","slug":"groin-and-scrotal-swelling-causes-and-treatments-for-children","status":"publish","type":"post","link":"https:\/\/asiamd.bqubetech.com\/th\/2022\/10\/04\/groin-and-scrotal-swelling-causes-and-treatments-for-children\/","title":{"rendered":"Groin and scrotal swelling \u2013 causes and treatments for children"},"content":{"rendered":"<p class=\"p5\" style=\"text-align: left;\"><span class=\"s3\"><i>This article has been fact-checked by <a href=\"https:\/\/asiamd.bqubetech.com\/make-an-appointment\/?dr=wong_zeng_hao_joel\">Dr Wong Zeng Hao Joel<\/a>, paediatric surgeon at Paediatric Surgery &amp; Urology International, Thomson Medical Centre.<\/i><br \/>\n<a href=\"https:\/\/asiamd.bqubetech.com\/doctors\/wong-zeng-hao-joel\/\">About the Doctor<\/a><\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">As babies grow inside the womb, a channel that connects their abdomen to the scrotum or labia closes before they are born. For some babies, however, this process is not completed before birth, allowing abdominal fluid to leak into the groin or scrotum, causing a type of swelling known as a <a href=\"https:\/\/childsurgery.sg\/hydrocele\" target=\"_blank\" rel=\"noopener\"><span class=\"s2\">hydrocele<\/span><\/a>. If the opening of the channel is too large, body fat or part of the intestines could slide into the channel, leading to a bulge in the groin or scrotum called an <a href=\"https:\/\/www.childsurgery.sg\/hernia\/\" target=\"_blank\" rel=\"noopener\"><span class=\"s2\">inguinal hernia<\/span><\/a>.<\/span><\/p>\n<blockquote>\n<p class=\"p1\"><span class=\"s1\"><a href=\"http:\/\/t.me\/AsiaMDsg\" target=\"_blank\" rel=\"noopener\"><b><i>Follow us on Telegram for the latest updates: https:\/\/t.me\/AsiaMDsg<\/i><\/b><\/a><\/span><\/p>\n<\/blockquote>\n<p class=\"p1\"><span class=\"s1\">Hydroceles are usually harmless, and <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/hydrocele\/symptoms-causes\/syc-20363969\" target=\"_blank\" rel=\"noopener\"><span class=\"s2\">most of them disappear without treatment<\/span><\/a> within one to two years as the channel shrinks and closes after birth and the abdominal fluid is reabsorbed by the body. Those that do not get better on their own may require surgery to eliminate the hydrocele and close the channel.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Inguinal hernias, on the other hand, do not improve on their own, and may result in <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/inguinal-hernia\/symptoms-causes\/syc-20351547\" target=\"_blank\" rel=\"noopener\"><span class=\"s2\">life-threatening complications<\/span><\/a>. If part of the intestines is trapped in the channel, its blood supply could decrease, become strangulated and die. Signs of a strangulated intestine include a bulge in the groin or scrotum that is red, purple, or dark; vomiting, nausea, fever, sudden pain that intensifies quickly, and inability to move bowels or pass gas. Babies or children with these symptoms need immediate treatment.<\/span><\/p>\n<h2 class=\"p4\"><span class=\"s1\">Treating hydroceles and inguinal hernias<\/span><\/h2>\n<p class=\"p4\"><span class=\"s1\">Surgeries to treat hydroceles and inguinal hernias can be carried out as open or laparoscopic surgeries. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">During open surgery, surgeons will make a single cut in the scrotum or groin to <a href=\"https:\/\/www.hopkinsallchildrens.org\/Services\/Pediatric-General-Surgery\/Procedures\/Surgery-for-Hydrocele-Repair\" target=\"_blank\" rel=\"noopener\"><span class=\"s2\">drain the hydrocele<\/span><\/a> or <a href=\"https:\/\/www.hopkinsallchildrens.org\/Services\/Pediatric-General-Surgery\/Conditions\/Inguinal-Hernia\" target=\"_blank\" rel=\"noopener\"><span class=\"s2\">push the trapped fat or intestine back into the<\/span><\/a><\/span><span class=\"s2\"> correct abdominal space.<\/span><span class=\"s1\"> The surgeon then closes the opening of the channel with stitches. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">In laparoscopic surgery, also called keyhole surgery, for <a href=\"https:\/\/www.childsurgery.sg\/hydrocele-repair-hydrocelectomy\/\" target=\"_blank\" rel=\"noopener\"><span class=\"s2\">hydroceles<\/span><\/a> or <a href=\"https:\/\/www.childsurgery.sg\/hernia-repair-herniotomy\/\" target=\"_blank\" rel=\"noopener\"><span class=\"s2\">inguinal hernias<\/span><\/a>, the surgeon makes smaller cuts in the abdomen instead. These are used to insert special instruments for the surgery, including a thin, telescope-like device, called a laparoscope, that is connected to a tiny video camera to project an inside view of the body onto television screens in the operating room.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Laparoscopic surgery has several advantages, mainly visualising the opening of the channel on the other side of the tummy, and excluding the risk of a contralateral hernia. Other advantages include tiny scars rather than a larger one, with less risk of keloid formation and less pain after surgery. However, it may not be suitable for some children.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Swelling in the groin or scrotum could be due to hydroceles, which are harmless. More serious inguinal hernias can result in life-threatening complications.<\/p>\n","protected":false},"author":10,"featured_media":5554,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"sfsi_plus_gutenberg_text_before_share":"","sfsi_plus_gutenberg_show_text_before_share":"","sfsi_plus_gutenberg_icon_type":"","sfsi_plus_gutenberg_icon_alignemt":"","sfsi_plus_gutenburg_max_per_row":"","footnotes":""},"categories":[116],"tags":[648,662,1769,1902],"class_list":["post-3923","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-paediatric-surgery","tag-hydrocele","tag-inguinal-hernia","tag-1769","tag-1902"],"translation":{"provider":"WPGlobus","version":"3.0.0","language":"th","enabled_languages":["en","zh","ko","ja","mn","vi","ta","th","ms","km","id","my","hi"],"languages":{"en":{"title":true,"content":true,"excerpt":true},"zh":{"title":true,"content":true,"excerpt":true},"ko":{"title":false,"content":false,"excerpt":false},"ja":{"title":false,"content":false,"excerpt":false},"mn":{"title":false,"content":false,"excerpt":false},"vi":{"title":false,"content":false,"excerpt":false},"ta":{"title":false,"content":false,"excerpt":false},"th":{"title":false,"content":false,"excerpt":false},"ms":{"title":false,"content":false,"excerpt":false},"km":{"title":false,"content":false,"excerpt":false},"id":{"title":false,"content":false,"excerpt":false},"my":{"title":false,"content":false,"excerpt":false},"hi":{"title":false,"content":false,"excerpt":false}}},"_links":{"self":[{"href":"https:\/\/asiamd.bqubetech.com\/th\/wp-json\/wp\/v2\/posts\/3923","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/asiamd.bqubetech.com\/th\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/asiamd.bqubetech.com\/th\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/asiamd.bqubetech.com\/th\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/asiamd.bqubetech.com\/th\/wp-json\/wp\/v2\/comments?post=3923"}],"version-history":[{"count":4,"href":"https:\/\/asiamd.bqubetech.com\/th\/wp-json\/wp\/v2\/posts\/3923\/revisions"}],"predecessor-version":[{"id":10346,"href":"https:\/\/asiamd.bqubetech.com\/th\/wp-json\/wp\/v2\/posts\/3923\/revisions\/10346"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/asiamd.bqubetech.com\/th\/wp-json\/wp\/v2\/media\/5554"}],"wp:attachment":[{"href":"https:\/\/asiamd.bqubetech.com\/th\/wp-json\/wp\/v2\/media?parent=3923"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/asiamd.bqubetech.com\/th\/wp-json\/wp\/v2\/categories?post=3923"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/asiamd.bqubetech.com\/th\/wp-json\/wp\/v2\/tags?post=3923"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}