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A hydrocele (HI-droe-seel) is a type of swelling in the scrotum, the pouch of skin that holds the testicles. This swelling happens when fluid collects in the thin sac that surrounds a testicle. Hydroceles are common in newborns. They often go away without treatment by age 1. What are the causes of hydrocele? A hydrocele can form as a congenital process where fluid collects around the testicle as it descends from the abdomen into the scrotum prior to birth. Most of these will resolve on their own as the body reabsorbs the fluid. What is the best treatment for hydrocele? The recommended treatment for a communicating hydrocele is an operation since the communication between the abdominal cavity and the scrotum will not close or seal on its own.