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Dr. Puneet Madan answered : 12 years ago
Hi,
If the hydrocele is big then the only treatment is surgical,otherwise we can wait and watch if it is very small and does not cause you much symptom.
Although the surgery is very small and you can move to your work after one days rest also.
The most common reason is trivial trauma which most of us don't notice and another reason is when tunica vaginalis remains remenant or may be due to std(some infection during sex)