endolymphatic hydrops endolymphatic hydrops endolymphatic hydrops is a disorder of the inner ear. it consists of an excessive build-up of the endolymph fluid, which fills the hearing and balance structures of the inner ear. endolymph fluid, which is partly regulated by the endolymph sac, flows through the inner ear and is critical to the function of all sensory cells in the inner ear. in addition to water, endolymph fluid contains salts such as sodium, potassium, chloride and other electrolytes. if the inner ear is damaged by disease or injury, the volume and composition of the endolymph fluid can change, causing the symptoms of endolymphatic hydrops.