Hydrocele surgery

Hydrocele is an accumulation of tissue fluid in the scrotum, between the testicular membranes, leading to the scrotum enlargement and discomfort. Hydrocele is commonly diagnosed in the new-born babies, however in children before they reach the age of one year, it usually resolves by itself, spontaneously. The cause of hydroceles in adults may be related to trauma, inflammation and infections.

Hydrocele looks and during palpation is felt from both sides of the scrotum like a differently sized balloon filled with fluid placed inside. Usually hydrocele is not painful, however it can cause discomfort due to its size – it interferes with sitting, laying, exercising sport, or having sexual intercourse, a tension can be felt. If hydrocele is infected, the scrotum becomes painful and especially sensitive for palpation.

If you noticed the enlarged scrotum it is recommended to contact physician urologist, who will carry out an examination, and after the case assessment will prescribe the most suitable treatment.

How is the surgery done?

The surgery is carried out under local, spinal or general anaesthesia, in children – under general anaesthesia. A small incision is made in the lateral aspect of scrotum during the surgery; it is used to separate hydrocele sac; the fluid is drained, the membranes of hydrocele sac is removed and the wound is sutured.

After surgery care and healing

  • Daily change of dressings is required for 7 days after the surgery.
  • Sexual intercourse should be avoided for 4 weeks after the surgery.
  • It is recommended to avoid strenuous physical activities, sports, visiting saunas, taking a bath, swimming in the swimming pools or water bodies for 4 weeks.
  • Care should be taken to prevent perineal traumas for 4 weeks after the surgery.
  • In rare cases hydrocele can reoccur after the surgery. In such cases, the fluid can be removed with the help of needle or repeated surgery may be required.

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