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HYDROCELE REPAIR SURGERY

What is hydrocele repair surgery?

A hydrocelectomy is a surgical procedure to remove or repair a fluid-filled sac, called a hydrocele, surrounding the testicle. This sac causes swelling in the scrotum, the pouch holding the testes. If hydroceles affect both testicles, a bilateral hydrocelectomy may be necessary. While hydroceles are usually painless and may improve without treatment, any abnormality in the scrotum should be discussed with a healthcare provider promptly, as it could indicate a more serious problem.


When is hydrocele repair surgery indicated?

Hydrocele repair surgery is indicated in the following situations:

  • Symptoms: Surgery may be recommended if the hydrocele causes discomfort or pain or affects daily activities.
  • Large or growing hydrocele: If the hydrocele becomes significantly enlarged or continues to grow over time, surgery may be considered.
  • Complications: If the hydrocele leads to complications such as infection, testicular torsion (twisting), or hernia, surgical intervention may be necessary.
  • Fertility concerns: In cases where the hydrocele causes infertility or affects sperm production, surgery may be performed to address the underlying issue.
  • Cosmetic reasons: If the individual desires the removal of the hydrocele for cosmetic purposes or to alleviate psychological distress, surgery can be an option.

Ultimately, the decision for hydrocele repair surgery is based on the individual's symptoms, the size of the hydrocele, potential complications, and the patient's preferences, which are assessed and discussed with a urologist.


How is hydrocelectomy performed?

During the hydrocele repair surgery, the urologist will ensure your comfort by administering general anaesthesia. Once you are asleep, a small incision will be made in your scrotum or in the groin area near the scrotum. If you have a communicating hydrocele, the opening between the processus vaginalis and the scrotum will be closed. The hydrocele sac will be carefully removed by your healthcare provider. If a hernia is present or discovered during the procedure, it will be repaired simultaneously. To aid in draining any blood or fluid, your surgeon may insert small silicone tubes that will be stitched in place. Finally, the incision will be stitched closed to complete the surgery.

 

FAQ


What is the recovery process like after hydrocele repair surgery?

Recovery time can vary, but typically patients can expect some swelling, discomfort, and bruising in the scrotal area. Pain medication may be prescribed to manage any post-operative pain. It's important to follow your healthcare provider's instructions for post-operative care, such as keeping the incision area clean and avoiding strenuous activities for a certain period.



Are there any risks or complications associated with hydrocele repair surgery?

Just like any surgery, there are potential risks and complications, although they are generally rare. These can include infection, bleeding, blood clots, damage to surrounding structures, recurrence of the hydrocele, or adverse reactions to anaesthesia. It's important to discuss any concerns with your healthcare provider before undergoing the procedure.



When can I return to normal activities after hydrocele repair surgery?

The recovery timeline can vary, but most individuals can resume light activities within a week or two. Strenuous activities or heavy lifting should be avoided for a longer period, as advised by your healthcare provider. It's important to listen to your body and gradually increase activity levels based on your comfort and healing progress. Follow-up appointments will be scheduled to monitor your recovery.

 

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