What is a hydrocelectomy?
A hydrocelectomy is a surgical intervention aimed at addressing a hydrocele characterized by fluid accumulation around a testicle. While some hydroceles may resolve on their own, larger ones can lead to swelling, discomfort, and pain in the scrotum, necessitating surgical intervention. During a hydrocelectomy, the accumulated fluid is drained, and the sac housing the liquid is reduced in size.
Hydroceles are frequently observed in male infants, including newborns, and also affect around 1 per cent of adult males, with a higher incidence typically seen in individuals over 40.
Who might need hydrocelectomy?
A hydrocele may develop in the scrotum without causing significant discomfort or medical issues. Over-the-counter anti-inflammatory pain relievers can be used in such cases, and observation is advised to see if the swelling diminishes. Typically, the swelling resolves on its own within six months.
However, if the hydrocele becomes sufficiently large, surgical intervention may be necessary. Symptoms that indicate the need for surgery include swelling on one side of the scrotum, pain in one or both testicles and a sensation of uncomfortable heaviness due to scrotal enlargement.
What happens during hydrocelectomy?
Your healthcare provider will administer general anaesthesia to ensure comfort during the procedure.
Once you are unconscious, a small incision will be made in your scrotum or groin area near the scrotum.
If a communicating hydrocele is present, your healthcare provider will close the opening between the processus vaginalis and the scrotum.
Subsequently, the hydrocele sac will be carefully removed.
In cases where a hernia coexists with a hydrocele, or if a hernia is discovered during the procedure, it will also be repaired.
To facilitate drainage of any remaining blood or fluid, small silicone tubes may be inserted by your surgeon and securely stitched in place.
Finally, the incision will be closed with stitches.
What are the complications of hydrocelectomy?
Like all surgical interventions, a hydrocelectomy comes with inherent risks. These may include:
- Potential complications related to anaesthesia.
- Challenges with wound healing.
- Risk of infection.
- Formation of a blood clot mass (hematoma).
- Swelling and bruising.
- Unsightly scarring.
- Possibility of recurrence.
Speak to our experts about hydrocelectomy
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