Hydrocele repair
HydrocelectomyHydrocele repair is surgery to correct the swelling of the scrotum that occurs when you have a hydrocele. A hydrocele is a collection of fluid around a testicle.
Scrotum
The scrotum is a part of a male's body that is located below the penis. The scrotum is the sac (pouch) that contains the testes, epididymis, and the...
Read Article Now Book Mark ArticleBaby boys sometimes have a hydrocele at birth. Hydroceles also occur in older boys and men. Sometimes they form when there is also a hernia (an abnormal bulging of tissue) present. Hydroceles are fairly common.
Description
Surgery to repair a hydrocele is often done at an outpatient clinic. General anesthesia is used so you will be asleep and pain-free during the procedure.
In a baby or child:
- The surgeon makes a small surgical cut in the fold of the groin, and then drains the fluid. The sac (hydrocele) holding the fluid may be removed. If needed, the surgeon strengthens the muscle wall with stitches. This is called a hernia repair.
- Sometimes the surgeon uses a laparoscope to do this procedure. A laparoscope is a tiny camera that the surgeon inserts into the area through a small surgical cut. The camera is attached to a video monitor. The surgeon makes the repair with small instruments that are inserted through other small surgical cuts.
In adults:
- The cut is most often made on the scrotum. The surgeon then drains the fluid after removing part of the hydrocele sac.
Needle drainage of the fluid is not done very often because the problem will always come back.
Why the Procedure Is Performed
Hydroceles often go away on their own in children, but not in adults. Most hydroceles in infants will go away by the time they are 2 years old.
Your surgeon may recommend hydrocele repair if the hydrocele:
- Becomes too large
- Causes problems with blood flow
- Is infected
- Is painful or uncomfortable
The repair may also be done if there is a hernia associated with the problem.
Hernia
A hernia is a sac formed by the lining of the abdominal cavity (peritoneum). The sac comes through a hole or weak area in the strong layer of the be...
Read Article Now Book Mark ArticleRisks
Risks of any anesthesia are:
- Allergic reactions to medicines
- Breathing problems
Breathing problems
Breathing difficulty may involve:Difficult breathing Uncomfortable breathingFeeling like you are not getting enough air
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Risks of any surgery are:
- Bleeding
Bleeding
Bleeding is the loss of blood. Bleeding may be:Inside the body (internal)Outside the body (external)Bleeding may occur:Inside the body when blood le...
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- Blood clots
Blood clots
Blood clots are clumps that occur when blood hardens from a liquid to a solid. A blood clot that forms inside one of your veins or arteries is calle...
Read Article Now Book Mark Article - Recurrence of the hydrocele
Before the Procedure
Always tell your health care provider what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription. Also tell your provider if you have any drug allergies or if you have had bleeding problems in the past.
Several days before surgery, adults may be asked to stop taking aspirin or other drugs that affect blood clotting. These include ibuprofen (Motrin, Advil), naproxen (Naprosyn, Aleve), some herbal supplements, and others.
You or your child may be asked to stop eating and drinking at least 6 hours before the procedure.
Take the medicines you have been told to take with a small sip of water.
After the Procedure
Recovery is quick in most cases. Most people can go home a few hours after surgery. Children should limit activity and get extra rest in the first few days after surgery. In most cases, normal activity can start again in about 4 to 7 days.
Outlook (Prognosis)
The success rate for hydrocele repair is very high. The long-term outlook is excellent. However, another hydrocele may form over time, especially if a hernia was present.
References
Aiken JJ. Inguinal hernias. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 373.
Cancian MJ, Caldamone AA. Special considerations in the pediatric patient. In: Taneja SS, Shah O, eds. Complications of Urologic Surgery. 5th ed. Philadelphia, PA: Elsevier; 2018:chap 54.
Hawksworth DJ, Khera M, Herati AS. Surgery of the scrotum and seminal vesicles. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 83.
Palmer LS, Palmer JS. Management of abnormalities of the external genitalia in boys. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 44.
A hydrocele is a collection of fluid inside the area of the scrotum, surrounding the testicle. Hydroceles are common in newborn infants and normally resolve after a few months after birth. The main symptom is a painless, swollen testicle, on one or both sides, which feels like a water-filled balloon. Hydroceles are usually not dangerous, and they are usually only treated when they cause discomfort or embarrassment, or they get so large that they threaten the blood supply of the testicle.
Hydrocele
illustration
Hydrocele repair - series
Presentation
A hydrocele is a collection of fluid inside the area of the scrotum, surrounding the testicle. Hydroceles are common in newborn infants and normally resolve after a few months after birth. The main symptom is a painless, swollen testicle, on one or both sides, which feels like a water-filled balloon. Hydroceles are usually not dangerous, and they are usually only treated when they cause discomfort or embarrassment, or they get so large that they threaten the blood supply of the testicle.
Hydrocele
illustration
Hydrocele repair - series
Presentation
Review Date: 1/1/2023
Reviewed By: Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.