Overview
Hydrocele repair surgery, also called a hydrocelectomy, is a safe and effective procedure carried out to reduce swelling in the scrotum. This is done by repairing or removing the hydrocele, a liquid-filled sac surrounding the testicles. A hydrocele typically occurs while the foetus is still developing inside the womb.
If a hydrocele occurs in adults, it may be due to one of the following reasons:
- Traumatic injury
- Infection
- Inflammation in the area
A hydrocele results in painless swelling in the scrotal area (the pouch containing the testicles). This is a common and normal occurrence in male newborns, particularly premature baby boys, and should not cause undue concern.
When the sac fails to close, the hydrocele is referred to as ‘open’ or ‘communicating’. When the hydrocele communicates, the fluid surrounding the testicle may flush back into the abdomen.
Are hydroceles considered life-threatening?
Hydroceles are generally not considered dangerous and may be entirely painless. It's important to note that they are typically not life-threatening. However, there may be repercussions of an untreated hydrocele because if the sac is left open, a fragment of the intestine can push through, causing a hernia to form. If the scrotum becomes large and hard, you must visit the doctor urgently.
Procedure
During hydrocele repair surgery, which is performed under general anaesthetic, your urologist creates a small incision in the scrotum or the groin region. If the hydrocele communicates with the abdominal cavity, the urologist seals the opening between the processus vaginalis and scrotum.
The hydrocele sac is surgically removed, and the tissue is turned inside out to minimise the risk of recurrence. A hernia can also occur together with a hydrocele, in which case, the hernia must also be repaired. Afterwards, a surgical drain is used to remove excess fluid and blood from the area.
FAQ
FREQUENTLY ASKED QUESTIONS
What are considered concerning urological symptoms?
- A weak urinary stream
- Signs of bladder stones
- Difficulty urinating
- Pain