How is a hydrocele repair (hydrocelectomy ) performed?
The procedure is led by a short incision at the brown scrotal line. First, it consists in emptying the liquid. Secondly, it is sometimes necessary to excise part of the envelope and then reconfigure the envelope to reduce the risk of recurrence. Sutures are used for closing the skin.
A drain is sometimes left in place temporarily.
Are there other treatment options for a hydrocele?
There is no medical treatment for hydrocele.
The treatment of hydrocele by puncture or sclerotherapy may be proposed but the risk of recurrence is high and secondary treatment by surgery becomes more difficult. This treatment is now rarely done.
What are the risks and complications of a hydrocelectomy?
Any surgical procedure involves a number of risks that are not always predictable. Complications directly related to the operation are rare, but possible:
- Hematoma: A re-intervention to stop bleeding and drain the hematoma may be necessary.
- Delayed healing that may require prolonged local care.
- Infection: the existence of a flow through the incision, general signs of infection such as fever, or local as an inflammation of the bursa, can lead to the initiation of a suitable antibiotic treatment and the treatment of a possible abscess by Dr. Marois.
- Testicular atrophy: it is of exceptional emergence after hydrocele surgery.
- Recurrence: the risk is extremely low.
It is possible that the scrotum is bluish or black for a few days, it is normal, everything will return to order in 2 or 3 weeks. Melting points are used, they will resorb themselves in 12 to 15 days.
When the sutures are resorbed, there may be a flow similar to pus. Take a bath every day. Shower is allowed after 24 hours and bath after 48 hours.