Hydrocele repair (Hydrocelectomy)


Hydrocele repair (Hydrocelectomy)

Approximate time90 min

A hydrocele is an accumulation of fluid surrounding the testicle. This hydrocele is responsible for a greater or lesser volume increase on one, or both sides of the scrotum. It is a benign disease that can not become infected or evolve into a more serious disease.

However, it can be responsible for discomfort, for being cumbersome during certain activities (e.g. bicycle) or for an aesthetic prejudice.

The purpose of the procedure is to restore the scrotum to a normal volume and to eliminate the symptoms for which the patient has consulted.

How is a hydrocele repair (hydrocelectomy) performed?

The procedure starts by a short incision at the brown scrotal line. The goal consists in emptying the liquid. It is sometimes necessary to remove 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 to treat a hydrocele?

There is no medical treatment for hydrocele.

The treatment of hydrocele by puncture can be offered; it is though, a temporary solution since it will most likely reoccur in the following months. This treatment is generally carried out for short-term comfort, before performing definitive surgery with a surgical repair.

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 absess 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 sutures 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.

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ProceduresHow to prepare for an Hydrocele Treatment

We will first discuss with you the procedure to determine if the hydrocele cure is the appropriate treatment We will ask you about your condition and Dr Marois will perform a physical exam.

A scrotal ultrasound can be done at the same time in the clinic to validate the diagnosis.

After all these clarifications, you will be asked to sign a form to confirm that you have understood the intervention and the risks that may result.

You will not take aspirin or anti-inflammatory drugs 5 days before the procedure and alcohol the same day. It is also recommended to shave the area around the penis and scrotum the day before the procedure.

Patients who are particularly nervous or who have already had vagal shock before, can take one Gravol 50 mg one hour before surgery.

We recommend that the patient be accompanied. Preoperative medication can be prescribed and it should be taken one hour before, to promote relaxation, control anxiety and avoid movement during surgery.

It is also recommended to avoid drinking coffee or taking other stimulants in the morning of hydrocele therapy.

Post-operative recommendations for an Hydrocele Treatment

The day of the surgery
The first day, stay in complete rest.
The day after surgery
The day after the surgery and for the first week, you can walk, but go gradually by alternating periods of activity of 30 minutes with periods of rest. Wear a fitted underwear day and night for more comfort.
The week following the surgery
If a drain has been put in place, it is removed in the first postoperative days; pain near the incision area is usually minimal and temporary.

During the first week, avoid forcing and doing activities that cause pain.

Apply an ice pack with a towel over your scrotum for 20 minutes, every hour, depending on your comfort. Cold helps reduce swelling and relieve pain.
Two weeks after surger
Do not do any sport for 15 days.

Wait about 15 days before resuming sexual activity.

Try to avoid using the stairs.

Avoid constipation.
2 months after surgery
A control appointment is scheduled two months after the intervention.

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Would you like to make an appointment, or do you have any questions? Write to us and we will get back to you as soon as possible!

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