Hydrocelectomy

A hydrocelectomy is a surgical procedure to remove or repair a hydrocele, which is a fluid-filled sac surrounding the testicle that causes scrotal swelling. A hydrocele occurs when fluid accumulates in the tunica vaginalis, the membrane around the testicle. It is usually:

  • Painless, though large hydroceles can cause discomfort or heaviness

  • Benign, but can sometimes indicate underlying conditions like infection, trauma, or a tumor

How the Procedure Works

Performed under general or regional anesthesia, a small incision is made in the scrotum, and the hydrocele sac is opened and drained. Excess sac tissue may be removed and sutured to prevent a recurrence. Dissolvable stitches are used to close the incision.

Recovery

  • Most patients go home the same day

  • Mild pain, swelling, and bruising are normal

  • Ice packs, scrotal support, and pain medication help reduce discomfort

  • Return to light activity in a few days; avoid heavy lifting or sexual activity for 2–4 weeks

  • Full recovery in 4–6 weeks

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