Hydrocele is the accumulation of fluid around the testicle, causing swelling and tightness in the scrotum (testicular sac). It is usually painless, but it can lead to cosmetic concerns, a sensation of heaviness, and very rarely, discomfort. The definitive treatment for hydrocele is a surgical procedure called hydrocelectomy.
Causes of Hydrocele:
- Congenital factors (hydrocele observed in childhood)
- Testicular infections
- Trauma or injuries to the testicle
- Fluid accumulation associated with testicular tumors
- Age-related weakening of subcutaneous tissue
How is Hydrocelectomy Performed?
- The procedure is performed under general or spinal anesthesia.
- A small incision is made in the scrotum.
- The hydrocele sac is opened and the fluid is drained.
- Excess sac tissue is removed and reshaped to prevent fluid reaccumulation, restoring the surrounding testicular tissue to its normal structure.
- The surgery typically lasts about 45–60 minutes.
- Most patients are discharged on the same day.
Advantages of Hydrocelectomy:
- Provides a permanent and definitive solution.
- Restores the aesthetic appearance of the scrotum.
- Is a safe and effective surgical procedure.
Recovery After Hydrocelectomy:
- Mild swelling and discomfort in the scrotum may occur during the first week.
- Patients can usually return to daily activities within 3–5 days.
- Sexual activity is generally resumed after 3–4 weeks.
- Regular follow-up exams are conducted to monitor healing.
Final Notes:
Hydrocelectomy is the gold standard surgical method for treating hydrocele. When performed by experienced urologists, it is a safe, effective procedure that ensures high patient satisfaction.