55000 Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication

Name of the Procedure

Puncture Aspiration of Hydrocele, Tunica Vaginalis
Common name(s): Hydrocele Aspiration

Summary

This procedure involves using a needle to drain excess fluid from a hydrocele, a fluid-filled sac around a testicle. Sometimes, medication is injected to prevent fluid from re-accumulating.

Purpose

Hydrocele aspiration addresses the problem of hydrocele formation, which can cause swelling and discomfort in the scrotum. The goal is to relieve symptoms and prevent recurrence of fluid buildup.

Indications

• Noticeable swelling in the scrotum
• Discomfort or pain due to hydrocele
• Hydrocele causing embarrassment or impact on daily activities
• Diagnosis confirmed via ultrasound or physical examination

Preparation

• Fasting is usually not required.
• Discontinue certain medications as advised by your healthcare provider.
• A scrotal ultrasound may be performed to confirm diagnosis and evaluate the hydrocele.

Procedure Description

1. The patient lies on their back.
2. The scrotal area is cleansed and sterilized.
3. Local anesthesia is injected to numb the area.
4. A fine needle is inserted into the hydrocele sac.
5. Fluid is aspirated (drained) using a syringe.
6. In some cases, a sclerosing agent may be injected to prevent future fluid buildup.
7. The needle is removed, and a small bandage is applied.

Duration

The procedure typically takes about 15 to 30 minutes.

Setting

Performed in a hospital, outpatient clinic, or a surgical center.

Personnel

• Urologist or trained healthcare provider
• Nurses to assist with the procedure

Risks and Complications

• Infection at the puncture site
• Bleeding or bruising
• Pain or discomfort
• Recurrence of hydrocele
• Allergic reaction to medication

Benefits

• Immediate relief from swelling and discomfort
• Quick procedure with minimal recovery time
• May prevent the need for surgical intervention

Recovery

• Mild discomfort managed with over-the-counter pain relievers
• Avoid strenuous activities for a few days
• Monitor for signs of infection (redness, swelling, fever)
• Follow-up appointment to check for recurrence

Alternatives

• Surgical removal (hydrocelectomy): more definitive but involves longer recovery.
• Watchful waiting: suitable for small, asymptomatic hydroceles.

Patient Experience

• Mild to moderate pain during needle insertion, managed with local anesthesia.
• Some discomfort and soreness post-procedure.
• Quick return to most normal activities with some minor restrictions.