Name of the Procedure:

Excision of Hydrocele; Unilateral Common Name(s): Hydrocelectomy, Removal of Hydrocele

Summary

Hydrocelectomy is a surgical procedure performed to remove a hydrocele, which is a fluid-filled sac around a testicle. This procedure is done unilaterally, meaning on one side only.

Purpose

This surgery is performed to address a hydrocele, which can cause swelling and discomfort in the scrotum. The goals are to eliminate discomfort, reduce swelling, and prevent potential complications such as infection or hernia.

Indications

• Noticeable swelling in the scrotum
• Discomfort or pain in the testicular area
• Inability to participate in normal physical activities due to discomfort
• Diagnosed hydrocele that does not resolve on its own or recurs

Preparation

• Fasting for at least 6-8 hours prior to the procedure
• Discontinuing certain medications as advised by the healthcare provider
• Preoperative assessments, such as blood tests or an ultrasound of the scrotum, to confirm the diagnosis

Procedure Description

1. Anesthesia is administered, typically general anesthesia, but sometimes local anesthesia with sedation may be used.
2. An incision is made in the scrotum or the lower abdomen to access the hydrocele.
3. The hydrocele sac is carefully separated from the testicle and removed.
4. The area is inspected for any additional issues, and then layers of tissue are stitched back together.
5. The incision is closed with sutures, and a sterile dressing is applied.

Duration

The procedure typically takes about 30 minutes to one hour, depending on the complexity.

Setting

The procedure is usually performed in a hospital or an outpatient surgical center.

Personnel

• Surgeon (Urologist or General Surgeon)
• Anesthesiologist
• Surgical Nurses
• Operating Room Technicians

Risks and Complications

• Infection
• Bleeding
• Scrotal hematoma (accumulation of blood)
• Injury to surrounding structures, such as the vas deferens
• Recurrence of the hydrocele
• Adverse reactions to anesthesia

Benefits

• Relief from scrotal swelling and discomfort
• Improved physical activity and quality of life
• Low risk of recurrence with proper surgical technique The benefits are usually realized within a few weeks post-surgery.

Recovery

• Rest and limited physical activity for the first few days
• Wearing supportive underwear to minimize swelling
• Pain management through prescribed medications
• Avoiding heavy lifting and strenuous activity for several weeks
• Follow-up appointments to monitor healing and address any concerns

Alternatives

• Aspiration: Removing the fluid with a needle, which has a higher chance of recurrence compared to surgery.
• Observation: Monitoring for any changes in size or symptoms, suitable for small, asymptomatic hydroceles.

Patient Experience

During the procedure, the patient is under anesthesia and will not feel pain. Post-procedure, some discomfort, swelling, and bruising can occur but are managed with pain relief measures and supportive care. Follow-up appointments ensure proper recovery and address any complications.