55060 Repair of tunica vaginalis hydrocele (Bottle type)

CPT4 code

#### Name of the Procedure:
Repair of tunica vaginalis hydrocele (Bottle type)

#### Summary
This procedure involves surgically correcting a hydrocele, which is a fluid-filled sac around a testicle. The fluid accumulation can cause swelling and discomfort. The term "Bottle type" refers to a specific surgical technique used to repair the hydrocele.

#### Purpose
The procedure aims to relieve the swelling and discomfort caused by a hydrocele. By removing the excess fluid and repairing the tunica vaginalis, normal appearance and function are restored to the affected area.

#### Indications
- Noticeable swelling or enlargement of the scrotum
- Discomfort or pain in the scrotum
- Difficulty with daily activities or sexual function due to the swelling
- Diagnosis of a hydrocele confirmed by a physician

#### Preparation
- Patients may be instructed to fast for at least 6-8 hours prior to surgery.
- Adjustments to medications, especially blood thinners, may be necessary.
- Pre-surgical tests might include blood work, imaging studies like an ultrasound, and a thorough medical evaluation.

#### Procedure Description
1. The patient is administered either general or local anesthesia.
2. An incision is made in the scrotum to access the hydrocele.
3. The fluid is drained from the hydrocele sac.
4. The tunica vaginalis (the membrane surrounding the testicle) is either excised (partially removed) or plicated (folded and stitched) to prevent recurrence.
5. The incision is closed with sutures, and a dressing is applied.

#### Duration
The procedure typically takes about 30 minutes to 1 hour.

#### Setting
This surgery is usually performed in a hospital or an outpatient surgical center.

#### Personnel
- Surgeon
- Anesthesiologist or nurse anesthetist
- Surgical nurses and technicians

#### Risks and Complications
- Infection at the surgical site
- Bleeding or hematoma formation
- Recurrence of the hydrocele
- Injury to surrounding structures such as the testicle or blood vessels
- Adverse reactions to anesthesia

#### Benefits
- Relief from swelling and discomfort in the scrotum
- Return to normal appearance and function
- Immediate improvement is often noticed after recovery from anesthesia

#### Recovery
- Patients are usually discharged the same day.
- Pain and swelling can be managed with prescribed medications.
- Most individuals can resume normal activities within a week but should avoid strenuous activities for a few weeks.
- Follow-up appointments are scheduled to ensure proper healing.

#### Alternatives
- Watchful waiting if the hydrocele is not causing significant discomfort.
- Aspiration of the hydrocele fluid, although this is usually a temporary measure and not a permanent solution.

#### Patient Experience
During the procedure, the patient will be under anesthesia and will not feel pain. Post-procedure, there might be some discomfort and swelling, which can be managed with pain medication. Patients are advised to wear supportive underwear and avoid heavy lifting or strenuous activities during the recovery period.

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