Name of the Procedure:

Unilateral Excision of Hydrocele of Spermatic Cord
Common names: Hydrocelectomy, Spermatic Cord Hydrocele Surgery
Medical terms: Unilateral Excision of Hydrocele of Spermatic Cord

Summary

This procedure involves the surgical removal of a hydrocele, which is a fluid-filled sac around a testicle, specifically located around the spermatic cord on one side. It is commonly performed to relieve swelling and discomfort.

Purpose

The procedure addresses the presence of a hydrocele on the spermatic cord, which can cause swelling, discomfort, or pain in the scrotum. The goal is to remove the fluid-filled sac to alleviate symptoms and prevent further complications.

Indications

• Persistent or painful swelling in the scrotum.
• A noticeable hydrocele that causes discomfort or embarrassment.
• Infection or risk of complications related to the hydrocele.
• Failure of a hydrocele to resolve on its own after a period of observation.

Preparation

• Patients may be instructed to fast for a certain period before the surgery.
• Preoperative assessments, including blood tests and a scrotal ultrasound, may be required.
• Discuss any current medications with your physician; some may need to be discontinued.

Procedure Description

1. Anesthesia: Administered general or local anesthesia.
2. Incision: A small incision is made in the groin or scrotum.
3. Exposure: The hydrocele is separated from the surrounding tissues.
4. Excision: The fluid-filled sac (hydrocele) is carefully excised.
5. Closure: The incision is closed with sutures.
6. Postoperative Care: Wound is dressed and scrotal support may be applied.

Duration

The procedure typically takes about 30 minutes to 1 hour.

Setting

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

Personnel

• Surgeon (typically a urologist)
• Anesthesiologist (if general anesthesia is used)
• Surgical nurses and assistants

Risks and Complications

• Infection
• Bleeding or hematoma
• Recurrence of the hydrocele
• Injury to surrounding structures, such as the testicle or blood vessels
• Scrotal swelling and tenderness

Benefits

• Relief from swelling and discomfort
• Improved scrotal appearance
• Prevention of further complications, such as infection

Recovery

• Patients may be advised to rest and avoid strenuous activities for several days.
• Pain management may include prescribed painkillers or over-the-counter medications.
• Follow-up appointments to monitor healing and remove sutures if needed.
• Full recovery is typically within a few weeks, with many patients resuming normal activities within 1-2 weeks.

Alternatives

• Observation: Some hydroceles resolve on their own without intervention.
• Aspiration: Temporary removal of fluid, though the hydrocele may recur.
• Sclerotherapy: Injection to shrink the hydrocele, often used if surgery is not preferred.

Patient Experience

• During the procedure, patients under local anesthesia may feel slight tugging but no pain.
• Post-procedure, mild to moderate pain and swelling are common, managed with pain relievers.
• Scrotal support or ice packs may be suggested to reduce swelling and discomfort.
• Patients are generally able to return home the same day, with instructions for self-care.