Advanced Hydrocele Surgery (Hydrocelectomy)

What Happens During Hydrocele Surgery?

Once your urologist confirms the diagnosis and recommends treatment, the exact steps may vary depending on the type of hydrocelectomy, either minimally invasive (laparoscopic) or traditional open surgery.

Laparoscopic Hydrocelectomy (Minimally Invasive Procedure)

This is a preferred option for many patients at Pristyn Care, as it offers quicker recovery, less post-operative discomfort, and minimal scarring.

Here is what typically happens during a laparoscopic hydrocelectomy:

• 1–3 small incisions are made in the lower abdomen or scrotal area, depending on the surgeon’s approach.
• A laparoscope (thin tube with a light and camera) is inserted through one of the incisions to provide a clear view.
• Carbon dioxide gas is gently pumped in to create space and improve visibility for the surgeon.
• Specialised instruments are inserted through the other incisions to:
  • Locate the hydrocele sac
  • Drain the built-up fluid
  • Remove or reposition the sac tissue to prevent recurrence
• The instruments are withdrawn, and the tiny incisions are closed with sutures or surgical glue.

Open Hydrocelectomy

Open hydrocelectomy is a conventional and highly effective hydrocelectomy operation, especially suitable for large or complex hydroceles, or when minimally invasive access isn’t ideal.

Here is what happens during an open hydrocelectomy:

• A single incision is made directly in the scrotum or lower groin area.
• The surgeon carefully exposes and drains the fluid from the hydrocele.
• The sac surrounding the hydrocele is either:
  • Removed (excision technique), or
  • Turned inside out and stitched (known as the Lord’s or Jaboulay’s procedure), depending on your condition.
• A temporary drainage tube may be placed if needed, especially in cases with high fluid volume or risk of fluid reaccumulation.
• The incision is closed with dissolvable stitches or surgical strips.

What Happens after Hydrocele Surgery?

After your hydrocelectomy, your recovery will depend on the type of procedure performed be it minimally invasive (laparoscopic) or open surgery. Here is what to expect post hydrocelectomy:

If you had a Laparoscopic Hydrocelectomy (Minimally Invasive Surgery):

 Here is what typically happens after laparoscopic hydrocelectomy:

• You will be moved to a recovery area as the anaesthesia wears off. A nurse will closely monitor your breathing, heart rate, and blood pressure.
• You may feel drowsy or slightly nauseated initially. This is normal after anaesthesia.
• Mild pain, swelling, or soreness around the incision sites is common. Pain medications will be provided to manage this.
• An ice pack may be placed on the scrotal area to reduce swelling.
• You might be advised to wear a supportive undergarment (like a scrotal support or jockstrap) for a few days to minimise discomfort.
• Most patients go home the same day once fully awake and stable. You will need a family member or friend to drive you home.
• You will be advised to rest for 1-2 days and gradually return to light activities.
• The typical hydrocelectomy recovery time with laparoscopy is about 1–2 weeks, depending on individual healing.

If You Had an Open Hydrocelectomy:

Open hydrocelectomy is usually performed in cases of large or recurrent hydroceles, or where laparoscopic surgery isn’t suitable. Here is what to expect after an open hydrocelectomy operation:

• You will be taken to a post-operative recovery room where your vital signs will be monitored.
• Some patients may experience more discomfort compared to laparoscopic surgery, especially around the scrotum. Pain relief will be given as needed.
• Swelling in the scrotum is common for a few days. Ice packs and scrotal support garments help ease this.
• If a drain (thin tube) was placed during surgery to remove excess fluid, it may be removed within a day or two.
• You can usually go home the same day, or the following day based on your condition.
• A follow-up appointment will be scheduled to check healing and remove any stitches if needed.
• You should avoid strenuous activity or heavy lifting for 2–4 weeks.
• The post hydrocelectomy recovery period for open surgery is generally around 2–3 weeks, though it may vary.

What are the Risks or Complications of a Hydrocelectomy?

While hydrocelectomy is generally safe and has a high success rate, like any surgical procedure, it carries some risks. However, it is important to be aware of the potential risks. The risks can vary slightly depending on the hydrocelectomy types (laparoscopic or open). Here is what you should know:

If you had a Laparoscopic Hydrocelectomy:

Minimally invasive procedures such as laparoscopic hydrocelectomy are associated with fewer complications, but some side effects may still occur:

• Mild to moderate swelling or bruising around the surgical site.
• Temporary discomfort or soreness after the hydrocelectomy operation.
• Collection of blood under the skin (haematoma), which usually resolves on its own.
• Minor risk of infection at the incision sites.
• Fluid accumulation in rare cases, which may need drainage.
• Anaesthesia-related side effects, such as nausea or drowsiness.
• Very rarely, damage to surrounding tissues or structures in the scrotum.

If you had an Open Hydrocelectomy:

Open hydrocelectomy procedures may carry a slightly higher risk of complications due to the larger incision and longer healing time. Potential risks include:

• Increased hydrocelectomy swelling or bruising in the scrotal area.
• Higher chance of haematoma formation.
• Infection at the surgical site if proper hydrocelectomy aftercare is not followed.
• Delayed wound healing or scarring.
• Rare injury to the testicle or nearby structures, which may affect fertility or hormone levels.
• Recurrence of the hydrocele, although uncommon with proper surgical technique.
• In some cases, temporary numbness or altered sensation in the groin area.

Benefits of Hydrocelectomy

At Pristyn Care, we offer both laser hydrocelectomy and traditional open hydrocelectomy, depending on your specific needs. Here are the benefits of undergoing a hydrocelectomy:

Benefits of Laparoscopic Hydrocelectomy

Minimally invasive techniques like laser hydrocelectomy or laparoscopic methods are preferred for many patients due to their advanced precision and quicker healing:

• Faster Recovery: These methods generally involve shorter hydrocelectomy recovery time, with most patients resuming normal activities within a week.
• Minimal Pain and Swelling: The smaller incisions help reduce post hydrocelectomy swelling and discomfort.
• Less Scarring: These procedures use tiny cuts, resulting in nearly invisible scars.
• Outpatient Procedure: Most patients can return home on the same day of the hydrocelectomy procedure.
• High Success Rate: Laser and laparoscopic techniques offer a high hydrocelectomy success rate, with low chances of recurrence.
• Improved Daily Comfort: Relieves pressure, heaviness, and difficulty in movement caused by the hydrocele.

Benefits of Open Hydrocelectomy

In some cases, an open hydrocelectomy is more suitable, especially when dealing with larger or more complex hydroceles. This method also offers significant advantages:

• Effective Symptom Relief: Quickly reduces scrotal swelling and eliminates the fluid buildup.
• Long-Term Results: Offers permanent relief in most cases with proper hydrocelectomy aftercare.
• Safe for Children and Adults: Commonly used in pediatric hydrocelectomy to prevent complications like hernias.
• Boost in Confidence: Many patients feel more comfortable and confident after the hydrocelectomy operation.
• Prevents Hernia in Children: In babies, hydrocelectomy can help prevent an inguinal hernia from forming, especially when performed early.