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What is Hydrocelectomy?

Hydrocele surgery, also known as hydrocelectomy, is the procedure of repairing a hydrocele by draining the fluid accumulated in the scrotum. Often, a hydrocele resolve on its own, However, in certain cases, when the condition persists for a longer time, surgical treatment is recommended. 

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Best Clinics For Hydrocelectomy

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    Best Treatment Center for Hydrocelectomy

    Best Treatment Center for Hydrocelectomy

    We provide advanced hydrocele treatment to all patients who come to us seeking help. Pristyn Care is partnered with top-tier hospitals across India that have state-of-the-art facilities and modern infrastructure. We also have our own clinics where we provide consultations to the patients. 

    All over India, we have a highly experienced team of hydrocele doctors who have more than 10 years of experience. Our doctors are well-trained and skilled in treating hydrocele in the best way possible. You can book a free consultation with them and discuss the treatment options in detail. 

    What happens if the hydrocele is left untreated?

    What happens if the hydrocele is left untreated?

    Hydroceles are usually harmless and do not pose any risks. However, if hydroceles are left untreated for a long time, a number of complications may arise that include the following:

    • Rupture of the hydrocele: Over time, the volume of fluid accumulated in the scrotum increases. Large volumes of fluid can lead to the exertion of excess pressure on the scrotum and can lead to the rupture of the hydrocele. 
    • Formation of hematocele: This is one of the most severe complications of a hydrocele and requires proper medical attention. Any injury around the scrotal region can lead to spontaneous bleeding into the sac. This can lead to the formation of a hematocele, which is a swelling caused by the collection of blood in a body cavity.
    • Risk of developing a Fournier’s gangrene: In rare cases, hydrocele can act as a risk factor for developing Fournier’s gangrene. This is an acute necrotic infection of the scrotum, penis, or perineum that can cause the death of tissues in the region.
    • Sexual dysfunction: This is one of the most common complications of hydrocele. A condition of hydrocele can have negative effects on spermatogenesis and can reduce sperm quality. The fluid trapped in the hydrocele sac can lead to an increase in the temperature of the scrotum. 
    • Permanent damage to the testis: Any injury to the scrotum can lead to the exertion of excess pressure on the testis that may result in a testicular torsion (twisting of the tests). This is a very painful and complicated condition of a hydrocele that requires immediate medical attention as it can cause permanent damage to the testis.
    • Testicular atrophy: A long-continued presence of large may end up obstructing the blood supply, which can cause testicular atrophy, ultimately resulting in infertility.

    What happens in Hydrocele Treatment?

    What happens in Hydrocele Treatment?

    Diagnosis 

    To diagnose a hydrocele, the doctor will initially perform a physical exam. If you have a hydrocele, your scrotum will be swollen, but you will not experience any pain. The doctor may check for tenderness in the scrotum by a process called transillumination that allows them to determine if there is a fluid build-up in the scrotum. Further, the doctor may also apply pressure to the abdomen and ask you to stand, strain, or cough in order to confirm the diagnosis, as there are similar symptoms involved in the case of an inguinal hernia. 

    After the physical examination, the doctor may recommend some tests to determine the most suitable method for hydrocele treatment. 

    • Blood Test: You will be required to go for a blood test in order to determine your complete blood count. Blood test helps in detecting possible infections such as epididymitis.
    • Urine test: In order to ascertain the cause of hydrocele and determine if there is an underlying infection, you will be required to go for a urine test.
    • Ultrasound: The doctor may ask you to go for an ultrasound to rule out possible complications like hernias, tumors, or any other cause of scrotal swelling.

    Procedure 

    • During the surgery, anesthesia will be administered first. Primarily, general anesthesia will be used that will put the patient to sleep. 
    • The surgeon will then make a small cut or incision in the scrotum.
    • The accumulated fluid is then drained out of the hydrocele, and then the tissue that forms around the hydrocele is removed or repositioned.
    • A thin tube is used to drain out the fluid. The tube is removed after the hydrocele is drained completely. 
    • Once the procedure is complete, the incision is closed with stitches or sutures. 

    Risks & Complications

    Similar to other surgical procedures, the following complications can arise during hydrocele surgery:

    • Allergic reactions to the anesthesia
    • Damage to the nerves
    • Infection 
    • Blood clots or excessive bleeding
    • Injury to the testicle and nearby structures

    How to prepare for the surgery?

    How to prepare for the surgery?

    • As with most surgeries, you will need to refrain from consuming any food or fluids for at least 8 hours prior to the treatment.
    • Before going for the surgery, you should inform your surgeon about any prescribed or over-the-counter medications you are taking in order to avoid possible complications during the procedure.
    • You may be required to go for certain pre-operative medical evaluations, such as blood tests and urine tests, in order to make sure that you are healthy enough to undergo surgery. 
    • You should take a shower before going for the surgery as you will be required to keep the surgical area dry to eliminate the risk of developing any infections post the surgery.
    • Before the surgery, you should discuss the possibility of having an allergic reaction to the anesthesia as it can help to avoid complications like shortness of breath, low blood pressure, and an abnormal heart rhythm.

    What to expect after the surgery?

    What to expect after the surgery?

    After the surgery is complete, you can expect to feel a little disoriented. You will be shifted to an observation room until the effects of anesthesia wear off. 

    Once you are fully awake, you will be shifted to the recovery room, where the doctors and nurses will monitor your condition. Ice packs will be given to reduce the swelling in the scrotum. Depending on your health status, you will most likely get discharged on the same day.

    Recovery & Results After Surgery

    Recovery & Results After Surgery

    The complete recovery after hydrocelectomy will take around 2 to 3 weeks. After the surgery, you may experience bruising or swelling in your groin or scrotum. The doctor will give you a detailed recovery guide to ensure that post-surgery complications don’t occur. 

    Thus, with proper care and a healthy diet, you will be able to get back to your daily activities within a week. Strenuous activities, such as cycling, riding a bike, gym exercises, etc., should be continued after the recovery is complete. 

    The results of hydrocele surgery will be visible right after the procedure. You may feel uncomfortable due to the swelling and bruising. There will also be slight pain which will resolve in the upcoming days. To confirm that you’ve healed completely, it is important to take follow-ups with the doctor as recommended. After surgical repair, the chances of hydrocele recurrence are also significantly reduced.

    Case Study

    Case Study

    On the 14th of October, a 34-year-old man contacted Pristyn Care concerning swelling on the left side of the scrotum. After a thorough diagnosis of the condition, he was found to have a huge hemi-scrotal swelling (24cm × 20cm × 10cm). The condition had been there for a very long time (as earlier as the patient remembered). The swelling grew significantly recently and started to bother his daily routine. 

    Our doctor briefed the patient about the entire treatment procedure, i.e, hydrocelectomy, and explained to him the pros, cons, and result expectations of the treatment. On 16th of October, the patient had the hydrocelectomy done. The procedure took about 35 minutes and the patient was kept under observation for 2 hours. Later on, the patient was discharged on the same day. 

    The patient took two follow-ups with the doctor and recovered successfully within 2 weeks. 

    Frequently Asked Questions

    What is the best treatment for hydrocele?

    The best treatment for hydrocele is surgical repair. Through surgery, the scrotum is drained properly, and the open channel between the scrotum and abdomen is also closed to prevent the accumulation of fluid again. 

    How is hydrocele treated in children?

    Usually, a hydrocele resolves on its own within 6 to 12 months in children. Thus, surgical repair is rarely needed. If the condition doesn’t resolve within 12 months, then surgery will be performed to prevent the development of hydrocele-related complications. 

    How many days of rest are required after hydrocelectomy?

    Generally, the doctor will recommend full bed rest for one day. From the next day, you can start walking, sitting, climbing stairs, etc. if the pain is bearable. Make sure that you don’t push yourself and let pain be your guide to resume other daily activities. 

    What are the side effects of hydrocele surgery?

    Some common side effects of hydrocele surgery are- 

    • Redness in the surgery site
    • Pain 
    • Fluid draining from the wound 
    • Swelling 
    • Fever 

    Most of these will resolve over the next few days after surgery. However, if these effects don’t resolve within a week, you should contact the doctor.

    Does insurance cover hydrocele surgery?

    Yes, hydrocele surgery is covered under health insurance when the condition is symptomatic. If no problematic symptoms are present, the insurance provider may deny your claim, and you’ll have to bear the cost of surgery from your own pocket. 

    Types of Hydrocele Surgery

    Open hydrocelectomy

    This is a surgical procedure that is most commonly performed for hydrocele treatment. It is performed using general anesthesia. During this procedure, the surgeon makes a cut in the scrotum or groin area and drains out the fluid via suction. The surgeon then closes the communication to the canal between the abdominal cavity and the scrotum. After removing the hydrocele sac, the incisions are closed using sutures or surgical strips.

    Laser hydrocelectomy

    Laser hydrocelectomy is another technique to repair a hydrocele. It involves using a laser beam to make an incision in the scrotum, and the fluid accumulated in the sac is drained properly. Then the incision is closed with the help of staples or sutures. The procedure is similar to open hydrocelectomy. The key difference is that the incision is made using a laser instead of a scalpel. This reduces the chances of excessive bleeding.

    Other Options for Hydrocele Treatment

    Aspiration is the alternative treatment for unilateral and bilateral hydrocele. It is a minimally-invasive procedure that involves the injecting of a needle into the hydrocele to withdraw the fluid. After the fluid is removed, the doctor injects a sclerosing agent that uses a combination of sodium tetradecyl sulphate (STDS) inside the sac around the testicle. This helps in preventing fluid buildup. This procedure is commonly performed on men who are at a higher risk of complications during surgery. However, there is a slight chance that the hydrocele may come back within months, which would require another round of aspiration and sclerotherapy.

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