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Hydrocoele

A hydrocoele is a collection of fluid around the testicle. It is a benign condition. There is usually slow accumulation of fluid overtime, and this can cause bothersome discomfort due to its size and location. For men where the hydrocoele is bothering them, the best treatment usually is an operation. Aspiration and injection of sclerosant is also an option for some men.

 

Why my having this operation?

A hydrocoele repair is done when men have significant symptoms related to it.

 

What is involved with my operation?

A hydrocoele repair is done under general anaesthetic. The procedure usually takes about 40 minutes. It is usually done through a midline incision in your scrotum. Local anaesthetic is used for post-operative pain relief. The operation itself involves removing the fluid. The lining of the sac containing the fluid is removed and any remaining lining is folded back on itself with sutures. Occasionally if there is significant scarring or inflammation, a drain is left post operatively. Otherwise the wound is repaired with dissolving sutures. You are usually able to go home the same day.

 

What is involved after my surgery?

A hydrocoele repair as a minor procedure. However, it is vital to take it easy for the next 2 weeks. There is a potential space where the fluid used to be, and this space can fill up with fluid or blood if men get back into physical activity too quickly for 2 weeks it is vital to avoid any heavy exertion or lifting or any exercise. Being disciplined pays dividends for successful outcomes and a smooth recovery. As part of the procedure there will be a preoperative shave and the hair growing back can cause irritation. This is nothing to worry about. There can be some minor discharge from the wound but usually this is not infection. A haematoma is a rare complication. If this occurred, surgery may be required to drain the haematoma. More commonly a post-operative seroma or accumulation of fluid can occur. This is usually effectively treated with simple aspiration of the fluid.

 

We would see you for follow-up at Bay Urology at 6 to 8 weeks post operatively.

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