What is a hydrocelectomy?
A hydrocele is a fluid-filled sac surrounding the testicle, often causing scrotal swelling, discomfort, and cosmetic concerns.
A hydrocele can sometimes indicate an underlying medical condition, such as an inguinal hernia or infection. However, most hydroceles are usually harmless. Still, they can grow larger over time, causing them to interfere with daily activities.
At Tower Urology, we specialize in hydrocelectomy, a safe and highly effective surgical procedure that relieves symptoms of hydrocele and restores comfort and confidence.
What is a hydrocelectomy?
A hydrocelectomy is a surgical procedure that involves removing the hydrocele sac. First, the hydrocele is drained, and then the sac can be removed. This prevents the sac from refilling in the future, thereby preventing the problem from recurring.
Why is hydrocelectomy performed?
Hydrocelectomy is recommended for men experiencing persistent scrotal swelling or discomfort that does not resolve on its own. While some hydroceles resolve naturally, others continue to grow or cause pressure, heaviness, or mild discomfort in the scrotum. Hydroceles can sometimes be associated with infections, injury, or inguinal hernias, necessitating surgical intervention.
This procedure is also performed to treat communicating hydroceles. These hydroceles develop when the membrane between the scrotum and the abdominal cavity is not completely closed. Because they are connected to the abdominal cavity, they may increase or decrease in size throughout the day due to fluid movement between the areas.
Who is an ideal candidate for hydrocele repair?
Not all hydroceles need surgical intervention. However, if the hydrocele becomes large enough that it is painful, interferes with daily routine, or is a cause for embarrassment, a hydrocelectomy may be recommended.
Hydrocele surgery is ideal for men who:
- Experience persistent or painful scrotal swelling.
- Have a hydrocele that continues to grow and affects daily activities.
- Feel discomfort when wearing tight clothing or a jockstrap.
- Have a communicating hydrocele or one associated with an inguinal hernia.
- Prefer to have the hydrocele removed for cosmetic reasons.
Watchful waiting may be an option for patients with small hydroceles that do not cause discomfort. However, in most cases, surgery provides long-term relief and prevents recurrence.
How is hydrocelectomy performed?
Hydrocelectomy is an outpatient procedure, allowing most patients to return home on the same day. The surgery is typically performed under local or general anesthesia, with an anesthesiologist monitoring your comfort throughout.
During the procedure:
- A small incision is made in the scrotum or lower abdomen, often with a laser.
- The hydrocele sac (vaginalis) is drained and removed to prevent fluid from re-accumulating.
- Sutures are used to close the incision, ensuring proper healing.
- A jockstrap or supportive underwear may be provided for additional scrotal support.
The entire hydrocele repair procedure typically takes 30 to 60 minutes, and most patients can recover comfortably at home after being cleared to leave.
How effective is hydrocelectomy?
Hydrocelectomy has an excellent success rate, exceeding 95%, with most patients experiencing:
- Immediate relief from swelling and discomfort.
- Minimal risk of recurrence when performed by an experienced healthcare provider.
- Improved confidence and comfort in daily activities.
While some temporary swelling or bruising is normal after surgery, long-term complications are rare. The majority of patients recover fully within a few weeks.
What are the risks and side effects?
Hydrocelectomy is a safe and routine procedure, but like any surgery, it carries some risks, including:
- Scrotal swelling or mild bruising, which typically resolves within a few weeks.
- Minor pain or discomfort is typically managed with over-the-counter pain relievers, such as ibuprofen or Advil.
- Infection at the incision site is rare with proper post-operative care.
- Blood clots or scrotal hematoma (blood pooling) are uncommon but possible.
If you are taking blood thinners, you should discuss your medication management with your urologist before surgery, as these can increase the risk of bleeding.
What is the recovery process like?
Hydrocelectomy is an outpatient procedure, meaning you’ll go home the day of surgery. Most men recover quickly after hydrocele surgery and can resume normal activities within a few weeks. Immediately after surgery, ice packs and over-the-counter pain relievers, such as ibuprofen, can help manage mild inflammation or discomfort in your scrotal area. You may also be advised to wear supportive underwear, such as a jockstrap, to reduce swelling and provide comfort.
Within a few days, you can return to light activity; however, refrain from any strenuous activities or heavy lifting for 2 to 3 weeks post-procedure. Most patients can return to work within one to two weeks, depending on the physical demands of their job.
Our doctor will schedule a follow-up appointment to ensure that healing is progressing and clear you for activities. Most men feel fully recovered within four to six weeks.
Are there alternative treatments for hydrocele?
In some cases, non-surgical options may be considered, though they are less effective than hydrocelectomy.
- Aspiration and sclerotherapy. This procedure involves draining the fluid and injecting a sclerosing agent (a synthetic irritant that causes tissue to become fibrous and hard) to prevent re-accumulation. However, this method has a higher recurrence rate and is typically reserved for patients who are not candidates for surgery.
- Watchful waiting. If the hydrocele is small and does not cause discomfort, some men choose to monitor it over time rather than undergo surgery. However, most hydroceles do not resolve on their own.
Our specialists will evaluate your condition and recommend the best action based on your symptoms and medical history.
Why choose Tower Urology for hydrocele surgery?
At Tower Urology, our expert surgeons have extensive experience in hydrocele repair and scrotal surgery, including minimally invasive techniques that promote faster recovery and minimal discomfort. If you’re considering hydrocelectomy, Tower Urology offers exceptional care and state-of-the-art treatment options. Our approach is personal—we treat patients, not just pathology.
We invite you to establish care with Tower Urology.
Tower Urology is conveniently located for patients throughout Southern California and the Los Angeles area, including Beverly Hills, Santa Monica, West Los Angeles, West Hollywood, Culver City, Hollywood, Venice, Marina del Rey, Burbank, Glendale, and Downtown Los Angeles.
At Tower Urology, we treat a wide range of men’s health conditions, including premature ejaculation, erectile dysfunction, low testosterone, chronic pelvic and testicular pain, prostatitis, vasectomy and vasectomy reversal, penile implants, shockwave therapy, male fertility concerns, enlarged prostate, incontinence, and support for men undergoing or recovering from prostate cancer treatment. Our specialists are committed to helping you regain control, confidence, and satisfaction.
Hydrocelectomy FAQs
Recovery after a hydrocelectomy is often quick, with most men able to return to normal activities within a few days. After 2 to 3 weeks, you will likely be able to resume exercise and heavy lifting, though complete healing often takes 6 weeks.
A laser hydrocelectomy is a minimally invasive outpatient procedure, but it is still essential to consider the risks of surgery. Your healthcare provider can discuss with you the advantages and disadvantages of the procedure, as well as whether or not you’re a good candidate for hydrocelectomy.
Sources
Minimally access versus conventional hydrocelectomy: a randomized trial
https://pubmed.ncbi.nlm.nih.gov/26401869/
Hydrocele
https://www.ncbi.nlm.nih.gov/books/NBK559125/
The Western snip, stitch, and tug hydrocelectomy: How I do it
https://pubmed.ncbi.nlm.nih.gov/27695592/
