What Is a Hydrocelectomy?
A hydrocelectomy is a minor surgical procedure used to remove a hydrocele, which is a fluid-filled sac that develops around the testicle. This condition often causes swelling in the scrotum and can lead to discomfort, heaviness, or difficulty in daily activities. The hydrocelectomy causes are usually linked to injury, infection, or inflammation in the scrotum.
During the surgery, the fluid is drained and the sac is either removed or repaired to prevent the hydrocele from coming back. Hydrocelectomy is considered a safe and effective treatment, usually done under anesthesia, and most people can return home the same day.
The main goal of this surgery is to relieve swelling, reduce discomfort, and restore normal scrotal appearance and function.
Types of Hydrocelectomy
There are mainly two types of hydrocelectomy procedures, and the choice depends on the size of the hydrocele and the patient's condition.
- Open Hydrocelectomy: In this method, the surgeon makes a small cut in the scrotum or lower abdomen to drain the fluid and remove or repair the sac. It is the most common and effective approach.
- Laparoscopic Hydrocelectomy: This is a minimally invasive procedure where small instruments and a camera are used through tiny cuts. It usually results in less pain and a quicker recovery.
Both types of hydrocelectomy aim to provide long-lasting relief by preventing fluid buildup and improving comfort.
30 Min to 1 Hour
Surgery Duration
General / Local Anesthesia
Anesthesia Used
Same-day discharge or 1 day
Hospital Stay
4 to 6 weeks
Full Recovery Timeline
When is Hydrocelectomy Recommended?
Hydrocelectomy is advised when a hydrocele causes ongoing problems or does not resolve on its own. Based on medical advice, here are the main situations where surgery is often considered:
- Large or Persistent Swelling: When the hydrocele continues to grow or remains for a long time without improvement, surgery may be the best option.
- Pain or Discomfort: Hydrocelectomy is recommended if the swelling leads to scrotal pain, heaviness, or difficulty in movement.
- Interference with Daily Life: If the hydrocele affects walking, sitting, or regular activities, surgery helps restore comfort and mobility.
- Associated Complications: Doctors may suggest hydrocelectomy if the hydrocele is linked with other conditions, such as infection, hernia, or risk of recurrence. These are considered possible hydrocelectomy complications if untreated.
Indications of the Hydrocelectomy Procedure
Hydrocelectomy is a surgical procedure performed to remove a hydrocele, which is a fluid-filled sac that forms around the testicle, causing swelling in the scrotum. Hydroceles are relatively common and can occur for various reasons. Here are some indications for a hydrocelectomy procedure:
- Difficulty in Movement: ;A large hydrocele can cause difficulty in movement, making it challenging to walk, exercise, or participate in regular activities.
- Cosmetic Concerns: Some individuals may opt for hydrocelectomy due to cosmetic concerns when the scrotal swelling becomes noticeable and affects their body image.
- Recurrent Hydrocele: If a hydrocele recurs after initial treatment attempts, surgical removal might be considered to address the problem more effectively.
- Enlarged Hydrocele: A hydrocele that grows in size may lead to physical discomfort and pressure, prompting surgical intervention.
- Difficulty with Urination: ;In rare cases, a very large hydrocele can cause pressure on the urinary system, leading to difficulty with urination. Surgical removal might be considered in such cases.
- Infection or Tenderness: If a hydrocele becomes infected or is associated with tenderness, redness, or other signs of inflammation, surgical removal might be necessary.
- Impaired Fertility: In some instances, a hydrocele might be associated with other conditions that affect fertility. Surgical treatment may be recommended to address these concerns.
Preparing for Hydrocelectomy Surgery Procedure
Proper preparation makes hydrocelectomy safer and helps you recover faster with fewer complications.
Pre-Surgery Health Check
- Your surgeon may order tests such as blood work, urine analysis, ECG, or ultrasound of the scrotum.
- Share your medical history, including past surgeries, allergies, or long-term conditions like diabetes or hypertension.
- Bring a list of current medications so your doctor can guide you on which to stop or adjust.
Healthy Habits Before Surgery
- Quit smoking at least 3-4 weeks before surgery, as it reduces oxygen supply and delays healing. Avoid alcohol for at least a week.
- Stop using blood-thinning medicines like aspirin, NSAIDs, vitamin E, and certain herbal supplements, unless your doctor says otherwise.
- Maintain a balanced diet with lean protein, fruits, vegetables, and whole grains to help your body recover.
- Stay well hydrated in the days leading up to surgery.
Getting Your Home Ready
- Plan for someone to drive you to and from the hospital. It's best to have a family member or friend with you for at least the first 24-48 hours.
- Keep loose-fitting cotton underwear and clothes ready for comfort. Stock up on light meals and snacks so you don't have to cook while resting.
- Place extra pillows on your bed or sofa to support your position and reduce swelling.
Final Steps Before Hydrocelectomy Surgery
- Follow fasting instructions, usually no food or drink after midnight before surgery.
- Take a shower with antiseptic soap if recommended, and avoid lotions, powders, or perfumes. Remove jewellery, contact lenses and nail polish before arriving.
- Carry your hospital documents, ID proof, and insurance details. On the day, wear comfortable, front-opening clothes and arrange to reach the hospital on time.
What Happens During Hydrocelectomy Surgery?
Hydrocelectomy is a straightforward surgical procedure performed to treat hydroceles by removing the fluid-filled sac around the testicle. The surgery is safe, effective and usually completed within an hour. These are the general hydrocelectomy procedure steps:
Steps Involved in the Hydrocelectomy Procedure
- Preparation & Anesthesia: On the day of surgery, your medical team will review your details and answer last-minute questions. Once in the operating room, local or general anesthesia is given to keep you pain-free and comfortable throughout the procedure.
- Incision & Access to Hydrocele: The surgeon makes a small incision in the scrotum or lower abdomen, depending on the size and location of the hydrocele. This allows direct access to the fluid-filled sac.
- Draining the Fluid: The fluid inside the hydrocele sac is carefully drained. In some cases, the surgeon may also remove or reshape the sac to prevent the hydrocele from coming back.
- Repairing the Sac: If needed, the sac lining is stitched or partially removed to reduce the chance of recurrence. This step ensures long-term relief and restores the normal structure of the scrotum.
- Closing the Incision: The incision is closed with sutures, and a small dressing is applied to protect the area. Stitches may be absorbable, so they dissolve on their own, or they may need removal later.
- After the Surgery: You'll be moved to a recovery room where your condition is monitored. Most patients can return home the same day or after an overnight stay. Pain relief, scrotal support, and light activity are encouraged to aid healing.
Who will treat for the Hydrocelectomy Procedure?
A hydrocelectomy is typically performed by a urologist, who is a medical doctor specializing in the diagnosis and treatment of conditions related to the urinary tract and male reproductive system. Urologists have the expertise and training to perform surgical procedures such as hydrocelectomy. They can assess the severity of the hydrocele, determine whether surgery is necessary, and provide the appropriate treatment options based on the patient's needs.
Recovery After Hydrocelectomy Surgery Procedure
Recovering from hydrocelectomy is a gradual process, and proper care helps ensure smooth healing.
First Few Days After Surgery
- Mild pain, swelling, and bruising around the scrotum are common and usually improve with rest.
- Wearing scrotal support or snug underwear helps reduce swelling and provides comfort.
- Gentle walking is encouraged, but avoid lifting heavy items, climbing stairs often, or sudden movements.
Weeks 2 to 4
- Swelling and soreness begin to decrease during this period. Most people can return to light daily activities or office work.
- Continue using support wear as advised, and avoid sexual activity, heavy lifting, or strenuous exercise.
Weeks 5 to 6
- By this stage, discomfort is minimal, and the scrotum usually regains a natural appearance.
- You can gradually resume normal routines, but sports or workouts should wait until your doctor clears you.
3 to 6 Months Post-Surgery
Healing is usually complete, swelling has subsided, and the scrotum returns to normal shape and function. Hydrocelectomy recovery time varies by patient, but most achieve full results within this period.
Lifestyle Changes After the Hydrocelectomy Procedure
After undergoing a hydrocelectomy procedure, there are a few lifestyle considerations that can contribute to a smooth recovery and overall well-being. While the recovery period for a hydrocelectomy is relatively short compared to some other surgeries, making mindful lifestyle changes can help support your healing process. Here are some recommendations:
- Hydration and Nutrition: Stay hydrated and maintain a balanced diet rich in nutrients. Proper nutrition can support your body's healing process and overall health.
- Medication Adherence: If your surgeon prescribed medications, take them as directed. This may include pain medications and antibiotics to prevent infection.
- Gentle Physical Activity: Engage in gentle physical activities as advised by your surgeon. Walking and light movement can help promote circulation and aid in recovery.
- Avoid Strain on the Scrotal Area: Be cautious when moving, lifting, or engaging in activities that could strain the scrotal area. Avoid activities that could potentially impact the healing surgical site.
- Wear Supportive Underwear: Consider wearing supportive underwear or a jockstrap during the recovery phase to provide added comfort and support.
- Sexual Activity: Consult your surgeon about when it's safe to resume sexual activity. Typically, sexual activity should be avoided during the initial healing phase.
Benefits of Hydrocelectomy Surgery
- Relieves Swelling and Discomfort: Hydrocelectomy directly removes the fluid buildup causing the swelling in the scrotum. This helps reduce the heaviness, pressure, and discomfort that many men experience, especially during movement or while sitting for long periods.
- Restores Normal Appearance: The surgery helps the scrotum return to a natural and balanced shape. For many men, this not only improves physical comfort but also boosts confidence and body image by addressing the visible swelling.
- Improves Mobility and Daily Activity: Large hydroceles can interfere with walking, exercising, or even sitting comfortably. After surgery, most men find it easier to move around and enjoy activities without the constant distraction or limitation of scrotal swelling.
- Prevents Recurrence and Health Complications: Unlike temporary treatments such as aspiration, hydrocelectomy offers a more permanent solution. It lowers the chance of the hydrocele coming back and helps prevent potential issues like infection or the development of an inguinal hernia.
- Quick Recovery with Long-Lasting Results: Hydrocelectomy is usually a straightforward procedure with a relatively short recovery period. Once healed, the results are lasting, giving men long-term relief and an improved quality of life with minimal risk of recurrence.
Complications and Side Effects of Hydrocelectomy
While hydrocelectomy is generally safe, like any surgery, it may involve some risks and side effects. These include:
- Swelling and bruising in the scrotum (common and temporary)
- Pain or discomfort during recovery
- Infection at the surgical site
- Bleeding or hematoma (blood collection under the skin)
- Fluid reaccumulation (rare; may need further treatment)
- Scrotal tightness or numbness
- Allergic reaction to anesthesia (rare)
- Changes in testicle shape or size (uncommon)
- Injury to nearby structures, such as the testicle or spermatic cord (rare)
What is the Cost of Hydrocelectomy in India?
The cost of Hydrocelectomy Surgery usually depends on factors such as the type of procedure, the surgeon's expertise, and the hospital facilities. The estimated hydrocelectomy cost ranges from Rs. 25,000 to Rs. 1,35,000, making it an affordable option with quality care and advanced medical support.
040 68334455
WhatsApp
Patient Portal
Home Care
