A hydrocele surgery is a surgical form of treatment for hydrocele which causes excess watery fluid to accumulate around one, or both testicles. This causes the scrotum and the groin area to swell in size and results in discomfort and, sometimes, pain.
Hydrocele is basically a common medical condition which is most often seen in newborns, but can also develop at any age as well.
Causes of Hydrocele
The exact causes for the development of most hydrocele are not yet known but doctors can identify the cause for some of the hydrocele cases.
In newborns, hydrocele is most often caused as a result of a gap between the scrotum and the abdomen. Normally, such gaps close by themselves before the birth or soon after it.
Hydrocele seen in comparatively older people may be caused as a result of an injury, or surgery, to the groin area or the scrotum. Epididymis or testicle inflammation and infection may also cause hydrocele in a later age. Rarely, hydrocele is seen occurring as a result of cancer of the left kidney or the testicle and is mostly seen in people above the age of 40 years.
Signs And Symptoms of Hydrocele
Most times a hydrocele mau not show any noticeable symptom, however you may notice an enlargement of the scrotum. Other symptoms that are seen include:
- Painful scrotum
- Swollen scrotum
- Redness in scrotum
- Pressure sensation at the base of the penis
In case you notice any of the above signs and symptoms it is advisable to consult an experienced urologist soon in order to diagnose and treat the condition more effectively.
The basic diagnostic test for a suspected case of hydrocele is an examination of the scrotum that appears to be enlarged. The doctor will perform a trans-illumination test which involves shining a light from behind each testicle to check for solid masses that may be a result of another medical disorder or disease such as testicular cancer. As hydrocele causes only fluid buildup in the testicle the light shone from behind it can be seen from the front. In order to confirm the diagnosis the doctor might also perform an ultrasound test.
Although hydroceles are generally harmless they are mostly treated when they become the cause of pain or embarrassment. In rare cases, the hydrocele may affect the blood supply to the penis. In case the hydrocele does not change its size or starts to lose its swelling as the body absorbs the excessive fluid treatment is not required mostly. Although often times, hydrocele in older men does not go away naturally and needs surgical treatment to correct it.
Often times the surgeon will use a thin and long needle to remove the excessive fluid from around the testicle, called ‘aspiration’ method. This is done for cases with comparatively lesser amount of swelling.
Most cases that cannot be treated using the aspiration method may have to undergo a hydrocele surgery called ‘hydrocelectomy’. This surgery is mostly performed as an outpatient procedure with general or local anesthesia. The surgeon will make an incision in the lower abdominal region or the scrotum to remove the hydrocele using surgical instrument.
The incisions are closed with fine sutures after the surgeon has attached a surgical tube to the incision site in order to help drain any fluid that might accumulate during the next few days.
Hydrocele surgery is considered to be the best form of treatment for cases of hydrocele that cause severe pain and discomfort that affect your normal everyday activities.