Type of Surgery
Last updated: 02/17/2009
Hydrocelectomy, also known as hydrocele repair, is a surgical procedure performed to correct a hydrocele. A hydrocele is an accumulation of peritoneal fluid in a membrane called the tunica vaginalis, which covers the front and sides of the male testes....
Hydroceles occur because of defective absorption of tissue fluid or irritation of the membrane leading to overproduction of fluid. In addition to filling the tunic vaginalis, the fluid may also fill a portion of the spermatic duct (epididymis) in the scrotum.
Hydrocelectomy is a surgical procedure to remove a hydrocele. A hydrocele is collected fluid in the membrane surrounding the testes.
Hydrocelectomy is performed to relieve the pain or reoccurrence of a hydrocele. Normally, hydroceles are not very painful. They tend to be a soft swelling in the membrane surrounding the testes. As the hydrocele grows, the scrotum gets larger. Hydroceles do not damage the testes. The main symptom is scrotal swelling. There are two types of hydroceles depending on how they form. One type is seen in children, generally shortly after birth. It is caused by a failure of the processus vaginalis to close. Usually, surgery isn't used to treat hydrocele until after two years of age because the processus vaginalis frequently closes by itself if given extra time. In adults, hydroceles develop slowly. Most hydroceles develop because of blocked lymphatic flow. Hydroceles also develop after infection, injury, or local cancer tumors. Generally, hydroceles are treated by aspiration of the collected fluid. To do this, a needle is inserted into the scrotum and directed toward the hydrocele. Once there, as much fluid as possible is removed. Hydroceles can reoccur. Rarely, hydroceles grow larger and cause pain. Surgery is used to remove large or painful hydroceles. It is also the recommended procedure to remove hydroceles that reoccur after aspiration. Hydroceles are distinguished from other testicular problems by transillumination and scrotal ultrasound examinations.
It's a controversial arena -- the PSA is a marker of prostate bulk and size, but it's highly expressed in benign prostate disease as well as cancer -- so in that context it's not a specific marker.
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