Type of Surgery
Last updated: 02/17/2009
Hydrocelectomy is considered a safe surgery, with only a 2% risk of infection or complications. Injury to spermatic vessels can occur, however, and affect the man's fertility. As with all surgical procedures, reactions to anesthesia, bleeding from...
the surgical incision, and internal bleeding can also occur.
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.
As a urologist, I've found it's easier to do the PSA test and then sit down with the patient and say here's what the results mean for you. Given what we know right now, that seems a very sensible approach.
-Dr. Evan Vapnek
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