How is a hydrocoelectomy done?
Treatment of a hydrocele can only be done surgically. Your urologist may conduct a physical exam, use imaging tests, do blood and urine tests and shine a light through the scrotum (transillumination) to look for fluid to make an accurate diagnosis. Your urologist will suggest surgery depending on the size and whether or not you have had this previously.

In some cases, a hydrocele is caused by an inguinal hernia. If it is caused by a hernia, it is known as a "communicating" hydrocele.

For a "non-communicating" hydrocele, under general anaesthesia, Dr Ridgard will make a small incision into the scrotum and into the hydrocele sac. The hydrocele sac is then drained and cut out. For babies and children with a hydrocele that doesn't resolve on its own, surgery may be done, and the inguinal ring may be stitched closed to prevent a future hernia.

If the hydrocele is "communicating" and there is a related inguinal hernia, an incision will rather be made in the upper groin area so that the hernia can be repaired at the same time. This surgery may be done laparoscopically or through traditional open surgery.

For a larger hydrocele, a drainage tube may be placed through the scrotal skin to drain the sac over time. You will then need to return to the hospital in the next few days to remove the drain.

After surgery, you will have a catheter placed for a day or two while you are in hospital. Pain and discomfort can be expected after surgery, but you will be prescribed pain medication for this. You can expect some swelling and bruising for a week or two. You should avoid sex, strenuous activity or heavy lifting for the next few weeks while you recover.

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