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Hydrocelectomy (Hydrocele Surgery)

Surgical treatment of fluid accumulation around the testis.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Hydrocelectomy (Hydrocele Surgery)?

Hydrocele is an abnormal accumulation of fluid between the layers of the tunica vaginalis. Acquired (secondary) hydrocele is more common in adults and develops due to trauma, infection, tumor, or idiopathic causes. In children, the most common type is communicating hydrocele (a patent processus vaginalis).

On physical examination, the transillumination test is positive. Scrotal ultrasonography confirms the diagnosis and excludes underlying pathology such as a testicular tumor. In reactive hydrocele, treatment of the primary pathology is essential.

In surgery, the Jaboulay (eversion) and Lord (plication) techniques are most commonly used. In children, ligation of the processus vaginalis is performed via the inguinal approach. Aspiration and sclerotherapy are not preferred due to high recurrence rates.

Symptoms

Painless swelling in the scrotum
Sensation of scrotal heaviness
Diurnal variation in scrotal size
Difficulty walking or sitting (with large hydrocele)
Cosmetic discomfort

Risk Factors

Hematoma formation
Wound infection
Recurrent hydrocele (5-10%)
Testicular atrophy (rare, with vascular injury)
Chronic pain

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When increasing scrotal swelling is noticed
  • Scrotal ultrasonography should rule out testicular tumor
  • If a painful or tense hydrocele develops
  • In children, when the hydrocele does not resolve spontaneously within 12-18 months

Treatment Methods

01
Jaboulay technique (eversion of the tunica vaginalis)
02
Lord technique (plication of the tunica)
03
Inguinal approach (in children with communicating hydrocele)
04
Scrotal ultrasonography (to rule out underlying pathology)
05
Aspiration and sclerotherapy (only in those unfit for surgery)

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.