| Disease Info Index | ||||||||||||||||||||||||||
|
|
Hydrocele
| |||
Surgery for Hydrocele in Adults |
|||
Text
|
Treatment depends upon the age of the patient and the degree of discomfort caused by the hydrocele. Surgical excision forms the definitive therapy for hydroceles. Most hydroceles are on both sides and surgery is usually undertaken for both the sides simultaneously. When they are small and asymptomatic, hydroceles require no treatment other than reassurance. • Scrotal discomfort or pain • Cosmetic - disfigurement due to the sheer size of the hydrocele. Two techniques are effective treatments for hydroceles. The first technique, plication of the sac (Lord’s procedure) is used for small to medium hydroceles. The benefits of this technique are reduced risk of hematoma (localized collection of blood). Some articles suggest a slight incidence of recurrence of the hydrocele following this procedure. The second technique, where the sac is everted and sutured behind the testis (Jaboulay procedure), is associated with a reduced risk of recurrence, but patients may have an increased risk of hematoma. During surgery, the bulk of the hydrocele sac is cut away, and what remains of the sac is turned inside out. As a result, the fluid-secreting surface is now in contact with the inner skin of the scrotum rather than that of the testicle with which it made previous contact. The scrotal tissue blots up any fluid that is secreted, unlike the testicular tissue that cannot absorb fluid. Surgical approaches are governed by 1) the size of the hydrocele and 2) the experience and preference of the surgeon.
|
|
|
|
| Share it! |
|
|




|
Posted by:
Wildcat
Posted on: 05/14/2013 Had a bilateral hydrocelectomy and three small cysts removed yesterday [05-13-13]. I was given the choice of general anesthesia or spinal anesthesia and I went with the latter. The spinal numbs your body from the waist down and you are given medication to relax you while the procedure is done. The only problem with spinal is that it takes your body a while to "unnumb". I was in the recovery room and I could start to move my legs, and then my toes and then they wheeled you back to your room. I was not able to be discharged until I could pass 200ml of urine, so I started drinking fluids. The only problem is that your bladder is the last body part to wake up and they had to put a catheter in me to drain me. Then I had to start all over again!! Don't make that mistake!! Today, I have VERY LITTLE swelling, although I am sore. I took my first shower and the surgical drain is doing it's job - I will have that removed tomorrow. They were VERY LIBERAL with athletic supporters [3] and gauze wraps [3] for me. I am VERY HAPPY I don't have to deal with these hydroceles any more!! When I get my bill, I will post how much this procedure costs; I know a lot of people ask that question.
Reply |
Forward
Posted by:
patman(Guest)
Posted on: 05/13/2013 People, there are other less invasive treatments that you should be demanding. Your doctors are either uninformed or are just doing conventional surgery for the financial gains.
They can be treated with hydrocele sclerotherapy with much success, or through less invasive surgery where they cut a small incision and remove a small piece of the hydrocele tissue. It allows fluid to drain and to be reabsorbed by the body naturally.
Posted by:
sweet26
Posted on: 04/16/2013 hi could any one advise who went on surgery and feeling better now. are there any side effects which affects the below things after surgery...
1. sex life with the partner
2. can we go for Gym after surgery
3. will the size really reduces and feels like normal as before with out any pain..
will be greatful if any one advises on the above
Posted by:
Fran63
Posted on: 04/11/2013 I had the hydrocele repair surgery on my right testicle on 03/25/2013. I had been living with the condition for about two years, going to the urologist every three months to have it drained. It would get to be about the size of orange by the time I would have it drained. I finally decided to take the advice of the doctor and have the condition resolved for good. I was told that I would most likely have similar swelling after the suregey and this would take up to two months to go away. The surgery took about one hour under general anesthesia and i awoke about two hours later. No trouble with the first pee and was sent home and told to use ice take the pain meds as needed and see the doc in 2 weeks. That first day I felt pretty good and thought if this is the worst no problem. By the end of the second day, my scrotum had swelled to the size of a cantaloupe - approx. 20 inches in diameter and as a deep purple. Thinking this is way outside what I was told to expect I went to see the doc that day. He takes one quick look and say this is normal go home. 8 days after the surgery, I started draining a considerable abount of dark purple blood out of the incision line. I call the doc he says nothing to be done about it now so come see me in a month. It's now 17 days after surgery, the swelling has gone down some but is still very large, a few of the stitches have pulled out and I now have an open wound the size of a quarter that drains the dark blood. I've requested my records to be sent to a new urologist. |
|
Posted by:
bu113tproof(Guest)
Posted on: 02/12/2013 I, bu113tproof, just had surgury on my testicular hydrocele [left testicle] 6 days ago. the hydrocele (testicle) originally was triple the size of the right testicle prior to surgury. Well after surgury I went home and rested for 4 days and gradually my scrotum turned dark purple ( blue black ) and swelled to the size of a grapefruit. So my entire scrotum is bluish black and the shaft of my penis is also bluish black; leaving only the head of my penis white ( caucasian fleshtone ). I originally ripped up the prescriptions for Vicodin 500 but realized days later that this was a mistake ( get the pain meds ). I am an addict currently on methadone and I was trying to avoid the pain meds if possible but sometimes they are needed. 6 months ago I started a relationship with a woman and wanted to look cosmetically good for her, I was embarrassed when I took off my clothes and she would see the left testicle that was triple normal size. This, SHE, was the main reason that I had the surgury done. I wanted to look as appealing as possible to her in bed, not a guy with a freakishly large testicle..so I went under the knife. Yesterday,5 days after surgury , I went to my Dr.'s office to get new prescriptions and to have him take a look at the swelling. I was scared because it was so swollen and purple, I was worried about an infection or something else could be wrong...that is why I went to his office. He is telling me to come in again next week (wednesday) so he can check on me..He said there will be swelling and it should ALL be gone in three months....THREE MONTHS...ugh. I hope it goes down some because I really want to make love with my girlfriend , but I will not until I look somewhat normal down there. She and I made love daily in one way or another...but the first 4 days after the surgury we did not do anything and it was very difficult for me to mentally deal with. I have found that the mental, psychological effects after the surgury are the most difficult thing to deal with especially being in a loving relationship. It is hard being a man and not being able to satisfy my womans needs, I do other things for her, but it is still mentally stressful to me to not be able to make love. Hopefully the swelling will abate and our relationship will return once again have that all important sexual aspect to it again.
Posted by:
AmazeBalls(Guest)
Posted on: 02/11/2013 I had a right hydrocyle repair on the 5th and could walk relatively easily a couple days afterwards! since then its got a lot more painful as i cant even stand without being in agony! swellings pretty excessive too! Just wondering if this is normal n how long until i get better? been bedbound for days
Posted by:
Shobhitr(Guest)
Posted on: 01/05/2013 Hi All,my right side testis is having abnormal size from last 5 years and it seems to be hydrocele. few years back one doctor adviced me to get it operated ; due to some work i am not able to get it opereated till now...i am planning to get operated. Just need advice , is there any side effect of the operation as i am 31 and will get married in next year...is there any side effect in sexual life after operation...thanks in advance
Posted by:
DR.SDK83(Guest)
Posted on: 02/05/2013 usually jubolay's procedure is performed for hydrocele .. done under spinal anesthesia and the procedure has nothing to do wit with ur sexual function so dnt worry and get the surgery done before ur marriage.. long term complication are common in untreated hydroceles.. |
|
Posted by:
patrix(Guest)
Posted on: 12/09/2012 I have hydrocele frm last 5-6 yrs and it's painless. I want know what precautions I should take for avoiding further complications. Should I avoid going to gym, playing sports and adventures, bicycling etc?? Do these things cause any adverse effect??
Posted by:
hamlett44
Posted on: 12/09/2012 i had no problems with sports running etc..but it was noticeable when i wore tracksuit bottoms etc...plus you cannot have your grandchildren sitting on your knee..and it will always be there or maybe getting bigger...for such a short surgery and short stay in hospital..id get it emptied/repaired thats my advice |
|
Posted by:
hamlett44
Posted on: 10/12/2012 Had a Hydrocele for years. My left testicle was the size of a large grapefruit,the right side looked like it had fluid around also but alot smaller. I had my operation last friday 5/10/12 both were going to be done but the surgeon decided only the large on needed doing as it was maybe pressing on the other to make that look bigger. Well anyway i had the surgery and had morphine when i woke up..nothing after or since and no swelling or bruising. I read swelling could be as big as the hydrocele itself..but no swelling for me.I put it off for years i wish i had it done sooner. |
| View all Comments (68) | ||