A hydrocelectomy is a surgical procedure to remove a collection of fluid (hydrocele) from the pouch that holds the testicles (scrotum). You may need to have a hydrocelectomy if a hydrocele is making your scrotum swell painfully.
Tell a health care provider about:
- Any allergies you have.
- All medicines you are taking, including vitamins, herbs, eye drops, creams, and over-the-counter medicines.
- Any problems you or family members have had with anesthetic medicines.
- Any blood disorders you have.
- Any surgeries you have had.
- Any medical conditions you have.
- Bleeding into the scrotum (scrotal hematoma).
- Damage to the testicle or the tube that carries sperm out of the testicle (vas deferens).
- Allergic reactions to medicines.
- Follow instructions from your health care provider about eating and drinking, which may include:
- 8 hours before the procedure – stop eating heavy meals or foods such as meat, fried foods, or fatty foods.
- 6 hours before the procedure – stop eating light meals or foods, such as toast or cereal.
- 6 hours before the procedure – stop drinking milk or drinks that contain milk.
- 2 hours before the procedure – stop drinking clear liquids.
- Up to 2 hours before the procedure – you may continue to drink clear liquids, such as water, clear fruit juice, black coffee, and plain tea.
- Ask your health care provider about:
- Changing or stopping your regular medicines. This is especially important if you are taking diabetes medicines or blood thinners.
- Taking medicines such as aspirin and ibuprofen. These medicines can thin your blood. Do not take these medicines before your procedure unless directed by your health care provider.
- You may be given antibiotic medicine to help prevent infection.
- Plan to have someone take you home after the procedure.
What Happens During The Procedure?
- An IV tube will be inserted into one of your veins.
- You will be given one or more of the following:
- A medicine to make you relax (sedative).
- A medicine to make you fall asleep (general anesthetic).
- A small incision will be made through the skin of your scrotum.
- Your testicle and the hydrocele will be located, and the hydrocele sac will be opened with an incision.
- The fluid will be drained from the hydrocele.
- The hydrocele will be closed with absorbable stitches (sutures) to prevent fluid from building up again.
- If you have a large hydrocele, a thin rubber drain may be placed to allow fluid to drain after the procedure.
- The incision in your scrotum will be closed with absorbable sutures.
Post Procedure Care
- Your blood pressure, heart rate, breathing rate, and blood oxygen level will be monitored until the medicines you were given have worn off.
- You will be given pain medicine as needed.
- Do not drive for 24 hours if you were given a sedative.
- You may have to wear an athletic support strap to hold the dressing in place and support your scrotum.
This information is not intended to replace advice given to you by your health care provider.