A hydrocele testis is a condition characterized by the collection of fluid between the layers of the tunica vaginalis due to inflammation, trauma, or tumors. This results in swelling of the scrotum and can lead to discomfort. Moreover, a large amount of fluid can adversely affect fertility.
The treatment of a hydrocele testis includes several options: needle aspiration with the injection of a sclerosing agent or without it and surgical excision.
Needle aspiration with the injection of a sclerosing agent or without it, or surgical excision is done, when the patient experiences discomfort due to the swollen scrotum (in patients of nonreproductive age). Surgical excision of a hydrocele is indicated when fertility is impaired.
How Is the Surgery Performed?
- Children are operated on under general anesthesia. In adults, it is done under local, spinal, or general anesthesia;
- The surgery for a hydrocele testis in children involves an incision in the groin. The tunica vaginalis covering the testicle is opened, the accumulated fluid is drained, the testicle is uncovered, and the excess of the tunica vaginalis is removed. The edges of the hydrocele wall are closed up and sutured. The passage between the abdominal cavity and the tunica vaginalis, where the hydrocele forms, is sealed off;
- The surgery for a hydrocele testis in adult patients involves an incision in the scrotum. The excess tunica vaginalis can be excised or sutured so that no excess tunica vaginalis is left.
What Should Be Known After Surgery?
Sometimes, a hydrocele testis can reoccur after the treatment. In such a case, the fluid needs to be drained by needle aspiration, or the surgery should be performed repeatedly.