What This Procedure Is For
A hydrocele is a fluid-filled swelling around the testicle that can cause discomfort, heaviness, or visible enlargement of the scrotum. Hydrocelectomy is a minor surgical procedure used to remove or repair a hydrocele when it becomes bothersome, painful, or cosmetically concerning.
Who It’s For
Surgery is recommended for men with symptomatic hydroceles, including those with significant swelling, scrotal discomfort, difficulty with physical activity, or recurrent infections. Small, painless hydroceles that do not cause symptoms may not require treatment.
How the Procedure Works
Hydrocele repair is usually performed as day-surgery under regional (spinal) or general anesthesia. Through a small incision in the scrotum or groin, the fluid is drained and the sac is either excised or everted to prevent recurrence. The procedure typically takes 30–60 minutes.
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Risks & Safety
Hydrocelectomy is generally safe. Possible risks include infection, hematoma (blood collection), fluid recurrence, or temporary discomfort. Injury to the testicle or fertility structures is rare when performed by an experienced surgeon.
Recovery & Aftercare
Mild swelling or bruising is common for 1–2 weeks. Patients are advised to wear scrotal support underwear, use ice packs for the first 48 hours, and avoid heavy lifting or strenuous activity for 2–3 weeks. Most men return to desk work within 3–5 days.
frequently asked questions
Get answers to common questions about urology and men’s health
Will this affect fertility?
No — fertility is usually not affected by hydrocele repair.
How long until I can go back to work?
Most men return to light activity within a few days, depending on comfort.