Item Number: 37623, 18262
Why is it done?
- Enlarged scrotum
- Could be uncomfortable
- The cyst can become so big that the enlarged scrotum buries the penis making usual functions difficult, ie urination and sexual function
- May contribute to Infertility
How is it done?
- This procedure is done under general anaesthetic.
- Supine position.
- The penis and scrotum is surgically prepared with Betadine
- A midline scrotal incision is done.
- The intact spermatocoele/epididymal cyst with the testis is delivered through the skin incision.
- The epididymocoele is carefully surgical resected off the spermatic cord or epididymis.
- A hemostatic running suture is placed around the raw edge of resection if required
- Hemostasis is actively chased.
- A drain is left overnight.
- An Indwelling catheter is left for 6-8 hours to prevent acute urinary retention.
- The scrotum is closed in 2 layers with dissolvable sutures.
- You would be required to bring 2 pairs of tight new undies for post-operative scrotal support, these will be placed post-operatively
Complications
Side–effects
- Any anaesthetic has its risks and the anaesthetist will explain such risks.
- Bleeding is a possible complication, therefore, the scrotal drain/s overnight.
- Your catheter will be removed the next
- You will have scrotal swelling and bruising for the next 2-6 weeks
- Any sudden, increased swelling needs urgent attention!
- Any symptoms of fever and signs of infection require urgent attention!
Copyright 2019 Dr Jo Schoeman