Product Summary: AMA rates
Surgical removal of hydrocele via a scrotal incision with spermatic cord block
Item Number: 30631, 18262, 105
Why is it done?
- Enlarged scrotum.
- Could be uncomfortable.
- Usually large and uncomfortable.
- Can become so big that it buries the penis making usual functions difficult, ie urination and sexual function.
- May contribute to Infertility.
- An informed consent is required from the patient.
- The risk of post-operative bleeding causing a scrotal hematoma is a reality requiring drainage will be discussed with you.
- There is a risk of post-operative urine retention is present, therefore you will be catheterized for at least 6-8 hours after the procedure.
- This is done under a general anaesthetic. Patients may not eat or drink from midnight the previous evening.
- Patients are to refrain from smoking before the procedure.
- Patients allergic to IODINE / CHLORHEXIDINE should clearly state this at the Pre-admission clinic as well as to theatre staff and Dr Schoeman.
- Any anti-coagulants such as Warfarin should be stopped 7 days prior to surgery, and replaced with Clexane.
How is it done?
- This procedure is done under general anaesthetic.
- Supine position.
- The penis and scrotum is surgically prepared.
- A midline scrotal incision is done.
- The intact hydrocele is delivered through the skin incision.
- The sac (tunica vaginalis) is opened and surgically removed.
- A hemostatic running suture is placed around the raw edge of the Tunica Vaginalis.
- 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 wth 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.
NB! You are required to bring 2 pairs of tight new undies for post-operative scrotal support.
What to expect after the procedure?
- 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, requires urgent attention!
- Dressings should be kept for the initial 72 hours after surgery and soaked off in a bath thereafter.
- The catheter will be removed the morning after surgery.
- Patients should schedule a follow-up appointment with Dr Schoeman 4-6 weeks after the procedure.
- There will be signs of bruising for at least 2-6 weeks.
- Sick leave will be granted for a few weeks.
- Please direct all further queries to Dr Schoeman’s rooms.
- PLEASE CONTACT THE HOSPITAL DIRECT WITH ANY POST-OPERATIVE CONCERNS AND RETURN TO THE HOSPITAL IMMEDIATELY SHOULD THERE BE ANY SIGNS OF SEPSIS.
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