Hydrocoelectomy

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.

Pre-requirements

• 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!

What next?

• 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.

Download Information Sheet

Hydrocoelectomy