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अंडकोष की सूजन | अंडकोष में पानी भर जाना | Testicle swelling | Hydrocele | Water in testes | Surgery for hydrocele

In this video, our expert general surgeon will explain to us what are surgeries available for hydrocele and what are treatment options available.

00:15 - What is a hydrocele?
01:02 - Types of surgeries available for hydrocele
05:34 - Post-hydrocele surgery

00:15 - What is a hydrocele?
A hydrocele is an accumulation of lymphatic fluid between the two coverings of the testis. Primary hydrocele has to be treated by surgery only. Secondary hydrocele is observed if the hydrocele is subsiding or not via medical intervention.
The primary causes of the hydrocele are treated and if it doesn’t subside, then it is treated via surgery. If the hydrocele sac is too big or if it is too thick then it is treated by surgery as well.

01:02 - Types of surgeries available for hydrocele
Hydrocelectomy - In this the testicle affected by hydrocele is removed and the remaining one is marsupials i.e. sealed.

Eversion of sac - In this surgery, it is ensured that there is no case of recurring hydrocele i.e. the hydrocele doesn’t return. In this, the secreting side, the one which is originally responsible for hydrocele, of the sac is turned over. The incision in this surgery is done either with the help of spinal anesthesia or local anesthesia. The hydrocele sac is removed and it is drained of the fluid. Then the hydrocele sac is inverted and is put back inside the scrotum.

Plication surgery - Plication surgery is done when the hydrocele sac is very small. In this surgery, the hydrocele sac is drained of the fluid, and then it is placated i.e. folded multiple times. This ensures that the secreting surface of the hydrocele sac is less so that the secretion is in low amounts and is absorbed by the venous and lymphatic supply.

The type of surgery is chosen by the doctor so as to ensure the best cosmetic result and to have low chances of the hydrocele recurring.

05:34 - Post-hydrocele surgery
Hydrocele surgery is a daycare surgery i.e. it can be carried out in a day. The duration of this surgery is 8-10 minutes. The patient can be discharged by the evening itself. The recovery period is short. Doctors advise supporting the scrotum with bandages or a scrotal supporter. A check dressing is done on the third day and the sutures disappear after 7-10 days.
Patients are encouraged to continue with their routine on the third day of the surgery.

This surgery does not affect one’s sexual performance or does not causes infertility.

To know more in detail about hydrocele watch the full video.
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