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Hydrocele Surgery

Hydrocele can develop as a result of injury or inflammation in the scrotum. Inflammation can result from an infection in the testicle or the small, coiled tube at the back of each testis (epididymitis).

Hydrocelectomy is to remove or repair a hydrocele. The procedure usually takes less than an hour to complete. Risks include healing problems, infection, swelling, bruising and scarring. Simple hydroceles in children usually resolve without surgery. In adults, hydrocele usually does not go away on its own.

An incision is made in the scrotum or lower abdomen to repair the hydrocele. If a hydrocele is found during surgery to repair an inguinal hernia, the surgeon can remove the hydrocele even if it is not causing discomfort. After hydrocelectomy, you may need a tube to drain the fluid and a bulky dressing for a few days.


Your groin and scrotum may be swollen or bruised. This usually improves within 2 to 3 weeks. You will likely be able to return to work or school after 4 to 7 days from the surgery. However, you will need to avoid strenuous exercise or heavy lifting for 2 to 4 weeks.

You can wear scrotal supports for about 1-2 weeks after hydrocele surgery. Scrotal supports help you to continue your routine activities without much discomfort by minimizing the pressure on the scrotal area.

The hydrocele may recur back within months and may require another round of aspiration and sclerotherapy. Surgical treatment is the longest-lasting repair with a lower rate of recurrence.

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