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 Hydrocoele

 A hydrocoele is a collection of fluid around the testicle in the scrotum (the bag that holds your testicles).

It is in no way dangerous and usually requires no treatment: many men have small hydrocoeles they are not even aware of. However sometimes it may reach a size where it becomes uncomfortable or awkward and in this case surgical treatment is best. Drainage of the fluid can be done but it always comes back again.

A scan is not usually necessary unless the hydrocoele is very tight or the underlying testicle does not feel 100% normal.

Surgery for hydrocoele

If surgery is required I use a technique called a modified Jaboulay procedure (Jaboulay was the French surgeon who described the basic technique). Essentially this involves a small incision being made in the scrotum and the hydrocoele being obliterated by folding it back around the testicle. This is a little like turning a bag inside out on itself. . You will have some stitches in your scrotum which will may be dissolving or may need to be removed depending on your preference.

The operation can be done easily under either local or general anaesthesia, again the choice is the patientís. It is nearly always possible to have the operation as a day care patient.

Some pain and discomfort may be experienced but painkilling tablets will be given to you to take home. The wearing of tight fitting underwear helps to support the scrotum and alleviate discomfort. Dissolving stitches are usually used.

You may find your scrotum is a little bruised or swollen, this is normal and will go down in a few days.

You will require some time off work, but this varies from person to person: this depends on your job and Mr Muir will advise on this. You should avoid sports and riding a bicycle, motorbike or horse at least until your review appointment.

You may bath or shower 2 days after your operation, but please do not use any soap, creams or bubble bath on the operated area. If you experience severe pain or bleeding, or feel acutely unwell, contact the Hospital or Mr Muir immediately. The signs of infection are tenderness at the site of operation, oozing scar, and/or raised temperature.

 

Follow up

You will usually be seen about two weeks after the surgery to ensure all is well and to remove any stitches that have not fallen out by then.


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