Hydrocele / Epididymal Cyst

Indications:

A hydrocele is a collection of fluid around one of the testicles.
An epididymal cyst is a fluid-like swelling around the testicular tubes.
These benign swellings of the scrotum are common, but may be removed if they are causing problems. The indications for removal are discomfort or if their appearance is troublesome.

Surgery:

The operations are similar and both are performed under general or spinal anaesthesia. The scrotum is opened between the testicles.

• The hydrocele is delivered and the lining of the sac is opened, releasing the accumulated fluid. The scrotum is closed in such a way as to prevent further fluid accumulating.
  

• The epididymal cyst is simply removed, avoiding injury to other structures.

In both cases, the scrotal incision is closed with dissolvable stitches, and a supportive pair of underwear is applied.
The operation usually lasts between 20 and 30 minutes.

Post Operative Recovery:

Patients may experience alittle pain following the procedure, but any discomfort will be controlled by pills or injections.
Patients usually return home on the day of the operation, and are recommended to wear the supportive underwear day and night, for a period of a week. This is designed to reduce swelling, and to prevent fluid from accumulating in the space previously occupied by the scrotal swelling.
You may usually return to work two weeks after the procedure. If your work involves heavy lifting, you should return alittle later.
You may exercise gently after a few days but should avoid contact sports for several weeks.
Patients usually resume driving after ten days, providing they feel comfortable.
Patients are usually reviewed in the out-patient clinic two weeks following the procedure.