Wednesday, November 6, 2019

Hydrocele Diagnosis & Treatment: Hydroelectomy

What is the best treatment for hydrocele?
There are no drugs available to treat adult hydrocele. Usually, surgery is used to drain the fluid from the hydrocele sac. If hydroceles become too large or painful then surgery is performed to relieve the pain. Certain painkillers are recommended to relieve any pain or discomfort.

(2) Can hydrocele be cured with homeopathy?
Hydrocele can be treated with homeopathic medicines such as Rhododendron. Hydrocele can be completely cured by homoeopathic treatment. Homeopathic medicines reduce swelling in the scrotum. These medicines also reduce the pain and relieve the symptoms of hydrocele.

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(3) Does Epsom salt work for hydrocele?
Epsom salt contains from magnesium and sulfate. When it is mixed in warm water, it releases the blockage of fluid in scrotum. Taking bath in warm water mixed with a few cups of Epsom salt can be very useful for swelling in scrotum. Actually the heat generated by Epsom salt stimulates the body fluid trapped in scrotum sac to move.

(4) What is a hydrocele surgery?
A hydrocele is formed due to the flow of fluid from the abdomen into the scrotum. Hydrocelectomy is a surgery used to remove fluid filled sacs called hydroceles.

(5) How much does hydrocele surgery cost?

How Much Does Hydrocele Removal (Hydrocelectomy) Cost?
The cost of Hydrocelectomy (Hydrocele Removal) ranges from $4,500 to $7,000.

(6) Is hydrocele surgery painful?
A hydrocele surgery removes the fluid and also stops the buildup of fluid in the scrotum. After surgery, you may feel little bit tired and pain. Your scrotum and groin may be bruised or swollen. You may also feel groin pain.

(7) Is hydrocele surgery necessary?
Usually, a hydrocele may go away or resolve itself without treatment. However some communicating hydroceles get bigger with time and cause discomfort and pain. So they need surgical repair. Then hydroelectomy (surgery to remove hydrocele) becomes necessary. A hydrocelectomy is a surgical procedure to repair a hydrocele.

(8) Can a hydrocele return or recur after surgery?
About less than 1% patients have a hernia or hydrocele recurrence. But usually it never returns after successful removal. However, testes and scrotum may stay swollen for a few weeks after surgery before returning to normal.

Hydrocele
Hydrocele


(9) Does hydrocele surgery affect fertility?
A large hydrocele may obstruct the testicular blood supply, leading to testicular atrophy and impairment of fertility. The hydrocele surgery permanently blocks the accumulation of fluid in the testicles, without affecting the man's fertility in any way.

(10) How long does it take to recover from a hydrocele surgery?
It takes 2 to 3 weeks to recover completely after hydrocele surgery. Swelling or bruising of groin and scrotum gets better in about 2 to 3 weeks. Your doctor will advise you to avoid any sports or strenuous activity for 2 to 4 weeks. You will also need to avoid strenuous exercise or heavy lifting. Anyhow you can go back to work or school 4 to 7 days after surgery, normally.

(11) How do you fix a hydrocele?
Hydrocelelectomy is often done at an outpatient clinic. For infants or children, a small surgical cut is made in the fold of the groin, and then fluid is drained. For adultas, general anesthesia is used.

(12) Can hydrocele be cured naturally?
Most hydroceles resolve without any treatment. A hydrocele in infants will probably go away on its own in about a year. While in adults, hydroceles typically go away within six months. Communicating hydrocele may lead to hernias. If the condition causes discomfort or pain or it becomes very large, treatment is needed. There are two methods to treat a hydrocele: aspiration and surgery.

(13) What is difference between varicocele and hydrocele?
Epididymal cysts are lumps caused by a collection of fluid in the epididymis. Varicocele is a swelling caused by dilated or enlarged veins within the testicles. A hydrocele is a swelling caused by fluid around the testicle.

(14) How is hydrocele diagnosed?

Diagnosis of Hydrocele:

To diagnose a hydrocele, your doctor will start with a physical exam. It's likely to include:

  • (1) Checking for tenderness in an enlarged scrotum.
  • (2) Applying pressure to the abdomen and scrotum to check for inguinal hernia.
  • (3) Blood and urine tests to check an infection, such as epididymitis
  • (4) Ultrasound to help rule out hernia, testicular tumor or other causes of scrotal swelling


(1) A common method of diagnosing a hydrocele is transillumination. It is a process which involves shining a strong light through the enlarged scrotum. It allows your doctor to determine the presence of fluid in the scrotum. If fluid is present, the scrotum will allow light transmission and the scrotum will appear to light up with the light passing through. A hydrocele will usually pass light, while a tumor will not. Great care must be taken to differentiate a hydrocele from a scrotal hernia or tumor of the testicle. 

(2) Your doctor may also apply pressure to the abdomen to check for called inguinal hernia. Your doctor may also ask you to cough or bear down to check for this.

(3) Your healthcare provider may take a blood or urine sample to test for infections. An ultrasound can also be done to check for hernias, tumors, or any other cause of scrotal swelling.

(4) Ultrasound imaging can be very useful in to visualize the testis if the hydrocele sac is dense, to reveal the primary abnormality. In young children a hydrocele is associated with a complete congenital type of hernial sac. A hydrocele cannot be reduced into the inguinal canal and gives no impulse on coughing unless a hernia is also present. A hernia usually can be reduced, transmits a cough impulse, and is not translucent.

(15) What are the treatment options for hydrocele? What are the ways of treating hydroceles?

Hydrocele Treatment:

There are two methods of treatment
Aspiration and hydrocelectomy (surgery).

(1) Needle aspiration:

Aspiration is performed when surgery is too risky. This method is commonly performed on men who are at high risk for complications during surgery. It is not the most common treatment for hydroceles. In aspiration, a long needle is used. The needle is inserted into the sac to draw out the fluid. In some cases, medication is injected afterward the procedure to close the sac and from filling again

Limitations of Aspiration:


  • The most common side effects of needle aspiration are temporary pain in your scrotum.
  • Aspiration increases the risk for infection.
  • Fibrosis (abnormal hardening of tissue) is possible complication with aspiration.
  • Hydrocele may recur after aspiration method of treatment.

(2) Hydrocelectomy Surgery:

Hydrocelectomy is a minor surgical procedure which takes about an hour. Patient may go home the same day. The patient is given general anesthesia. Then a small cut is made in the scrotum or lower abdomen (depending on the location of the hydrocele).

The doctor applies a large dressing to the site of your incision, drains the fluid, removes the sac, and then uses stitches to keep the muscle wall strong as it heals and help prevent hernia or another hydrocele. Depending on the location and size, you may also need a drainage tube for a few days.

Ice packs, a support strap for your scrotum, and taking rest will ease discomfort after the hydrocelectomy surgery. Your healthcare provider will likely recommend a checkup exam after surgery to check for the recurrence of hydrocele.

(16) What are the risks of Hydrocelectomy Surgery?

Risks associated with Hydrocelectomy Surgery:


  1. Blood clots
  2. Infection
  3. Excessive bleeding
  4. Scrotal injury, including nerve damage 

Risks associated with anesthesia include:


  • Allergic reactions
  • Difficulties in breathing
  • Heart rhythm disturbance


(17) What is the special care needed after hydroelectomy surgery? What are the precautionary measures to follow after hydrocele surgery?

Special care after hydrocele surgery (Hydroelectomy):


  1. For unstoppable bleeding, apply pressure and call the doctor.
  2. Keep the wound dry and clean for at least 2 days.
  3. No tub baths or showers for 48 hours.
  4. Steri strips should remain on at least three days but if they begin to peel off, that is okay.
  5. Wear loose dresses.
  6. Avoid any sports or strenuous activities.
  7. Schedule a post surgery checkup with your doctor within 2 weeks after surgery.
  8. Avoid gym and any weight lifting activities.


(18) What are the tips and instructions to follow for my kid after hydrocele surgery?

Special care tips for kids after hydrocele surgery (hydroelectomy):


  • (1) Schedule a post-op check-up in 10-14 days after the surgery.
  • (2) Your child may return to school within 1-2 days.
  • (3) Your child must avoid sports.
  • (4) Your kid should not take gym class.
  • (5) Light, quiet activity is required for your child for two weeks.
  • (6) Dress your child in loose clothing after surgery.
  • (7) Diapers are okay for babies to wear.
  • (8) Climbing games, riding bike, or straddle toys must be avoided.
  • (9) To decrease abdominal pain, support your child's legs when lifting
  • (10)Consult your doctor if your child has one of the following conditions:
  • You should take your child's temperature at least once before bedtime tonight. Slight fevers after surgery are normal. Your child's temperature is >101.5°F rectally or by mouth.
  • Your child has sever vomiting
  • If your child has vomiting that lasts more than six hours
  • If the wound is hot to touch,
  • If the wound has white or yellow drainage, or the drainage has a foul odor
  • If you feel a lump around the wound
  • If the wound looks red
  • If your child has a croupy (barky) cough/cry or wheezing
  • If your child has sudden or severe pain in their scrotum as it may be the symptoms of testicular torsion. Go to hospital emergency room right away or call 911.


(19) Can you walk after hydrocele surgery?
This usually takes about 2 to 3 weeks to recover after hydrocele surgery. Your groin and scrotum however may be swollen or bruised for several days.  So it is better to take rest for many days after surgery. You need to avoid weight lifting or any other strenuous exercise for 2 to 4 weeks after surgical treatment of hgydrocele.


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