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Treatments we offer
The surgical procedure that is done to remove hydroceles is called hydrocele surgery or a hydrocelectomy. This procedure is performed under anaesthesia. An incision or a cut will be made on the scrotum, and the hydrocele is drained of the fluid. The tissue that forms the sac around the hydrocele is removed or repositioned. This is a measure for preventing fluid build up in the future. For the fluid to drain completely, a thin tube is placed through the incision. This tube will be left in place for a few days. Once the procedure is done, the incision will be closed with the help of sutures or surgical strips.
Treatments we offer
Hydrocele repair can also be done as a minimally invasive procedure (a procedure that does not involve large cuts or incisions) using a laparoscope, which is a thin tube with an attached camera. This will be inserted through a small incision. It gives the surgeon a clear view of the internal part of the scrotum by transmitting the images to an external monitor. Small instruments can be inserted through the tube to perform the repair. Once the procedure is done, the incision will be closed with the help of sutures or surgical strips.
Treatments we offer
Aspiration of the fluid is an alternative for surgery where the doctor inserts a needle inside to aspirate the fluid. Then a chemical (generally a salt solution that helps to close the blood vessels) is injected into the sac around the testicles to shrink it (sclerotherapy). This prevents the fluid from building up again.
Treatments we offer
This is a minimally invasive procedure with little or no blood loss. It is a one day procedure which means that you will be discharged the same day. It can be done under general or local anaesthesia. In this procedure, a laser device is used for cutting the skin instead of a scalpel. A cut is made on the scrotum with the laser. The doctor drains off the accumulated fluid and removes the sac to prevent a recurrence. There are many advantages of laser surgery over conventional open surgery, like speed, lesser pain, accuracy and a faster recovery time.
What is an Hydrocele?
Hydrocele is a collection of fluid in the sac (scrotum) that holds your testis (the male reproductive organ that produces sperms). It can occur on one side or on both sides. Hydrocele formation is more common in newborns (male infants) than in adults. In infants, simple hydroceles usually do not cause any problems and disappear by the time the child is 1 to 2 years old. If the hydrocele does not resolve on its own, surgery is done in children after 2 years of age.
The testes produce a lubricating fluid that allows it to move freely in the sac. Any excess fluid produced by the testis is drained out of the veins in your scrotum, thereby maintaining the balance of the fluid. If the secretion/absorption balance is altered, then the fluid accumulates in the testis. This is known as hydrocele.
In Babies
When a fetus is developing in the womb, the testicles develop in the abdomen which descends by the end of a full-term pregnancy. To allow the testicles to descend, a muscle lining (inguinal ring) in the scrotum opens up forming a canal or a sac. Once the testicles reach their normal position, this muscle lining closes. If the inguinal ring stays open or reopens later, fluid can pass from the abdomen through the canal into the scrotum forming a hydrocele.
In Adults
In adults, this condition occurs as a result of an injury or an inflammation (epididymitis). Inflammation can result from an infection in the testicle or in the small coiled tube behind each testicle. This tube is called the epididymis and is responsible for storing and carrying sperm (male reproductive cells that can fertilize a female egg).
It can also occur due to filariasis (an infection caused by filarial parasites leading to obstruction of lymphatic vessels in the scrotum).
There are two types of hydroceles, a communicating hydrocele, and a non-communicating hydrocele.
- Non-Communicating Hydrocele: Here the narrow canal created by the inguinal ring remains open allowing the fluid to pass back and forth between the abdomen and the membrane of the testicles.
- Communicating Hydrocele: This forms when the inguinal ring closes but the fluid remains within the membrane of the testicles (sac does not seal). This leads to an increase in the swelling of the scrotum over time.
The main symptom of a hydrocele is swelling on one or both of the testicles.
- In infants, hydroceles usually do not cause any pain. The common symptom with hydrocele is a swollen scrotum.
- However, in adults, hydrocele can either present as painless swelling or can cause discomfort. As the amount of fluid increases, the scrotum becomes heavier. The discomfort can increase towards the latter part of the day.
If you notice the above-mentioned symptoms in your child or yourself, it is better to consult a doctor. It is important to rule out other causes of the swelling that may include an inguinal hernia. It is a condition where a part of the intestine pushes through a weak spot in the abdomen (tummy) exerting pressure on the scrotum.
Your doctor will:
- Perform a physical examination to check for pain, tenderness, and fluid accumulation around the testicles.
- Suggest diagnostic tests such as blood tests or an ultrasound (a test that uses high-frequency sound waves for viewing the internal organs) to confirm the diagnosis.
- Use a method called transillumination, where light is passed through the swelling. If the swelling is fluid-filled like in the case of a hydrocele, the light would pass through it, whereas if it is filled with pus or a hard mass such as a tumour, it would not.
There is no way to prevent your baby from developing a hydrocele. For older children and adults the best way to prevent a hydrocele is to keep your testicles and scrotum free of injury. Those who take part in contact sports should take proper precautions and can use an athletic cup to prevent injuries.
- Rupture of hydrocele
- Infection
- Shrinkage of the testis
- Infertility
- Testicular torsion
- Bleeding in the testicular sac
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Hear it from our patients
We had our baby treated for hydrocele at Fairfield. He is doing much better, mostly because of the laser surgery and how efficiently the doctors handled his treatment. He has recovered much faster than we thought and we are so grateful to the doctors and nurses who helped us along the way. We were worried about the hydrocele surgery cost, but insurance covered all our costs.
Shriya Dixit
Business HeadFairfield is the best place to get treatment. I was being treated for a hydrocele and my doctor made it a point to explain to me everything about the surgery and the causes of the condition too. He openly discussed all possible options so that I could make an informed decision. Thanks to him, I recovered at an amazing speed. With Fairfield I found the best Hydrocele Doctor.
Nitesh Singh
Sales ManagerI am a football player and during a match suffered a severe injury during a match. Unfortunately, it turned out to be a very painful hydrocele. Fortunately, I was lucky enough to be diagnosed quickly by the folks at Fairfield. They completed my surgery with good effectiveness. I should soon be back on the field.
Anuj Choudhary
SportspersonMy husband suffered from an injury which led to a hydrocele. The doctors at Fairfield treated him with expert care and despite some complications, the surgery ended smoothly. He is now on his way to recovery. We are thankful to everyone who helped us. Highly recommend Fairfield, especially for serious conditions which require surgery. They accepted all insurances and so, we got the hydrocele surgery at an affordable price.
Kavita Sharma
Software Engineerworld-class treatment for the community.
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Frequently Asked Questions
Hydrocele surgery is a safe procedure and complications are rare. Understand the procedure well and discuss the associated risks and ways to prevent them with your doctor.
Hydrocele surgery takes 30-40 minutes to complete.
Yes. Hydroceles usually do not affect your day-to-day activities or reduce the quality of your life. A hydrocele surgery does not affect your fertility when diagnosed and treated early.
Hydrocelectomy cost ranges from INR 30,000 to INR 60,000. The cost may vary on a case-to-case basis depending upon the procedure, complexities associated with the disease, institution, and geographical location.
The use of laser when compared to conventional procedure for treating a hydrocele has many advantages such as:
- Shorter time taken for the procedure (less than 30 minutes)
- Early and faster recovery
- Less chances of injury to the scrotum
- Lower risk of infection and complications
- Less bleeding and blood clots
- Painless procedure
- Precise and accurate cuts on the skin which is to be incised
- Sutures that are used in laser procedure can dissolve by itself in a few days
- Bleeding from the site of the surgery
- Infections in the area of the surgery
- Recurrence of the hydrocele (the condition comes back)
- Injury to the testicles and the nearby structure that can lead to infertility (impotence)
- Risks from the anaesthesia such as breathing difficulty
Contact your doctor immediately if you experience the following:
- Bleeding from the incision site
- Severe pain that does not respond to medications
- Swelling at the site of the surgery that is increasing in size
- Persistent high fever (with a temperature above 100°F)
- Symptoms of infection, which include redness, warmth, swelling, pain, and abnormal discharge from the site of the surgery.
Some general advice to follow after the surgery
Before the procedure:
Once the procedure is complete, you will be sent to the recovery room for a few hours until the effect of the anaesthesia wears off.
- Your doctor or your child’s doctor will discuss your medical history, the current medications that you are taking and any history of allergies.
- Your doctor will discuss the procedure with you and help you understand the benefits and risks involved.
- Your child/ you will need to undergo a few routine tests such as blood and urine tests to assess your general health condition and to test for any indicators of cancer.
- You will be advised to stop some medications (like blood thinners, to prevent the formation of clots) or to adjust the dosage of other medications, a few days before your procedure.
- If you are a smoker, you will be advised to avoid smoking for a few days before the surgery to improve healing post-operatively.
On The Day of The Procedure:
Once the procedure is complete, you will be sent to the recovery room for a few hours until the effect of the anaesthesia wears off.
- Your child/you will be asked to take your daily medications as prescribed by your doctor.
- Your child/you will be given a hospital gown to wear before your procedure.
- Your child/you will be asked to sign a consent form that permits your doctor to perform the procedure on your child/you. Note: For infants, the consent form is to be signed by the parents.
After the procedure:
At The Hospital
Hydrocele surgery is an outpatient procedure and your child/you can return home the same day. After the procedure, you will be taken to the recovery room for observation. Once the effect of the anaesthesia wears off and your child’s/your vitals are stable, your child/you can return home.
At Home
Following these measures at home will ensure a faster and proper recovery.
- Applying cold compresses and ice packs to the scrotum can help ease pain and swelling. Never apply ice directly to the skin. Always cover it in a cloth or a plastic bag before application.
- Avoid swimming and showering until the area heals. Keep the site of the incision clean and dry.
- Avoid any strenuous activities such as lifting heavy weights or running for at least one week after the procedure.
- Avoid sexual intercourse for at least 4 weeks.
- You can wear a jockstrap or snug underwear to support the testicles and ease the discomfort.