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Why Is Hydrocele Surgery Needed?

While mild hydroceles may not require intervention, surgery is recommended if the fluid accumulation causes: 

  • Persistent pain or a dull, heavy aching sensation.
  • Significant swelling that causes difficulty with walking, sitting, or physical activity.
  • Cosmetic concerns or embarrassment due to the size of the scrotum. 

What Happens During the Procedure?

  The procedure typically takes about 30 to 60 minutes and is usually performed as a day-case

Anesthesia

You will receive either general anesthesia (you will be completely asleep) or a spinal block (you will be numb from the waist down).

Fluid Drainage & Sac Removal

The accumulated fluid is gently drained. The hydrocele sac is then either removed, repositioned, or stitched (bunched up) to prevent fluid from collecting again.

Closure

The incision is closed using dissolvable stitches, and a temporary surgical drain may be placed if necessary to prevent blood or fluid from accumulating.

Recovery Timeline

  • First few days

    Expect some swelling, bruising, and mild discomfort, which can be managed with over-the-counter pain relievers and cold packs.

  • 1 to 2 weeks

    You can generally resume light daily activities and return to sedentary desk work.

  • 2 to 4 weeks

    Dissolvable stitches will naturally disappear. You can resume light exercise and sexual activity.

  • 4 to 6 weeks

    Swelling and bruising should be fully resolved, allowing a gradual return to all strenuous activities and heavy lifting.