Treatment

A hydrocelectomy is an operation to treat a hydrocele. An incision is made in the scrotum and the testicle containing the hydrocele is lifted out. The sac is then removed and the remaining tissue edges are stitched back. The tissue edges then heal onto themselves and the surrounding vessels naturally reabsorb any fluid produced.

A spermatocelectomy is an operation to remove a spermatocele from the epididymis of a testicle. An incision is made in the scrotum and the testicle with its attached spermatocele is lifted out. The spermatocele is then removed from the epididymis and any bleeding areas are sealed off.

An epididymal cystectomy is an operation to remove the cyst from the epididymis. The operation is performed in exactly the same way as a spermatocelectomy.

After all three types of surgery, once the operation is complete, the wounds are stitched closed with dissolving stitches that dissolve slowing in the weeks following surgery. No wound drains are usually required.

Hydrocelectomy, spermatocelectomy and epididymal cystectomy are usually not performed unless the hydrocele, spermatocele or epididymal cyst are causing pain or social embarrassment. All three operations are usually simple day stay procedures and complications are rare. Haematoma (blood clot collection), wound infection, abscess, and recurrence, are all very uncommon complications and success rates for surgery usually approach 100%.

Your Consent

We need your permission for your operation to go ahead. Before you sign the consent form it is important that you understand the risks and effects of the operation and anaesthetic. Your doctor and the nurse will discuss these with you, should you have any questions, your nurse or doctor would be happy to answer these.

If you would like any testicle tissue returned to you for personal reasons, please discuss this with your family and inform your nurse and surgeon before your operation.

About Your Anaesthetic

You will NOT be allowed to eat or drink anything for at least six hours before your surgery. This includes chewing gum and sweets.

Before your operation, you will be able to discuss the type of anaesthetic with your anaesthetist, who will see you prior to your operation.

There are two main types of anaesthetic used for this surgery;

• General Anaesthetic: You will be asleep throughout the operation and remember nothing of it.
• Regional Anaesthetic e.g. Spinal, Epidural or Caudal: A needle is placed into your back and a solution is injected that will numb your body from the waist down. You will be awake but you maybe sleepy and you will not feel the operation.

Feel free to discuss these options and your questions with the anaesthetist.

You must not drive any vehicle or operate any machinery for 24 hours after having an anaesthetic. You will have to arrange for someone to drive you home if you go home within 24 hours of your surgery.

Your Operation

On admission you will be informed of your approximate time of surgery and prepared for theatre by your nurse

Any shave of the surgical site is done in theatre once you are asleep.

You may be given some tablets before theatre. These are charted by your anaesthetist and may include tablets for tension, nausea and pain prevention.

You will be escorted to theatre where you will be transferred to the theatre table. Anaesthetic staff will then insert a drip in your arm and will attach various monitoring devices.

Once you have been completely prepared and given your anaesthetic, surgery will begin. The operation usually takes about 30 minutes to perform.

When the operation is completed, you will go to the recovery room for a short while where you will be cared for until you are ready to be transferred to the ward.

After Surgery

Your nurse will check your blood pressure, pulse and your wound routinely.

You may still have the drip in your arm so you get enough fluid until you are drinking. You can usually eat and drink when you return to the ward.

You may have a scrotal support in place, which is a special pair of underpants that support the scrotum. These underpants help prevent bleeding and keep you comfortable.

Once you have recovered from your anaesthetic you will be able to be up and about, but you must take things very quietly in order to avoid causing any bleeding or bruising at the operation site.

Our aim is to keep you as comfortable as possible, so please tell your nurse if you have any pain or discomfort so you can be given the appropriate care. At all times, your nurse is there to help you, please ring your bell if you need assistance and your nurse is not nearby.

Going Home

Once you are up and about, eating and drinking and you have passed urine you will be able to return home. This may be later on your operation day or the following morning.

Before leaving the ward you will be given a discharge information letter which contains helpful information for when you get home.

Your nurse will give specific instructions about caring for your wound. You can shower daily to wash your wound but avoid soap and powders directly on the wound until it has healed. The area should be kept clean and dry and you will be given some dressings to take home that are to be placed over the wound to collect any slight ooze.

You will be given or sent an outpatient clinic appointment to return to see the specialist. The appointment is usually about 6 weeks after your operation.

We will send a letter to your own doctor about your operation and the details of your treatment while you were in hospital.

Once Home

If you were a day stay patient, it is important to take things quietly for the rest of the day as the anaesthetic can still have some effects on your body.

You should wear your scrotal support or your own supportive underpants for as long as you need for comfort after your surgery.

Your wound should heal within about 3 to 5 days. During this time, your wound may ooze very slightly. However, if your wound continues to ooze or you have any signs of an infection such as a red, hot, swollen, or painful wound please contact your own doctor as soon as possible.

You should avoid any heavy lifting, straining or strenuous activity for 2 to 3 weeks after your surgery. This includes things such as any digging and strenuous sports as these activities can cause the stitches below the skin to pull apart.

Before discharge, your nurse will inform you about taking mild pain relievers, should you have any pain or discomfort after you return home.

This is routinely a straightforward operation, after which most patients have a speedy recovery and experience little pain.

While you are in hospital we will do everything we can to make your stay as comfortable as possible. The nursing and medical staff are always available to help with whatever needs you have. If you are worried about anything before or after your surgery, or if you have any further questions or would like more information, please do not hesitate to ask your nurse who will be more than happy to help.