What is the procedure for hydrocele surgery?

The testicle is an important male reproductive organ. If the testicle is healthy, it will not affect fertility. If the testicle is underdeveloped, it will affect fertility. So, what should we do about hydrocele? How to treat it? Here are some other details about the process of hydrocele surgery, hoping to help you.

Hydrocele surgery is a common surgery in modern times. Many patients do not know much about hydrocele. Hydrocele is a common disease of the male reproductive system. In some age groups, hydrocele can cause low sperm quality, lead to male infertility, and affect male reproductive health.

What is the procedure for hydrocele surgery?

(1) Incise the scrotal wall: Use your left hand to hold the scrotum in place, apply slight pressure to stretch the scrotal skin, and make a longitudinal or transverse incision in an avascular area. The length of the incision depends on the size of the effusion. Incise the skin, fascia, and various layers of fascia until you reach the wall of the tunica vaginalis.

(2) Separation of the sac vaginalis: Manually squeeze the testicles and the sac vaginalis toward the incision, use a vascular clamp and a small gauze ball or wrap your fingers with gauze to perform blunt separation along the surface of the sac vaginalis wall and the levator testis muscle until the sac vaginalis can be squeezed out of the scrotal incision. If the sac vaginalis is too large, some of the accumulated fluid can be drained, and then separated and squeezed out of the incision, continue to separate widely along the sac vaginalis wall, and separate a small section of the spermatic cord upward.

(3) Open the sac vaginalis: Use two vascular clamps to lift the wall of the sac vaginalis in the avascular area, cut open its anterior wall, and aspirate all the fluid. Cut the sac vaginalis longitudinally and enlarge the incision. Check whether the epididymis is lesional, and explore upward along the sac vaginalis to see whether the processus vaginalis is connected to the abdominal cavity. If not, treat it as hydrocele.

(4) Excision of the tunica vaginalis: Use scissors to cut off the excess tunica vaginalis 1.5-2.0 cm away from the edge of the epididymis and stop bleeding completely at the edge. Flip the remaining tunica vaginalis wall to the back of the epididymis and suture it intermittently or continuously with fine silk thread. Suture and fix the remaining tunica vaginalis below the testis to the tunica carnosus behind it to prevent the spermatic cord from twisting.

(5) Place drainage and suture the incision: Carefully examine the surgical field, stop bleeding completely, and return the testicle to the scrotum. Make another small incision at the lower end of the incision or at the bottom of the scrotum, and place a rubber sheet for drainage. Use fine silk thread to intermittently suture the scrotal membrane, and vertically suture the scrotal skin.

If men with hydrocele are not treated in time, they may experience lower body discomfort, a heavy feeling in the scrotum and testicles, difficulty walking or working, hindering harmonious sex life, and even causing male infertility. Therefore, when hydrocele is diagnosed, it should be treated in time.