Hydrocelectomy/Spermatocelectomy

Q: What is a hydrocelectomy and when is it needed?

A: A hydrocelectomy is a surgical procedure performed to remove a hydrocele, which is a fluid-filled sac surrounding the testicle that causes swelling in the scrotum. Hydroceles are typically painless and benign, but when they become large, uncomfortable, or cosmetically concerning, surgical removal may be recommended.

The procedure is usually done on an outpatient basis under general or regional anesthesia. During the surgery, a small incision is made in the scrotum to drain the fluid and remove or repair the sac. Recovery is generally quick, with most patients resuming normal activities within a few days to a week.

Hydrocelectomy is considered a safe and effective treatment, especially when non-surgical approaches are ineffective or when the hydrocele recurs after aspiration.

Q: What is a spermatocelectomy and why is it performed?

A: A spermatocelectomy is a surgical procedure used to remove a spermatocele—a benign, fluid-filled cyst that forms in the epididymis (the coiled tube located above and behind the testicle that stores and carries sperm). Spermatoceles are typically painless and often discovered during routine exams or self-checks. However, if the cyst becomes large, painful, or causes discomfort, surgical removal may be recommended.

The procedure is usually performed on an outpatient basis under local or general anesthesia. A small incision is made in the scrotum to access and remove the spermatocele while preserving the surrounding structures. Recovery is generally smooth, with most patients resuming light activities within a few days.

Spermatocelectomy is a safe and effective treatment, although—as with any surgery—there are small risks, including infection, bleeding, or potential impact on fertility if both testicles are affected.