Hydrocele: Surgery, Recovery, and Care FAQs - Urology

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Hydrocele


Hello Dr.
Du, I have one side of my scrotum that is larger than the other due to fluid accumulation.
I have seen a doctor, and the recommendation is traditional surgical treatment.
The details were not very clear, so I would like to ask you a few questions:
1.
What type of anesthesia is typically used for this kind of surgery?
2.
How many days will I need to stay in the hospital?
3.
What is the care for the surgical wound after the operation? (How many days do I need to change the dressing? Can I get it wet or take a shower?)
4.
How long after the surgery can I return to normal activities? (Such as handling daily chores, riding a motorcycle, driving, or lifting slightly heavy objects)
5.
Will the surgical wound need sutures to be removed? How long until I can return to work? (I need to arrange for time off in advance)
I apologize for the many questions, and I appreciate your help.

D, 40~49 year old female. Ask Date: 2022/08/08

Dr. Du Shixi reply Urology


Hello: Please confirm with the surgeon, as recommendations may vary.

1.
What type of anesthesia is typically used for this surgery? --> Regional anesthesia.

2.
How many days will I need to stay in the hospital? --> 1-2 days.

3.
How should I care for the surgical wound post-operation? (How many days should I continue changing the dressing? Can it get wet or can I take a shower?) --> Generally for about a week, and it should be kept dry.

4.
How long after the surgery can I return to normal activities? (Such as household chores, riding a scooter, driving, and lifting slightly heavy objects) --> You can return to normal activities as long as there is no pain; medication should allow you to resume normal activities in 2-3 days, just avoid activities that cause pain.

5.
Will the surgical wound need sutures removed? How long until I can return to work? (Please arrange for leave in advance) --> Yes, sutures will need to be removed, and you can likely return to work in about 3-4 days.

Wishing you good health.

Reply Date: 2022/08/08

More Info


Hello! Thank you for your questions regarding hydrocele surgery and recovery. Hydrocele is a condition characterized by the accumulation of fluid in the scrotum, leading to swelling. Surgical intervention is often recommended when the hydrocele causes discomfort or is large enough to be concerning. Here are the answers to your questions based on standard medical practices:
1. Anesthesia Type: Hydrocele surgery is typically performed under general anesthesia or local anesthesia with sedation. The choice depends on the patient's health, the surgeon's preference, and the complexity of the procedure. General anesthesia will put you to sleep, while local anesthesia will numb the area, allowing you to remain awake but comfortable.

2. Hospital Stay: Most patients undergoing hydrocele surgery can expect to go home the same day, as it is usually an outpatient procedure. However, if there are complications or if the patient has other health issues, a short hospital stay may be required.

3. Wound Care Post-Surgery: After surgery, proper wound care is crucial. The surgeon will provide specific instructions, but generally, you will need to keep the area clean and dry. You may need to change the dressing daily or as advised by your healthcare provider. Showering is usually permitted after 24-48 hours, but soaking in a bath should be avoided until the incision has healed. Always follow your surgeon's specific recommendations regarding wound care.

4. Recovery Time: Recovery varies from person to person, but many patients can return to normal activities within a week. Light activities can typically be resumed after a few days, while more strenuous activities, such as heavy lifting or vigorous exercise, should be avoided for at least 2-4 weeks. It’s essential to listen to your body and not rush the recovery process.

5. Suture Removal: Whether sutures need to be removed depends on the type used. If absorbable sutures are used, they will dissolve on their own. If non-absorbable sutures are used, they will need to be removed, usually within 7-10 days after surgery. Your surgeon will inform you about the type of sutures used and when to return for a follow-up appointment.

In terms of returning to work, if your job involves physical labor, you may need to take more time off. It’s advisable to discuss your specific job duties with your surgeon to determine the best timeline for your return.

Overall, hydrocele surgery is generally safe and effective, with a high success rate. However, as with any surgical procedure, there are risks involved, including infection, bleeding, and recurrence of the hydrocele. It's essential to follow your surgeon's post-operative care instructions closely to minimize these risks and ensure a smooth recovery.

If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider for personalized advice tailored to your specific situation. Wishing you a successful surgery and a smooth recovery!

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