Hydrocoele Repair

A hydrocoelectomy (surgical removal of the hydrocoele) is not always necessary. However, Prof Lawrentschuk may recommended it if:

• The hydrocoele causes pain
• It interferes with daily activities or quality of life

Hydrocoelectomy is typically performed under general anaesthetic, although spinal anaesthesia (numbness from the waist down) is also an option. Prof Lawrentschuk will help guide you to which option is best for you.

• A small incision is made in the scrotum.
• The fluid is drained, and the sac surrounding the testicle is partially removed.
• The incision is closed with dissolvable stitches.
• In some cases, a temporary plastic drain is inserted and removed within 1–2 days.

The procedure is usually completed as day surgery. Patients can often return home the same day, provided they are accompanied by a responsible adult. Occasionally, an overnight hospital stay is required.

You will be contacted 1–2 weeks prior to your scheduled procedure with specific fasting instructions and hospital admission details. You will also receive a link to complete your online admission forms.

It is important to advise the rooms if you are taking any blood thinners or any prescribed medications for diabetes or weight loss purposes. The rooms can be contacted on   9329 1197

Once discharged, please note the following:

• Rest for the first 1–2 days after surgery is advised.
• Supportive underwear (e.g. jockstrap, speedos, or two pairs of tight briefs) should be worn for at least one week.
• Return to sedentary work is typically possible after 4–7 days.
• Gentle exercise may resume after approximately one week.
• Avoid strenuous exercise, cycling, or heavy lifting for at least four weeks.
• Swimming should be avoided for two weeks.
• Driving can generally resume after 2–5 days, once safe control (e.g. emergency braking) is possible.
• Sexual activity may resume when comfortable, usually after two weeks.
• This procedure does not affect testosterone levels, sperm production, or erectile function.

The following alternative methods for hydrocoele repair are listed below:

• Observation (no treatment): Appropriate if the hydrocoele is not causing discomfort or issues.
• Aspiration: Involves removing fluid with a needle. However, fluid typically reaccumulates within weeks.

If you are uncertain whether surgery is the best option, please speak to Prof Lawrentschuk to discuss what is most appropriate for your situation.

• Excessive pain that doesn’t ease with medication.
• A fever over 38.5°C.
• Bright red blood coming from the scrotum.
• Excessive redness, swelling, or warmth in the scrotum.