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Best Hydrocele Treatment in Bangalore

What is Hydrocele?

Hydrocele is an accumulation of fluid in the testes, which can be pus, blood, or serious fluid and cause a painless swelling. It can occur in both men and children and can often resolve on its own. However, when it persists for a long time, it can affect the testis and fertility and needs to be drained and the underlying cause treated.

Fig 1. Hydrocele

Types of Hydrocele

There are two types of hydrocele:

Non-communicating hydrocele: It occurs when the sac closes, but the body does not absorb the fluid. Within a year, the residual fluid is absorbed by the body.
Communicating hydrocele: It occurs when the sac enclosing your testicle does not entirely seal, this allows liquids to move in and out of the sac.

What are the Causes of Hydrocele?

There are several reasons why a hydrocele can arise :

Trauma to the testis or injury of the testis, which can lead to accumulation of blood in the sac.
Infection in the testicular sac or of the testes can lead to the accumulation of pus or serous inflammatory fluid.
Filariasis or infection by the filarial worm, which obstructs the lymphatic drainage and accumulation of lymph in the sac.
Hernia in the inguinal canal, which can also cause fluid to accumulate in the testicular sac
Torsion of the testis or winding of the testes around the testicular cord leads to decreased blood supply to the testes and is an emergency condition.

What are the Symptoms of Hydrocele?

The common symptom of a hydrocele will inevitably be a swelling in the scrotal sac. Other symptoms, however, could be :

Heaviness in the scrotum due to fluid accumulation
Change in size of the hydrocele, especially if it is communicating with the abdominal cavity, which is the sign of a communicating hydrocele commonly seen in kids.
When the hydrocele is not communicating with the abdominal cavity, it can lead to an increase in fluid accumulation in the cavity and also cause tenderness in the sac.
Discomfort and dragging sensation in the testicular area.

Advanced Hydrocele Treatment Options: Surgery and Non-Surgical

If you happen to have a case of advanced hydrocele, you can take a look and talk to your doctor about both surgical and non-surgical treatment options for hydroceletreatment.

Non-surgical treatment for hydrocele:-this is the wait and watch approach, which is usually approached for infants and children having hydrocoele in the first few years of life as it usually goes away. If there is an underlying infective etiology for the hydrocele, an antibiotic may also be used to treat it.
Surgical treatment for hydrocele is adopted in kids who have a persistent hydroceleand in adults generally because there is always an underlying cause that needs to be addressed. Some examples of hydrocele surgery include the following:
Hydrocelectomy is performed under anaesthesia and involves incision and drainage of the testicular sac. Sometimes, the surgeon may remove or tie up a part of the sac to prevent recurrence of hydrocele.
TNeedle aspirationis when a needle is inserted into the sac, and the fluid is drained into the syringe to reduce the discomfort caused by the hydrocele.
Sclerotherapy is a procedure in which a sclerosant is used to collapse the sac and prevent fluid reaccumulation.

What is the Procedure & Treatment for Hydrocele?

It is very necessary to get your hydrocele treated.If a hydrocele is left untreated it may develop a risk for infection, inflammation or hernia in adults and premature birth, low birth rate or genetic disorders in infants. Infants who suffer from hydrocele can recover without any surgical treatment.

Types of hydrocelectomy:

Open hydrocelectomy-it is a traditional approach where an incision is made directly over the hydrocele sac in the scrotum to remove the sac. It is generally performed under local or general anaesthesia.
Laparoscopic hydrocelectomyit is a minimally invasive procedure in which a small incision is made in the abdomen through which a laparoscope and surgical tools are inserted which identifies and removes the hydrocele sac. General or regional anaesthesia is used.
Laser hydrocelectomyit is a minimally invasive procedure in which laser energy is passed through a small incision to vaporise and remove the hydrocele sac.
Microsurgical hydrocelectomy in this a smaller incision is made in the scrotum or groin area when compared to open hydrocelectomy through which specialisedinstruments and magnification are passed to remove the hydrocele sac. It causes less tissue trauma and faster recovery.

Recovery and Post-Treatment Care for Hydrocele

Recovery following a hydrocelectomy procedure can take about 1-2 weeks, and slightly longer to feel completely at ease. Some of the precautions you can take to smoothen your road to recovery are as follows:

Follow the discharge advice given by the doctor and go for a review
Take pain medications as prescribed
Avoid sexual activity for 4-6 weeks
Use a cold compress for swelling and bruising
Eat a healthy diet
Use the scrotal support prescribed by the doctor
Keep the surgical site clean and dry
Rest and hydrate well after the surgery.

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Treatment

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FAQ for Hydrocele

How is hydrocele diagnosed?

Hydrocele can be diagnosed on the basis of:

Patient complaints and history of the swelling
Clinical examination
Ultrasound testes
Sometimes, an MRI scan of the testes.

What happens during hydrocele surgery?

Anaesthesia is given before starting the procedure. A small incision is made on the sac, the fluid is drained, the inner lining of the sac is tied or removed, and the sac is then sutured and dressing is placed.

How long is the recovery period after surgery?

One can resume daily activities within a week of the surgery, and complete recovery can take upto 2-3 months

Can hydrocele recur after treatment?

If the cause of the hydrocele is not treated, like an infection filariasis or some kind of lymph obstruction, then a hydrocele can recur after treatment.

ABOUT DR.

Dr. Uday Ravi is a renowned consultant General, Laser, Laparoscopic, Robotic and Bariatric surgeon practising in Bangalore since 15 years. He completed his MBBS from VIMS Bellary and MS from prestigious Bangalore Medical College, Bangalore. He has many fellowships FARIS, FMAS, FALS, FIAGES, FISCP and DMAS(France).

Dr. Uday Ravi has been practicing proctology for more than a decade. He has done 1000s of proctology cases in Bangalore. He is one of the best and leading proctologist in Bangalore.

Surgically advanced techniques, and latest treatment modalities with laser & stapler, are used to ensure that post operative follow-ups & dressings are minimal, patients are more comfortable and have less pain. He ensures patients can resume their normal lifestyle in a short period of time.