HomeAnswersUrologyhydrocelectomyIs revision surgery required to correct swelling that occurred after hydrocelectomy?

I have swelling even after aspiration of fluid from the scrotum after hydrocelectomy. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sushrutha M.

Published At July 14, 2021
Reviewed AtAugust 7, 2023

Patient's Query

Hi doctor,

Thirty days ago, I had a double hydrocelectomy. After surgery, there was a lot of swelling, which was slow to do down, and then suddenly, three weeks out, it quickly went up. Following an ultrasound, my scrotum was aspirated, draining off 1.09 pints of fluid. Two days later, it is once again very swollen. What needs to be done now? Kindly help me.

Hi,

Welcome to icliniq.com.

Swelling and fluid indicate fluid leaking from the tummy down through the inguinal canal to the scrotum. Hydrocele can be non-communicating, which can be treated by classical hydrocelectomy, but the communicating type should have ligation of the patent vaginalis at the inguinal canal. In your case, I think the processus vaginalis are not lighted, and fluid accumulates in the scrotum again. Treatment is by exploring both inguinal canals and ligation of processus vaginalis.

If you have any more queries, please do not hesitate to ask.

Patient's Query

Hi doctor,

Does this involve surgery? Kindly give your opinion.

Hi,

Welcome back to icliniq.com.

Yes, revision needs surgery on both inguinal areas to separate the processus vaginalis from the spermatic cord and ligate it. I hope this was helpful.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Samer Sameer Juma Ali Altawil
Dr. Samer Sameer Juma Ali Altawil

Urology

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