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

Answered by
Dr. Samer S J Altawil
and medically reviewed by Dr. Sushrutha Muralidharan
This is a premium question & answer published on Jul 13, 2021

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 520 ml 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.

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.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Baby placed with tracheostomy & gastrostomy tube. Doubt regarding aspiration.

Hello Doctor, My mother was operated on 18th July for cervical cancer (Wertheim's Hysterectomy). The operation was successful and she is fine and recovering. After the surgical biopsy, they declared it as stage 2B. Further we sent her slides to...   Read full

What can be done for thickened spermatic code with trace hydrocele?

Hello Doctor, My mother was operated on 18th July for cervical cancer (Wertheim's Hysterectomy). The operation was successful and she is fine and recovering. After the surgical biopsy, they declared it as stage 2B. Further we sent her slides to...   Read full

I have a recurring swelling near my testicle. Can it be a hydrocele?

Hello Doctor, My mother was operated on 18th July for cervical cancer (Wertheim's Hysterectomy). The operation was successful and she is fine and recovering. After the surgical biopsy, they declared it as stage 2B. Further we sent her slides to...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Alzheimer's Disease - an Overview
Alzheimer's is a neurodegenerative condition that can seriously hamper one's day to day activities and quality of life. ...  Read more»
My father is experiencing hospital delirium after ankle surgery. Please help.
Hi doctor, I am concerned about drug interaction for my father. He is experiencing hospital delirium after surgery. My ...  Read more»
Is there a chance for dengue reattack in the same season?
Hi doctor, I was diagnosed with dengue towards the end of last month. I was hospitalized for five days. I went through...  Read more»

Ask your health query to a doctor online?

Ask an Urologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.