Hydrocelectomy, also known as hydrocele repair, is a surgical procedure performed to correct a hydrocele which is a pocket of fluid that develops around a patient's testicle. Hydroceles occur because of defective absorption of tissue fluid or irritation of the membrane leading to overproduction of fluid.

Patients usually receive general or spinal anesthesia for the procedure.

During the surgery, the surgeon makes an incision in the hydrocele and empties the liquid, which may be tested for parasites, infections, or cancerous cells. After examining the testicle for abnormalities, the surgeon stitches the fluid-secreting skin of the sac to the inner skin of the scrotum, which absorbs further secretions. If the testicle is diseased, the surgeon removes it. Once the hydrocele operation is complete, the surgeon stitches the wound shut.

Patients are usually able to return home on the same day, unless they are above 50 years of age, or have difficulty while urinating, or cannot manage on their own at home. In such cases patients may remain in the hospital for 1 or 2 days. Patients should urinate to empty the bladder within 6 to 12 hours of the operation. The nurses remove the stitches or paper strips used to seal the wound after 7 to 10 days. Driving is possible approximately after 10 days of surgery, while sexual relations may resume within one to two weeks. Most patients make a full recovery within a month.

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