What is a Hydrocele?

A hydrocele is a collection of fluid that gradually develops around the testis, causing a lump to appear. This is harmless and only needs surgical intervention if it becomes painful or becomes bigger.

Hydroceles can develop for different reasons. Common hydrocele causes may include inflammation, injury, infection, or fluid passing into the scrotum from the abdomen. In some cases, hydrocele causes may also relate to an associated inguinal hernia, which is why careful assessment matters.

Understanding Hydrocele Repair and When Treatment May Be Recommended

Discovering scrotal swelling or changes around the testicle can feel worrying, particularly when symptoms are unfamiliar or gradually become more noticeable over time. While many hydroceles are harmless, understanding hydrocele symptoms, possible hydrocele causes and when to seek specialist advice is important for reassurance and appropriate care.

Professor Francis Chinegwundoh MBE, Consultant Urological Surgeon, provides experienced, compassionate support for patients experiencing testicular swelling, helping to assess symptoms carefully and guide each individual towards the most suitable hydrocele treatment.

Because scrotal swelling can occasionally share similarities with conditions such as testicular torsion or, more rarely, testicular cancer, professional hydrocele diagnosis is essential to rule out other causes and ensure the right treatment options are considered.

Hydrocele Diagnosis and Tests

Before recommending surgery, Professor Francis Chinegwundoh MBE may carry out a physical examination and arrange hydrocele diagnosis through appropriate diagnosis and tests, which may include ultrasound scanning.

This helps confirm the type of hydrocele, assess symptoms and causes, and distinguish hydroceles from other urology concerns affecting the testicle or surrounding structures. Accurate diagnosis is particularly important when swelling is uncomfortable, increasing in size, or causing uncertainty.

When Is Hydrocele Treatment Needed?

Not all hydroceles require immediate surgery. Some remain small and symptom-free, while others may gradually enlarge, cause discomfort or interfere with daily life. Where intervention is appropriate, hydrocelectomy offers a well-established surgical solution designed to remove or repair the fluid-filled sac. Professor Francis Chinegwundoh MBE will always discuss treatment options carefully, ensuring patients understand the benefits, recovery process and expected outcomes before proceeding.

What to Expect During the Procedure

The hydrocele operation is carried out under general anaesthetic, and usually takes 20-30 minutes.

An incision (cut) is made in the scrotum allowing fluid to drain out of the hydrocele. The hydrocele sac is then either cut out, or stitched to the back of the testicle. The scrotum is then closed with dissolvable stitches.

What to Expect After the Procedure

You will be taken from the theatre to the recovery room, where you will be closely monitored until you are awake enough to return to the ward.

You may feel uncomfortable at first, but this can be controlled with painkillers such as Paracetamol.
You may have a small dressing but this can be removed when you have a bath or shower.

Your stitches will dissolve within two to three weeks. You should wear briefs rather than boxer shorts for two to three weeks as these will provide some support.

What Should I Expect at Home?

There may be some swelling of the scrotum after the hydrocele operation and this can last for three months. You should take things easy for a week after the hydrocele surgery to allow the wound to heal.

Will It Affect My Sex Life?

You can resume sexual activity as soon, as is comfortable for you.

What Follow-Up Care Will I Receive?

You will be sent an appointment to see your consultant to ensure the wound has healed. This will be for approximately six weeks after your hydrocele surgery.

What Are the Potential Complications?

All operations carry the risk of complications. However, general anaesthetics are very safe these days and you will have the opportunity to discuss these risks and complications with the anaesthetist prior to your operation.

Any form of surgery carries the risk of you developing a chest infection, a clot in your lung or leg, bleeding during or after surgery, or developing cardiac problems. Your doctor will discuss all risks and complications with you when you attend the pre admission clinic.

Expert Hydrocele Care with Reassurance at Every Stage

Although hydrocele repair is a straightforward procedure for many patients, reassurance, accurate diagnosis and skilled aftercare remain central to a positive experience.

Professor Francis Chinegwundoh MBE combines specialist urology expertise with a patient-focused approach, ensuring concerns around hydrocele causes, symptoms and recovery are handled with clarity and care.

From first consultation to follow-up, patients are supported with thoughtful guidance designed to restore comfort, confidence and peace of mind.

Ready to Book or Talk Things Through?

Whether you’re ready to make an appointment or simply have questions, we’re here to help. Call +44 (0) 7746 299 121, email mail@urologyconsultant.co.uk or use the contact form.