Patient's question:
11 October, I had bilateral varicocele surgery, and the recovery was good. After playing basketball, I noticed swelling of the foreskin. During a follow-up check of the spermatic cord, it was found that there was hydrocele of the right testicle with a volume of 1.3. The semen analysis showed no white blood cells, and the epididymis was also fine. I would like to ask how to treat the hydrocele of the testicle?Doctor's answer:
When adult tumors are small and do not cause symptoms, surgical treatment is not necessary. Puncture and aspiration are generally not performed, as recurrence is very likely. If there is a large amount of fluid with significant symptoms, surgery should be performed without age restrictions, such as inguinal canal inversion surgery. During the operation, bleeding control must be paid attention to, and postoperative bed rest is recommended. Scrotal swelling can be relieved with cold packs to reduce swelling and prevent bleeding. If the accumulation of blood is caused by trauma, hemostatic agents and antibiotics should be used. When there is a large amount of blood, surgical removal of the blood clot and ligation of the bleeding point should be performed. For hydrocele caused by filariasis, in addition to surgery, active treatment of filariasis is also required.