Hydrocele Treatment in Singapore

Hydrocele treatment addresses the abnormal collection of fluid in the sac surrounding the testicle (tunica vaginalis). This condition causes painless scrotal swelling that can occur on one or both sides. Treatment aims to remove excess fluid and prevent recurrence while preserving testicular function and scrotal anatomy.

The primary treatment approach involves surgical intervention called hydrocelectomy, though aspiration may provide temporary relief in selected cases. During surgical treatment, the urologist removes accumulated fluid and modifies the tissue layers to prevent fluid re-accumulation. This procedure effectively resolves the swelling and restores normal scrotal contour.

Hydrocele treatment becomes necessary when the swelling causes physical discomfort, interferes with activities, or creates psychological distress. While hydroceles themselves are benign, proper evaluation ensures no underlying testicular pathology exists. Treatment success rates remain consistently high, with most patients experiencing complete resolution of symptoms following appropriate intervention.

Ideal Candidates

• Adults with persistent hydrocele lasting more than six months
• Patients experiencing discomfort or pain from scrotal swelling
• Men whose hydrocele interferes with physical activities or sexual function
• Individuals with communicating hydroceles linked to hernias
• Patients with recurrent hydroceles after previous aspiration
• Men seeking permanent resolution rather than temporary drainage
• Those with bilateral hydroceles affecting both testicles
• Patients whose hydrocele size continues increasing

Contraindications

• Active urinary tract or scrotal infections requiring treatment first
• Severe bleeding disorders without proper management
• Uncontrolled medical conditions affecting surgical safety
• Recent scrotal trauma requiring healing time
• Certain blood-thinning medications needing adjustment

The decision for hydrocele treatment requires a thorough urological evaluation. A Singapore urologist will perform ultrasound imaging to confirm the diagnosis and rule out other conditions. Physical examination, medical history review, and discussion of symptoms help determine the most suitable treatment plan. In some cases, small and asymptomatic hydroceles may simply be monitored over time without immediate intervention.

Hydrocelectomy (Surgical Repair)

Hydrocelectomy represents the definitive treatment for hydroceles, providing permanent resolution through surgical intervention. The surgeon makes an incision in the scrotum or lower abdomen to access the hydrocele sac. After draining the fluid, the sac walls undergo modification through various techniques including excision, eversion, or plication. This prevents future fluid accumulation while preserving normal testicular blood supply and function.

Aspiration and Sclerotherapy

Needle aspiration offers temporary relief by draining hydrocele fluid through the scrotal skin. This minimally invasive approach suits patients unable to undergo surgery or seeking temporary symptom relief. Sclerotherapy involves injecting a sclerosing agent after aspiration to reduce fluid re-accumulation. Recurrence rates remain higher compared to surgical treatment, and multiple sessions may be necessary.

Technology & Equipment Used

Modern hydrocele treatment utilises ultrasound guidance for accurate diagnosis and treatment planning. Surgical procedures employ microsurgical instruments for precise tissue handling and minimal trauma. Electrocautery devices ensure meticulous haemostasis during surgery. Some centres use endoscopic techniques for specific cases, allowing smaller incisions and potentially faster recovery.

Pre-Treatment Preparation

Before hydrocele treatment, you’ll undergo comprehensive urological assessment including scrotal ultrasound to confirm diagnosis and evaluate testicular health. Blood tests check for infection markers and assess overall health status. Your urologist reviews current medications, particularly blood thinners requiring temporary discontinuation.

Fasting instructions typically require no food or drink after midnight before surgery. Arrange transportation home as you cannot drive after anaesthesia. Prepare loose-fitting underwear and comfortable clothing for post-procedure comfort.

During the Procedure

Hydrocelectomy typically takes 30-60 minutes under general or regional anaesthesia. After anaesthesia administration, the surgeon cleanses and drapes the surgical area. The incision location depends on hydrocele size and surgical approach chosen.

The surgeon carefully separates tissue layers to reach the hydrocele sac. After draining accumulated fluid, the sac undergoes modification to prevent recurrence. The surgeon inspects the testicle and surrounding structures before closure. Dissolvable sutures close internal layers while skin closure uses sutures or skin adhesive.

Immediate Post-Treatment

Following surgery, you’ll recover in the observation area while anaesthesia effects subside. Medical staff monitor vital signs and check for any immediate complications. Ice packs help reduce swelling and discomfort. Pain medication provides comfort as anaesthesia wears off.

Most patients return home the same day once fully alert and comfortable. Your surgical site has protective dressing requiring specific care instructions. The medical team provides detailed aftercare guidelines and emergency contact information before discharge.

First 24-48 Hours

Initial recovery focuses on rest and swelling management. Apply ice packs for 20 minutes every few hours while awake to minimise swelling. Keep the surgical area clean and dry, following specific wound care instructions. Take prescribed pain medication as directed for comfort.

Wear supportive underwear or scrotal support to minimise movement and discomfort. Avoid strenuous activities, heavy lifting, and excessive walking. Light activities like reading or watching television are acceptable. Watch for signs of infection including fever, increasing pain, or unusual discharge.

First Week

Continue wearing scrotal support during daily activities for comfort and healing support. Gradually increase walking and light activities as tolerated. Shower carefully, patting the area dry afterwards without rubbing. Follow-up appointment typically occurs 5-7 days post-surgery for wound assessment.

Most patients manage discomfort with over-the-counter pain medication by this time. Swelling and bruising begin subsiding though some firmness around the surgical site remains normal. Return to desk work is usually possible after 3-5 days depending on comfort level.

Long-term Recovery

Complete healing typically occurs within 4-6 weeks following hydrocelectomy. Resume normal physical activities gradually based on comfort and your surgeon’s guidance. Sexual activity can usually resume after 2-3 weeks when comfortable. Exercise and sports may require 4-6 weeks before full participation.

Regular self-examination helps monitor healing and detect any concerns early. Annual urological check-ups ensure long-term testicular health. Most patients experience no long-term limitations following successful hydrocele treatment.

Hydrocele treatment provides immediate relief from scrotal swelling and associated discomfort. Patients regain normal scrotal appearance, eliminating self-consciousness about visible swelling. Physical activities become more comfortable without the burden of enlarged scrotum interfering with movement or causing irritation.

The procedure restores normal clothing fit, particularly underwear and fitted pants that may have been uncomfortable with hydrocele present. Many patients report improved intimate relationships following treatment, as physical and psychological concerns resolve. Sexual function typically remains unaffected or may improve due to increased comfort and confidence.

Treatment eliminates the risk of complications from untreated hydroceles, including potential infection or trauma to enlarged scrotum. Early intervention prevents progressive enlargement that could complicate future treatment. The high success rate of surgical treatment means most patients achieve permanent resolution without recurrence. Quality of life improvements extend beyond physical symptoms to psychological well-being and daily comfort.

Common Side Effects

Temporary scrotal swelling and bruising occur in most patients, typically resolving within 2-3 weeks. Mild to moderate discomfort at the surgical site responds well to pain medication. Some patients experience temporary firmness around the testicle as tissues heal. These effects are expected parts of normal healing and rarely cause concern.

Minor bleeding or fluid accumulation may create temporary swelling distinct from hydrocele recurrence. Surgical site sensitivity gradually improves over several weeks. Temporary changes in scrotal appearance normalise as swelling subsides and tissues settle.

Rare Complications

Infection occurs in less than 2% of cases with proper surgical technique and aftercare. Haematoma formation may require drainage if significant bleeding occurs post-surgery. Injury to testicular blood vessels or vas deferens remains extremely rare with experienced surgeons. Chronic pain affects very few patients and usually responds to conservative management.

Hydrocele recurrence happens in approximately 1-5% of surgical cases, potentially requiring repeat treatment. Testicular atrophy represents an extremely rare complication when blood supply becomes compromised.

Risk minimisation involves choosing experienced MOH-accredited urologists familiar with scrotal surgery techniques. Following post-operative instructions carefully reduces infection and complication risks significantly. Pre-operative optimisation of health conditions contributes to safer surgery and smoother recovery.

Hydrocele treatment costs vary based on several factors including surgical complexity, anaesthesia type, and facility fees. The surgical approach chosen affects overall expenses, with simple hydrocelectomy typically less costly than complex reconstructive procedures. Hospital stay duration, though usually day surgery, influences total charges if overnight observation becomes necessary.

Treatment packages typically include surgeon fees, anaesthesia services, operating theatre charges, and basic consumables. Post-operative medications and follow-up consultations may involve additional costs. Pre-operative investigations like ultrasound and blood tests factor into overall treatment expenses.

Quality surgical care with experienced urologists provides value through reduced complication risks and lower recurrence rates. Choosing established medical facilities ensures proper equipment and support services for optimal outcomes. Your urologist provides detailed cost estimates during consultation, allowing informed financial planning for treatment.