A hydrocele is a fluid-filled sac surrounding the testicle, causing swelling of the scrotum. It is a common condition in adult men and can occur due to injury, infection, inflammation, or without any clear cause. While hydroceles are usually painless, they can become uncomfortable, heavy, or embarrassing — especially during daily activities or intimacy.
Hydrocelectomy is the definitive surgical treatment for hydrocele, offering permanent relief by removing the sac and preventing fluid from returning.
Bangkok is a leading destination for hydrocelectomy due to skilled urologists, modern surgical techniques, and efficient recovery protocols.
This guide explains what hydrocele is, when surgery is needed, and what men can expect from the hydrocelectomy procedure.
What Is a Hydrocele?
A hydrocele is a collection of fluid around the testicle inside the scrotum. It can occur on one or both sides.
Common causes include:
Injury or trauma
Inflammation or infection
Prior testicular surgery
Blocked lymphatic drainage
Idiopathic causes (unknown reasons)
Hydroceles can gradually enlarge, causing discomfort, pressure, or cosmetic concerns.
Symptoms of a Hydrocele
Men with hydrocele may notice:
Scrotal swelling (one or both sides)
A feeling of heaviness
Discomfort when sitting, walking, or exercising
Fluid-filled sensation around testicle
Visible enlargement in tight clothing
Occasional dull aching
Hydroceles are typically not painful, but very large ones can cause discomfort or embarrassment.
When Is Hydrocelectomy Needed?
Surgery is recommended when:
Hydrocele is large or growing
Causing discomfort or pain
Interfering with movement or sexual function
Creating cosmetic concerns
Ultrasound shows thickening or complications
Associated with hernia or infection
Hydrocelectomy is the gold-standard treatment — aspiration or needle drainage is temporary and usually results in recurrence.
Types of Hydrocelectomy
1. Open Hydrocelectomy (Most Common)
Incision made in the scrotum or groin, sac removed or everted.
2. Jaboulay Procedure
Eversion of the hydrocele sac to prevent reaccumulation.
3. Lord’s Repair
Less dissection, reduced swelling, suitable for smaller hydroceles.
Your surgeon selects the best technique based on anatomy and hydrocele size.
Benefits of Hydrocelectomy for Men
1. Permanent Cure
High success rate with very low recurrence.
2. Improved Comfort
Removes heaviness and swelling.
3. Better Appearance
Restores normal scrotal shape.
4. Improves Mobility & Daily Activity
Walking, running, and sitting become more comfortable.
5. Quick Recovery
Most men return to work in a few days.
The Hydrocelectomy Procedure — Step by Step
1. Pre-Surgery Evaluation
Physical exam
Ultrasound
Blood & urine tests
Discussion of anesthesia option
2. Surgery (30–45 minutes)
Performed under general or spinal anesthesia.
Steps:
Small incision in scrotum or groin
Hydrocele sac exposed
Fluid drained
Sac removed or everted
Layers repaired
Dissolvable stitches used
No impact on fertility or testosterone.
3. Post-Surgery Care
Ice compress first 24–48 hours
Supportive underwear
Avoid heavy lifting
Pain medication as needed
Recovery Timeline
Day 1–3:
Swelling, mild discomfort
Use scrotal support
Week 1:
Return to office-type work
Bruising improves
Week 2–3:
Resume most physical activities
Week 4–6:
Sexual activity permitted
Full healing
Expected Results
Men typically experience:
Complete disappearance of swelling
Normal testicle contour
Minimal scarring
Immediate relief from heaviness
Improved confidence and comfort
Hydrocelectomy offers a long-term, often permanent cure.
Risks & Safety Considerations
Possible but uncommon risks:
Temporary swelling
Bruising
Infection
Seroma (fluid accumulation)
Rare recurrence
Choosing an experienced urologist minimizes complications.
Why Men Choose Hydrocelectomy in Bangkok
Skilled urologic surgeons
Affordable pricing
Safe, modern surgical facilities
Fast recovery protocols
Private and comfortable environment
Frequently Asked Questions (FAQ)
Will hydrocelectomy affect my fertility?
No — the testicle remains unharmed.
Is the surgery painful?
Mild discomfort, easily manageable.
Will the hydrocele come back?
Low recurrence with proper surgery.
Can I have sex after surgery?
Yes — usually after 4–6 weeks.
Is there a scar?
Small and discreet.
Key Takeaways
Hydrocelectomy is the definitive treatment for hydrocele in men.
Permanently removes swelling and restores comfort.
Quick recovery and extremely high success rate.
Bangkok offers expert surgical care at excellent value.
Menscape provides discreet and personalized urological support.
📩 Experiencing scrotal swelling? Book a private consultation at Menscape Bangkok today.
