Hydrocele

Ultrasound is used by board-certified urologists to confirm a hydrocele, and same-day hydrocelectomy is available to relieve discomfort, reduce cosmetic bulging, and lower infection risk.

What are the options?

A hydrocele is a fluid-filled sac that surrounds the testicle, leading to one-sided or sometimes bilateral scrotal swelling. While usually painless, the added weight can cause discomfort over time, and chronic fluid buildup may conceal underlying tumours or infections.

Ultrasound Only

Best for small, symptom-free hydroceles, with annual scans to ensure no tumour is present.

Ultrasound Only

Needle Aspiration

Provides temporary relief for men unfit for surgery, but carries a high recurrence rate within six months.

Needle Aspiration

Open Hydrocelectomy

The standard treatment for sacs under 5 cm, typically done in 30 minutes with a small scar.

Open Hydrocelectomy

Endoscopic Hydrocelectomy

Ideal for very large or recurrent sacs, using a smaller incision for quicker drainage and recovery.

Endoscopic Hydrocelectomy

01. Ultrasound & Labs (20 min)

Hydrocele is confirmed with ultrasound, while labs rule out hernia or tumour.

01. Ultrasound & Labs (20 min)

02. Day-Surgery Repair (30 min)

A small 2 cm scrotal incision is made; the sac is excised and everted.

02. Day-Surgery Repair (30 min)

03. Recovery & Follow-Up (1 week full recovery)

Patients are discharged four hours post-op, with a WhatsApp check-in at 48 hours and complete recovery expected in about a week.

03. Recovery & Follow-Up (1 week full recovery)

What Our Patients Say

Urology Consultation

I felt 2 kg lighter and was back to cycling within a week.

Kris M., 41
Urology Consultation

The scar is practically invisible after just three months.

Thanawan S., 36

Book your free consultation today.

What Our Patients Say

Consultation Workflow & Diagnotics

History & Physical (15min)

Detailed symptom timeline & palpation.

Same-Day Labs (10min)

CBC, urine panel ± tumour markers.

Treatment Plan (5min)

Medication, surgery, or further imaging scheduled.

Urology Consultation

Board-Certified Urologists

Every procedure is performed by fellowship-trained urology specialists.

On-Site Ultrasound

Immediate, same-day diagnostics without the need for outside referral.

Male-Only Privacy

A discreet, men-only clinic designed for comfort and confidentiality.

WhatsApp Follow-Up

Direct aftercare support with your doctor for peace of mind.

Frequently asked questions

What is a hydrocele?

A hydrocele is a fluid-filled sac around the testicle that causes one-sided or sometimes bilateral scrotal swelling. It’s typically painless, but large hydroceles can cause heaviness, discomfort, or cosmetic concern.

How is a hydrocele diagnosed?

Diagnosis is confirmed with physical examination and scrotal ultrasound. At Menscape, the test can be done immediately during your consultation, no external referral required.

Will the surgery affect fertility or sexual performance?

No. The testicle and spermatic structures are untouched during surgery, so fertility, testosterone levels, and erections remain normal.

Can a hydrocele come back after surgery?

Recurrence is very rare, less than 5% of cases. If fluid reappears, Menscape offers a free revision within 12 months to ensure lasting correction.

Is hydrocelectomy painful?

Discomfort is minimal. The procedure is done under local or regional anaesthesia, so the area is completely numb. Any mild ache afterward is easily managed with anti-inflammatory medication.

How long is recovery after surgery?

Most men return to work within 2–3 days, and to exercise or physical labour in 10–14 days. Swelling typically disappears completely within two to three weeks.

How long does the surgery take, and can I go home the same day?

Yes. Hydrocelectomy is a 30–40-minute day-surgery. You can go home within a few hours, with simple aftercare instructions and follow-up via WhatsApp.

Will there be a visible scar?

The incision is only 2 cm, hidden in the groin crease. With proper care, it becomes barely noticeable within a few weeks.

Is it covered by insurance or medical certificates?

Yes. Menscape provides insurance-ready invoices for Thai and international providers, as well as medical certificates or visa letters if needed.

Will the surgery affect fertility?

No. The testicle itself is untouched, and sperm quality remains unchanged.

Can a hydrocele become dangerous or cancerous?

A hydrocele itself is benign, but large ones can hide testicular tumours underneath. That’s why an ultrasound is always done before deciding on treatment.

Ready to Get Rid of Scrotal Swelling?

Ready to Get Rid
of Scrotal Swelling?
Ready to Get Rid of Scrotal Swelling?