Operations of the scrotum and testicles

At the Urology Clinic, we qualify for surgical procedures performed as part of our Urology Department.

The testicular hydrocele is formed by the accumulation of clear fluid between the visceral and parietal membranes of the testicle. The formation of a testicular hydrocele may result from trauma as well as from acute, chronic and nonspecific testicular or epididymitis. It also occurs during the development of testicular cancer. The reason for the accumulation of fluid in the testicle is an imbalance between the secretion and absorption of fluid by the vaginal lining.

What is Scrotum Operation?

A scrotum operation typically refers to surgical procedures conducted on the scrotum, the pouch of skin and muscle containing the testicles. Common scrotal surgeries include hydrocelectomy, which involves the removal of a hydrocele (accumulation of fluid around the testicle). These operations aim to address various conditions affecting the scrotum and testicles, such as hydroceles, varicoceles, or testicular enlargement.

Surgical Procedures:

1. Bergmann’s Method:

   • Objective: Removal of excess testicular casings and application of a hemostatic suture to their edges.
   • Procedure: Patient lies down, scrotum skin is cut, hydrocele casings are prepared and removed outside the scrotum, fluid is evacuated, hemostatic suture is applied, and a drain is inserted.
   • Indications: Testicular hydrocele due to various causes.

2. Winkelmann Method:

   • Objective: Dissection of the hydrocele, evacuation of fluid, and appropriate removal of its casings.
   • Procedure: Similar to Bergmann’s method.
   • Indications: Testicular hydrocele removal.

Potential Complications:

1. Infection:

   • Risk of postoperative infection in the surgical area.
   • Patients should watch for signs of infection, such as redness, swelling, or increased pain.

2. Testicular Damage:

   • Possibility of damage to the testicle during the procedure.
   • Monitoring for changes in testicular function and appearance is crucial.

3. Scrotal Hematoma:

   • Accumulation of blood in the scrotum.
   • Patients need to be vigilant for swelling, discoloration, and increased pain.

4. Pain or Discomfort:

   • Normal postoperative discomfort or pain in the operated area.
   • Patients should report any unusual or severe pain to their physician.

Postoperative Care:

• Drain Placement:
  • A drain is inserted into the scrotum during the procedure and is usually removed the next day.
• Follow-up:
  • Any postoperative complaints or concerns should be promptly discussed with the attending physician.