Editing Hydrocoele (section)

== Treatment ==

* Indications for surgery
** Congenital hydrocoeles not resolving spontaneously - herniotomy
** Symptomatic acquired hydrocoele
* Aspiration
** Usually reaccumulates within a week
** May be ok for men unsuited to surgery, although you can operate with local anaesthetic anyway
** Can result in bleeding -> haematocoele
* Sclerosant e.g. tetracycline
** Painful but effective
* Operations
** Lord's operation - plication - minimal dissection and low risk of haematoma
***
** Jaboulay's procedure - eversion
*** I think midline raphe cut
*** Dissect to tunica vaginalis and entirely dissect it free (get above sac)
*** Open tunica vaginalis with midline cut from top to bottom
*** Evert sac and suture behind testis
*** Return to scrotum, so testis is now directly inside scrotum
***
** Excision - often causes a large scrotal haematoma - not recommended

[[Category:Urology]]