Hydrocelectomy

Hydrocelectomy is a surgical procedure to remove a hydrocele—a fluid-filled sac around the testicle that causes scrotal swelling and discomfort. The procedure is typically outpatient, safe, and effective. If you’re experiencing scrotal fullness, heaviness, or concern about testicular swelling, hydrocelectomy may offer a permanent solution with minimal downtime.

What is a hydrocele?

A hydrocele is a buildup of fluid around the testicle, typically caused by an imbalance in fluid production and absorption. While hydroceles are often painless, they can lead to discomfort, pressure, or cosmetic concern as they enlarge. When a hydrocele becomes large, symptomatic, or persistent, hydrocelectomy is the definitive treatment.

During a hydrocelectomy, a small incision is made in the scrotum or groin (depending on the location and size of the hydrocele), and the fluid-filled sac is drained and surgically removed or plicated to prevent recurrence. The procedure usually takes less than one hour and is done under general or regional anesthesia.

Patients typically return home the same day and can resume light activities in a few days. Most experience immediate relief from swelling and discomfort. Absorbable sutures are used internally, and full recovery is expected within 1–2 weeks.

Hydrocelectomy has a high success rate, with minimal risk of recurrence or complications. It is commonly recommended for adult men with non-communicating hydroceles or those whose symptoms interfere with daily life, exercise, or sexual function.

Why choose hydrocelectomy?

  • ✅ Definitive treatment for persistent or large hydroceles

  • ✅ Outpatient procedure with short recovery time

  • ✅ Immediate reduction in scrotal swelling and discomfort

  • ✅ Improves mobility, physical activity, and appearance

  • ✅ High success rate and low risk of recurrence

  • ✅ Can be performed under regional or general anesthesia

Hydrocelectomy is a simple but effective solution for men seeking lasting relief from a hydrocele that interferes with comfort or confidence.

Ideal Candidate

  • Have a hydrocele that is large, symptomatic, or increasing in size

  • Experience scrotal heaviness, discomfort, or cosmetic concerns

  • Have tried conservative monitoring but symptoms persist

  • Are otherwise healthy enough for outpatient surgery

It’s especially recommended if the swelling limits your physical activity or causes social or emotional discomfort.

Recovery

  • Downtime: Most men return to non-strenuous work within 2–3 days

  • Activity: Avoid heavy lifting or sexual activity for 1–2 weeks

  • Discomfort: Mild scrotal soreness and bruising may occur

  • Follow-up: A check-up is typically scheduled within 1–2 weeks

Swelling improves significantly in the first week, with full resolution over a few weeks. Pain is manageable with over-the-counter or prescribed medications.

Kevin Chu MD Urology and Men's Health, Los Angeles, South Bay, Orange County

What is the process?

  1. Consultation: Book an appointment here. We evaluate your health, surgical history, and goals to determine the best approach.

  2. Diagnostic Testing (if needed): blood tests, scrotal ultrasound

  3. Personalized Treatment Plan: Based on your specific needs, we create a targeted treatment approach to maximize effectiveness.

  4. Follow-Up & Adjustments: Regular follow-ups to monitor progress and optimize treatment outcomes.

Why choose
Dr. Kevin Chu?

  • Board Certified, Fellowship-trained urologist

  • Specializing in modern, minimally invasive procedures.

  • Your privacy is our priority, and our discreet office ensures a comfortable experience.

  • Free parking and easy scheduling at our Redondo Beach location.

Kevin Chu MD Urology and Men's Health, Los Angeles, South Bay, Orange County