Eversion of the tunica vaginalis for hydrocele

Hydrocele is caused by an abnormal accumulation of fluid between the two layers of the tunica vaginalis that surrounds the testicle. When the hydrocele is large, surgical intervention is often necessary.
The surgical procedure involves the eversion and resection of the tunica vaginalis, performed under spinal anesthesia. Through a small incision in the scrotum, access is gained to the affected testicle to drain the accumulated fluid. To minimize the risk of recurrence, resection of the tunica vaginalis is performed along with repositioning the testicle. The stitches used to close the wound are usually absorbable, meaning they do not require removal by medical personnel and fall out spontaneously in about three weeks, leaving an almost invisible scar.

This is a safe procedure, although in some cases it may lead to post-operative pain, which can be easily managed with medication. Recovery is generally quick, and patients can return to their normal activities within a few days; however, it is advised to avoid intense physical exertion for about four weeks.

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