Scrotal Surgery

Scrotal Surgery

Urological surgery includes operating on the scrotum and testes. The relevant conditions to consider include;

Hydrocele – a fluid swelling around the testis, caused by inflammation, although a groin hernia as the cause of scrotal swelling should be excluded as part of the assessment.

Varicocele – a ‘bag of worms’ feeling around the testicle caused by varicose veins, where the venous valves are incompetent and not returning venous blood to the central vein- the IVC, inferior vena cava.

Epididymal cysts – are benign cysts on the epididymis, which is found atop and behind the testicle, and is an important sperm transit structure.

Testicular cancer – is a common male cancer between the ages of 20 to 40, and is a hard lump felt on the ball. This requires urgent Urologist specialist review.

Sebaceous cysts – cysts in the scrotal skin related to hair follicles, which at times become red and infected.

Frequently Asked Questions

What is the surgery like ?

Typically all are day surgeries, with simple pain relief and wound care protocols to follow.

Supportive tight underpants helps reduce swelling.

Back to work in about 2 to 3 days.

What is Hydrocele Removal (Hydrocelectomy)?

Removal of fluid and the fluid-containing sac from around the testicle.

What is Varicocele Removal (Varicocelectomy)?

To help reduce a region of stretched-out veins in the scrotum, one option is to ligate (tie off) the veins draining a testicle (that may cause pain or affect fertility).

What is Spermatocele Removal (Spermatocelectomy)?

Removal of a sac containing sperm from the scrotum.

What is Testicular Torsion Repair?

An emergency procedure that requires urgent surgery to untwist the testicle to restore blood flow.

What is Orchiectomy?

Removal of the testicle or both testicles.

What is Radical Inguinal Orchiectomy?

Surgery done for testicular cancer, through an incision in the groin.

What is “Simple” Orchiectomy?

Surgery done for some cases of advanced prostate cancer, and in other conditions where testosterone production is no longer required or desired.

What is Scrotal Reconstruction?

Reconstruction of genitalia damaged by injury, infection, or other causes.