Definition Hydrocelectomy, also known as hydrocele repair, is a surgical procedure performed to correct a hydrocele. A hydrocele is an accumulation of peritoneal fluid in a membrane called the tunica vaginalis, which covers the front and sides of the male testes. Hydroceles occur because of defective absorption of tissue fluid or irritation of the membrane leading to overproduction of fluid. In addition to filling the tunic vaginalis, the fluid may also fill a portion of the spermatic duct (epididymis) in the scrotum. Diagnosis Diagnosis will begin with taking a careful history, including sexual history, recent injury, or illnesses, and observing signs and symptoms. Hydroceles can sometimes be diagnosed in the doctor’s office by visual examination and palpation (touch). Hydroceles are distinguished from other testicular problems by transillumination (shining a light source through the hydrocele so that the tissue lights up) and ultrasound examinations of the area around the groin and scrotum.
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