This document provides information about the procedure for hydrocelectomy. It begins with background on what a hydrocele is and treatments for it such as needle aspiration. It then describes the surgical procedure for hydrocelectomy, which involves making an incision to drain the fluid, removing excess sac wall, and closing the incision. Preparation of the patient and supplies needed for the procedure are also outlined.

1. HYDROCELECTOMY
Presented by----
Mrs. Usha Rani Kandula,
MSc.Nursing, Assistant professor,
Department of Adult Health Nursing,
College of Health Sciences,
Arsi University, Asella, Ethiopia.

2. HYDROCELE
-A hydrocele is an abnormal accumulation of
fluid within the scrotum.
-The fluid is contained within the tunica
vaginalis.

5. -Excessive secretion or accumulation of
hydrocele fluid may be the result of infection
or trauma.

6. HYDROCELECTOMY
-A hydrocelectomy is the excision of the tunica
vaginalis of the testis to remove the enlarged,
fluid-filled sac.

7. -Hydrocele may be treated by needle aspiration
that usually offers temporary relief;
-recurrence is frequent and requires surgical
intervention.
-In children, indirect inguinal hernia may
accompany the hydrocele.

8. PROCEDURE
-Following the administration of anesthesia, an
inguinal or scrotal incision is made.
-The hydrocele fluid is aspirated through a
small incision or with a needle and syringe.

9. PLACEMENT OF DRAIN
-Excessive sac wall is excised or may be
wrapped around and sutured behind the
epididymis.
-Hemostasis is achieved before closure.
-A small drain (e.g., 1/4′′ Penrose) may be
placed.

10. CLOSING OF INCISION
-The incision is closed.
-A bulky dressing is applied.
-When a hernia is present, repair is performed;

11. PREPARATION OF THE PATIENT
-Application of Anti embolitic hose.
-The patient is supine with legs apart;
-a small pad may be placed under the buttocks
to maximize visualization.

12. COMFORT OF THE PATIENT
-A pillow may be placed under the knees.
(for comfort and support).
-Arms may be extended on padded arm boards,
or
-they may be padded and tucked in at the
patient’s sides.

13. PREVENTION OF COMPRESSION
-All bony prominences and areas vulnerable to
skin and neurovascular pressure or trauma
are padded.
-Apply electrosurgical dispersive pad.

14. SKIN PREPARATION
 SCROTAL APPROACH.
-Begin at the scrotum and include the penis,
-extending from umbilicus to lower thighs and
down to the table at the sides.

15.  INGUINAL APPROACH.
-Begin at the inguinal region on the affected
side,
-extending from the umbilicus to lower thighs
(including genitalia)
-and down to the table at the sides.

16. DRAPING
-Cuffed towel under the scrotum,
-folded towels around the pubic region,
-and a laparotomy sheet
EQUIPMENT
-ESU
-Suction

17. SUPPLIES
-Antiembolitic hose (adult), optional
-Basin set
-Blades, (1) #10, (2) #15 (adult), (2) #15 (child)
-Needle magnet or counter
-Suction tubing

18. -Electrosurgical pencil with needle tip and cord
with holder and scraper
-Penrose drains (2), small, e.g., 1/4′′
(for retraction and for drainage)

19. -Syringe, 30 ml, and #20 needle
(for aspiration) and test tube(s) for aspiration
specimen
-Dressing,
e.g., telfa, “gauze fluffs,” and scrotal
suspensory support (adults)

20. Special Notes
• Apply Special Notes from Hypospadias, as
directed.
 THANKING YOU.