About this service
A hydrocoelectomy is a day-theatre operation performed in Windhoek to remove a hydrocoele or spermatocoele, a fluid-filled swelling around the testicle or epididymis. Many men notice a painless lump or heaviness in the scrotum that grows slowly over time, and surgery is usually recommended once it becomes uncomfortable or unsightly. The operation drains the fluid and removes the sac lining so it can't refill.
At Eastgate Clinic this procedure is done in our on-site day theatre, with your GP managing referral and follow-up in our rooms. Your doctor will advise whether surgery or monitoring suits your situation best.
What to expect
- An ultrasound confirms whether the swelling is a hydrocoele or a spermatocoele before surgery is planned.
- The surgeon opens the scrotum, drains the fluid and removes or turns back the sac lining so it cannot refill.
- You go home the same day wearing supportive underwear, with dissolving stitches in the wound.
- Bruising and firmness in the scrotum ease over two to three weeks, and your doctor reviews the wound in our rooms.
Who is it for?
You may be advised to have this if you are dealing with:
- A painless swelling or lump in the scrotum
- A feeling of heaviness or dragging in one testicle
- Scrotal swelling that has grown larger over months
- Discomfort during exercise or long periods of standing
- A swelling confirmed as a hydrocoele or spermatocoele by ultrasound
Frequently asked questions
Will a hydrocoele come back after a hydrocoelectomy?
Because the operation removes or folds back the sac lining rather than just draining fluid, recurrence is uncommon. Your doctor will still check the area at follow-up.
What is a spermatocoele and does it need removing?
A spermatocoele is a fluid-filled cyst on the epididymis behind the testicle. Small painless ones can simply be watched, but surgery is offered when it is large, aching or bothersome.
How soon can I go back to work after scrotal cyst surgery?
Desk work is usually fine after a few days, while heavy lifting and sport wait around two to three weeks. Supportive underwear helps with the swelling in the first week.
For referring doctors
This procedure can be booked in Eastgate Clinic's on-site day theatre in Windhoek, with anaesthetist and theatre staff provided. Contact us to arrange theatre time for your patient.
Day theatre information for doctorsReady to book your hydrocoelectomy / spermatocoele removal?
Choose a date and time online and we will confirm your appointment at Eastgate Clinic in Windhoek. Medical aid and private patients welcome.