Hydrocele and spermatic cord cyst repair

A hydrocele is a collection of fluid between the layers that surround the testicle. It causes swelling of the scrotum, usually painless, but sometimes bothersome because of its weight or size. A spermatic cord cyst is a small pocket of fluid located higher up, along the spermatic cord. Diagnosis is based on examination and an ultrasound scan, which also confirms that the testicle is normal. In adults, a hydrocele does not go away on its own; simple drainage with a needle is not recommended because the fluid comes back. The operation consists of opening the sac through a small incision in the scrotum, draining the fluid and turning back or removing the lining to prevent recurrence. A cord cyst is removed through a small incision in the groin or scrotum. In children, a hydrocele is caused by a channel that has remained open and is treated through the groin, like a hernia. At Clinique Pasteur Tunis, the procedure is carried out as day surgery or with an overnight stay, with follow-up in consultation.