Information

Hydrocele and spermatocele removal is one of the most common procedures in urology. Both conditions cause a benign enlargement of the scrotum. A hydrocele occurs when fluid accumulates around the testicle, while a spermatocele is a fluid-filled cyst that develops in the epididymis and may contain both fluid and sperm. At our clinic, hydroceles and spermatoceles are removed on an outpatient basis in a fully equipped procedure room using modern surgical technology. The procedure typically takes less than an hour. You are welcome to book the procedure with us even if you are not yet a patient of our clinic and your diagnosis was made elsewhere.

How is hydrocele or spermatocele removal performed?

Many men first notice a hydrocele or spermatocele themselves, either by feeling an unfamiliar lump in the scrotum or by noticing that the scrotum has become enlarged. In some cases, the condition is detected during a routine preventive examination.

Once the condition has been confirmed as benign, treatment is not usually necessary unless the hydrocele or spermatocele becomes large enough to cause discomfort or cosmetic concerns.

Before surgery, an ultrasound examination is used to determine the size and exact location of the hydrocele or spermatocele. The pre-operative assessment also includes blood and urine tests, as well as a consultation during which your doctor will review your medical history, including any allergies and medications that may affect blood clotting.

The procedure is performed on an outpatient basis under spinal anaesthesia, which is administered into the lower part of the spine. If you are anxious about the procedure or find medical interventions particularly stressful, conscious sedation can also be provided to help you relax. The operation usually takes no more than one hour. The incision in the scrotum is closed with absorbable stitches that do not need to be removed.

Recovery after hydrocele or spermatocele removal

You can return home immediately after the procedure and may even be able to drive yourself, although you should expect some discomfort when sitting and may need to change position frequently.

Swelling of the scrotum is common after hydrocele or spermatocele removal and usually subsides within one week. Until the swelling has resolved, we recommend wearing supportive underwear or a scrotal support. The surgical wound should be kept clean and dry. Until the stitches have dissolved, it is advisable to avoid baths and prolonged showers.

During recovery, you should avoid strenuous physical activity, including both work-related exertion and sports.

If healing progresses without complications, you will attend a follow-up examination 2–3 weeks after the procedure. You can then gradually return to your normal lifestyle, including sexual activity.

Schedule your appointment with us

Do you have any questions or would you like to schedule an appointment? Contact us by phone, email, or via our online contact form. We will be happy to help.
+420 225 990 999
Give us a call
recepce@uromedico.cz
Send us an email

Partners