Surgery for benign scrotal lumps

What is a benign scrotal lump?

There are two types of benign scrotal lump.

A hydrocele, where fluid builds up in the sheath around a testicle (see figure 1).  An epididymal cyst, where fluid collects in the epididymis (a tube-like structure that stores sperm).

Surgery for benign scrotal lumps 

What are the benefits of surgery?

If the lump is large, surgery will ease any discomfort you may have and make it easier for you to walk.

If you want to have children, it is best to leave an epididymal cyst alone. Surgery in the area of the epididymis can cause scarring which reduces your fertility.

Are there any alternatives to surgery?

The fluid can be removed using a needle but the fluid usually builds up again. It is possible to inject a drug that stops the fluid from coming back.

What does the operation involve?

Surgery to remove benign scrotal lumps is usually performed under a general anaesthetic. Sometimes a spinal anaesthetic is used. The operation usually takes between twenty and fifty minutes.

Your surgeon will make a small cut in your scrotum. For a hydrocele, your surgeon will remove the fluid from the sheath and either remove the sheath or stitch it together. Your surgeon will either remove an epididymal cyst whole or they will cut away the ‘roof’ of the cyst and drain the fluid out.

What complications can happen?

1. General complications of any operation

  • Pain
  • Bleeding
  • Difficulty passing urine

2. Specific complications of this operation

  • Infection in the wound
  • Reduced fertility if the surgery is to treat an epididymal cyst

How soon will I recover?

You should be able to go home the same day or the day after.  Most men can return to normal activities within two to four weeks.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, you should ask a member of the healthcare team or your GP for advice.

For a hydrocele, surgery usually cures the problem. However, fluid can build up again.

There is usually more than one epididymal cyst and surgery can only treat the larger ones. If the smaller ones get bigger, the problem will come back.

Summary

Lumps in the scrotum are common. However, some cause problems and can be treated by surgery.

Paying for your operation

Surgery for benign scrotal lumps costs are covered by most medical insurance policies, but please check with your insurer first. If you are paying for your own treatment the cost of the operation will be explained and confirmed in writing when you book the operation. Ask the hospital for a quote beforehand, and ensure that this includes the surgeon’s fee, the anaesthetist’s fee and the hospital charge for your procedure.

Copyright © 2008 EIDO Healthcare Limited   The operation and treatment information on this website is produced by EIDO Healthcare Ltd and is licensed by BMI Healthcare. The intellectual property rights to the information belong exclusively to EIDO Healthcare Limited. You may not copy, print out, download or otherwise reproduce any of the information other than for your personal, non-commercial use. The information should not replace advice that your relevant health professional would give you.

Pricing

Removal of hydrocele

Patient pathway Initial consultation Diagnostic investigations Main treatment Post discharge care Total
Hospital fees N/A Included £2,495 Included £2,495
Consultants fees £200 N/A Included Included £200
Total £2,695
Initial consultation
Hospital fees N/A
Consultants fees £200
Diagnostic investigations
Hospital fees Included
Consultants fees N/A
Main treatment
Hospital fees £2,495
Consultants fees Included
Post discharge care
Hospital fees Included
Consultants fees Included
Total £2,695

Terms & Conditions

Treatment prices displayed are a guide for initial consultation, and a guide price for our fixed price packages which include pre-assessment, procedure and aftercare. Your Consultant will be able to discuss costs in greater detail at your consultation, after which a quote of your fixed price package will be provided [which is subject to results of any pre-assessment tests]. Prices can be subject to change.

For more information please refer to our terms and conditions (large print version).

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