A
hydrocele is not a real hernia, it is in fact a fluid filled
sac. It develops by accumulaton of fluid in the virtual space
between the layers covering the testes. It may be congenital
but it usually develops later. After it forms it starts growing
gradually and sooner or later reaches a size that causes
symptoms. Hydrocele can not be treated conservatively, on
the other hand incarceration never occurs. It is advisable
to correct a hydrocele even if the symptoms are still minor.
Timely surgery has very good outcome. The healing time is
about 3-4 weeks, but that does not mean that the patinet
has to spend this time in bed, it rather means the time it
takes until the patient can resume full activities.
One day surgery
"One day surgery" means,
that patients can leave the outpatient center on their own
feet, accompanied by a helper, within 24
hours of surgery
(usually after few hours of observation), and continue the
healing process in the familiar confines of their own
home. "One
day surgery" requires strict professional, social, and
various other preconditions that are discussed at the stage
of the consultation when the need for surgery becomes clear.
(I.e.: good general health, absence of serious systemic disease,
patient must take responsibility for arrangement of transportation,
home care, must have phone to contact the clinic or the surgeon
if necessary, etc).
Preparation for surgery
Surgery is always preceded
by an examination by the urologist. Next
the patient is informed whether from a surgical standpoint
he or she is candidate
for same day surgery. It is at this point that the patient
is acquainted with the concept of one day surgery. It is
also here, that the patient is informed about laboratory
and other accessory studies (Imaging, ECG, abdominal ultrasound,
medical) that might be required for surgery, options for
anesthesia, possible complications, home care-related issues,
stages of recuperation, i.e. all the information that is
relevant for the patient to make a decision on which treatment
method, or surgery to choose.
The procedure
On the day of the surgery,
the patient signs the consent form, then the necessary lab
tests are done and the surgery fee is paid. Immediately before
the operation, the patient is premedicated with an injection
containing analgesics and sedatives. The operation can be
performed under local anesthesia, spinal anesthesia or general
anesthesia. The majority of our surgeries are performed with
local
anesthesia, which means infiltration of the surgical
field with 1% Lidocaine. During surgery the testis on the
affected side and the surrounding hydrocele is exposed and
prewarmed. After opening the hernia sac the fluid within
is suctioned out, then large part of the hernia sac is removed.
After careful hemostasis the remaining layers of the hernia
sac are everted and united behind the testis with continuous
absorbable sutures. The wound is closed in layers using absorbable
sutures. The skin is united with cosmetic sutures.
Possible complications No
doctor can guarantee a complication-free surgery. Complications
can arise even following the most carefully performed procedures.
The early complications: postoperative bleeding, inflammation
are however treatable. Therefore if you experience any sign
of complications (bleeding, fever) call your doctor day or
night who will make sure the problem is resolved. At different
stages of home recovery patients may experience various changes
that are not necessarily abnormal. Wound pain, maybe low
grade fever in the first days, swelling or discoloration
of the scrotum are are part of the normal healing process
and are not cause for concern. Late complications (recurrence)
can be prevented by appropriate techniques and careful surgery.
Postoperative care
The surgery is commonly followed
by 6-8 hours of observation, during which
time the vital functions (blood pressure, urine output) stabilize,
the sedative
effects of the premedications wear off, and patients are
able to leave the center on their own feet, with the help
of an escort. During the first week the patient should
refrain from physical exertion, however constant bed rest
is not necessary.
Sutures are removed at the one week follow-up.
Full recovery takes about 3-4 weeks, meaning
that normal activities can be resumed at that time.
Fees
Charge for examination
and consultation: 10.000 HUF > Euro
Surgery performed with local
anesthesia: 120.000
- 160.000 HUF > Euro
Spinal or general anesthesia: 80. 000
HUF > Euro
Charge for overnight stay: 30.000 HUF > Euro
50% of the fee is due at the time the operation is scheduled,
as a prepayment.
These are estimated prices; the severity
of the case also influences the overall cost.
Appointments:
Monday-Friday, 8 am - 8 pm.
Telephone: + (36 1) 266-7766
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