✦ Hydrocele Treatment

Hydrocelectomy — Jaboulay's Procedure

Q: Can hydrocele come back after Jaboulay's procedure?

Recurrence after Jaboulay's hydrocelectomy is less than 5%; eversion of the tunica prevents ongoing fluid secretion. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Q: How long should I wear scrotal support?

Scrotal support is worn for 2–3 weeks post-operatively to minimise swelling and provide comfort during healing. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Q: When can I return to exercise after hydrocelectomy?

Light activities resume within 1 week; strenuous exercise and heavy lifting should be avoided for 4–6 weeks. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Surgical Eversion of the Tunica Vaginalis to Treat Hydrocele Permanently

30–45 min PROCEDURE

Day Care HOSPITAL STAY

>95% SUCCESS RATE

1–2 Weeks RECOVERY

What is Hydrocelectomy — Jaboulay's Procedure?

Jaboulay's Hydrocelectomy is the most commonly performed surgical procedure for hydrocele. The tunica vaginalis is opened, the hydrocele fluid drained, and the tunica everted behind the testis and sutured in place to prevent fluid re-accumulation. This prevents the peritoneal-like tunica from secreting fluid into the sac, providing a permanent cure. It is simple, effective, and performed as a day-case procedure. The procedure is performed under general or spinal anaesthesia with a hospital stay of Day Care. Success rates reach >95% in appropriately selected patients at experienced centres.

Patients with symptomatic primary hydrocele causing discomfort, tension, or cosmetic concern, or secondary hydrocele after exclusion of underlying pathology. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Incision & Access

Scrotal incision exposes the hydrocele sac through the layers of the scrotum.

Sac Opening & Drainage

Tunica vaginalis sac opened; hydrocele fluid evacuated by suction.

Tunica Eversion

Tunica edges everted behind the testis and sutured in place with absorbable sutures.

Testis Return

Testis returned to the scrotum; haemostasis confirmed.

Wound Closure

Scrotal incision closed; scrotal support applied post-operatively.

Outcomes

30–45 minDURATION

Day CareHOSPITAL STAY

>95%SUCCESS RATE

1–2 WeeksFULL RECOVERY

Who Needs This Treatment?

→Over 95% cure rate — most effective surgical treatment for hydrocele.
→Simple day-case procedure with rapid recovery.
→Eversion technique prevents tunica secretion eliminating recurrence.
→Testis examined at surgery excluding concurrent pathology.
→Scrotal support and ice packs provide comfortable recovery.
→Suitable for all ages including elderly patients with comorbidities.

"Jaboulay's hydrocelectomy is one of urology's most rewarding procedures — simple, safe, and definitive. Most patients are amazed at how comfortable they feel within days of surgery."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

Can hydrocele come back after Jaboulay's procedure?+

How long should I wear scrotal support?+

When can I return to exercise after hydrocelectomy?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

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