Surgery for Benign Scrotal Lumps
This document will give you information about surgery for benign scrotal lumps. If you have any questions, you should ask your GP or other relevant health professional.
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).
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 remove an epididymal cyst. This will usually involve removing part or all of the epididymus.
What complications can happen?
1. General complications
- Difficulty passing urine
2. Specific complications
- Infection of the surgical site (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.
Sometimes the lump comes back. 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.
Lumps in the scrotum are common. However, some cause problems and can be treated by surgery.
Author: Mr Ayan Banerjea FRCS (Gen. Surg.) and Mr Scott Donnellan FRACS Illustrations: Medical Illustration
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This document is intended for information purposes only and should not replace advice that your relevant health professional would give you.