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A hydrocele is a medical condition where there is an accumulation of fluid in the sac surrounding the testes, leading to swelling in the scrotum. Hydrocele surgery, also known as hydrocelectomy, is a common surgical procedure performed to remove or reduce the accumulation of fluid. Here is an overview of the general process of hydrocele surgery: Medical Evaluation: The process typically begins with a consultation with a urologist or a general surgeon. The healthcare professional will review your medical history, perform a physical examination, and may order imaging tests such as ultrasound to confirm the presence and size of the hydrocele. Preoperative Preparation: Before surgery, you may undergo preoperative tests such as blood tests and possibly imaging studies to ensure you are in good health for the procedure. Anesthesia: Hydrocele surgery is commonly performed under local anesthesia, which numbs the scrotum, or general anesthesia, which puts you to sleep during the procedure. The choice of anesthesia depends on factors such as the patient's preference, the surgeon's recommendation, and the patient's overall health. Incision: The surgeon makes an incision in the scrotum to access the hydrocele. The size and location of the incision may vary based on the size and characteristics of the hydrocele. In some cases, minimally invasive techniques, such as needle aspiration or sclerotherapy, may be considered. Fluid Drainage or Removal: The accumulated fluid is drained or removed from the hydrocele sac. In some cases, the sac is partially or completely excised to prevent the recurrence of fluid accumulation. Closure: After addressing the hydrocele, the surgeon closes the incision with sutures or stitches. The type of closure may depend on the surgical technique used.