What is it?

Scrotal surgery is a procedure performed to treat conditions affecting the scrotum or testicles. This may include problems such as fluid collections (hydrocele), cysts, infection, testicular pain, or other abnormalities.

The surgery is usually done in a hospital or surgical centre while you are asleep or under local anesthesia. A small incision is made in the scrotum so the surgeon can treat the underlying problem. The incision is then closed with dissolvable stitches.

Preparation

• Your Urologist may discuss stopping your blood thinners and anti-inflammatory medications prior to the procedure - please discuss this with your doctor

• You will require someone to drive you home after the procedure

Post Procedure

• Mild to moderate scrotal soreness and swelling for 1-2 weeks is normal. Tylenol is preferred for pain control. Avoid NSAIDs (ibuprofen, naproxen, Aspirin) for the first 2 weeks following surgery.

• Apply ice (wrapped in a cloth) to the scrotum for 15 minutes 3-4 times per day for the first 24-48 hours

• Wear supportive, snug-fitting underwear (briefs) day and night for the first 1-2 weeks. A scrotal support garment can also be helpful

• You may shower 48 hours after surgery. Avoid baths, hot tubs, and swimming pools for 2 weeks

• The dissolvable stitches typically come out on their own over 2-4 weeks

• Avoid heavy lifting and strenuous exercise for 2 weeks

• Avoid sexual activity for 2 weeks

• Mild bruising of the scrotum and inner thighs is common and may take 2-3 weeks to fully resolve

If you develop signs of infection (fever, increasing redness or warmth, pus oozing from the incision), heavy bleeding, rapidly expanding scrotal swelling, severe pain that is not controlled with Tylenol, or inability to urinate, seek urgent medical attention through your primary care provider, urgent care, or the ER.

For detailed recovery instructions and additional information, please refer to the attached patient information PDF below.