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SHEFFIELD CHILDREN’S NHS FOUNDATION TRUST What does the operation involve? Under a general anaesthetic a small incision is made in the inguinal (groin) PATIENT INFORMATION FOR A CHILD area, the tube is found and tied off. Fluid from around the testicle is drained. UNDERGOING HYDROCELE OPERATION (DIVISION All the stitches are buried under the skin and dissolve so they do not need to OF PATENT PROCESSUS VAGINALIS) be removed later. Signing the consent form What will happen afterwards / what will the recovery be Before the operation you will be asked to sign a form to allow the operation to go like? ahead. It is very important that you read this form carefully and understand what Recovery is usually rapid from the operation, especially in younger children. you are signing. This leaflet is designed to help answer some of the commonly The area will be sore for a couple of days (usually responds to regular asked questions about the operation, but if there are any points which are not paracetamol) but the children are usually back to normal activity within a few clear, or if there are any other questions arising from the form, you must ask the days. Older children may experience more discomfort and this group will doctor before you sign it. In particular be sure to understand what the operation need to stay away from active sports (except swimming) for 2-3 weeks. is (it may be written in jargon) and specify any treatment you would not wish to be performed (e.g. blood transfusion). You should not sign the consent form until What complications can occur from the surgery? you are entirely happy with it. Because the patent processus is close to the spermatic cord these structures can be damaged but this is rare (well less than 1 in 100). If this were to occur Children signing the consent form the testicle may not grow properly (if the blood supply was damaged) or be We are very keen to involve your child in their operation as fully as possible and infertile (if the vas deferens which carries the sperm from the testicle was that they understand (as far as they can) what is going to happen to them. As damaged, sometimes the testicle can get caught in scar tissue and pulled part of this we encourage children to sign the consent form in addition to the back into the groin (less than 1 in 100). Recurrence of the hydrocele is rare. parents. This is particularly important for older children. However, your child does not have to sign the form if they are unwilling to do so. Will there need to be any medical check up after surgery? The vast majority of these operations are without problem and the wounds What is a hydrocele? heal well. Because of this your child may not need to be seen again after the This is a collection of fluid in a sac around or above the testicle. Unlike in adults operation, but this depends on the surgeon doing the operation. the fluid comes from the tummy through a fine tube (called a patent processus vaginalis) which did not close off after the testicle descended from the tummy to the scrotum. Why does this operation need to be done? Hydroceles are common in babies and most will disappear by themselves. If they have not gone by around the age of 2 years they are very unlikely to get better. The aim of the operation is to get rid of the fluid and disconnect the tube which allows the fluid down from the tummy. What would happen if nothing was done? The swelling would remain. The hydrocele does not harm the testicle and usually does not cause discomfort, so it does not have to be treated. However, the swelling can be quite large and may cause embarrassment for older children. Information Leaflet number: 62 (jr/as/06/12/06) Author/Contact: Julian Roberts PATIENT INFORMATION FOR A CHILD UNDERGOING HYDROCELE OPERATION (DIVISION OF PATENT PROCESSUS VAGINALIS) For Further advice contact: Sheffield Children’s NHS Foundation Trust, Main hospital number: 0114 271 7000 Patient Advice and Liaison Team Sheffield Children’s NHS Foundation Trust Western Bank Sheffield S10 2TH Tel: 0114 271 7594 Trust web site address: http://www.sch.nhs.uk
"SHEFFIELD CHILDREN NHS FOUNDATION TRUST PATIENT INFORMATION FOR"