Kidney & urology · PuneNABH accredited4.9 · 12k reviews

Hydrocele Surgery in Pune

Also known as Minimally-invasive kidney & urology surgery

Quick day-care correction. A day-care approach with same-day discharge and a typical recovery of 2–3 days. But surgery is the last step, not the first — start with a urologist and rule out the simpler fixes.

TreatsKidney stonesEnlarged prostateBlood in urinePoor flow
Written from standard clinical references · Awaiting review by a qualified clinician · Updated Jul 2026
Day-care
Approach
Minimal
Cuts · stitches
Same day
Discharge
2–3 days
Back to work
All insurances accepted
No-cost EMI available
Same-day discharge
Free post-op follow-ups
Consultation first — surgery only if needed

How it works

You don't buy an operation here — you start with a doctor. Book a consultation first; Hydrocele surgery happens only if a urologist confirms you need it.

1
Book a ₹700 consultation
Meet a Meridian Health urologist — in-clinic or on video. They examine you and review any reports you bring.
2
Get an honest verdict
Many cases settle with medication, lifestyle changes or a minor step. You're advised surgery only if you truly need it.
3
If surgery is advised
Your ₹700 consultation is adjusted into the surgery cost. We handle insurance approvals and scheduling.
4
Day-care day-care surgery
The day-care procedure with same-day discharge, and free post-op follow-ups until you've fully healed.
Understand it first

About hydrocele

A hydrocele is a collection of fluid between the layers of membrane that surround the testis, producing a painless scrotal swelling that transilluminates. In adults it is usually primary — an imbalance between the fluid being produced and the fluid being absorbed. A secondary hydrocele can follow infection, injury or surgery, and can also accompany a testicular tumour, which is precisely why an ultrasound confirming a normal underlying testis comes before treating any scrotal swelling as benign.

Common symptoms
A painless, gradually enlarging swelling of one side of the scrotumA heavy, dragging sensation rather than painDifficulty with clothing, activity or hygiene as it enlargesThe swelling glows when a light is held behind itSudden painful swelling is not a simple hydrocele — it suggests infection, torsion or bleeding and needs urgent assessment
What causes it
Idiopathic imbalance of fluid production and absorption
Epididymo-orchitis or another scrotal infection
Trauma, or previous scrotal or hernia surgery
Filariasis in endemic areas
Rarely an underlying testicular tumour
In infants, a patent processus vaginalis, which usually closes in the first year
By size & site
1Small stones
Under 5 mm — often pass with fluids and medication.
2Medium stones
5–10 mm — may need laser fragmentation (RIRS).
3Large stones
Over 10 mm or staghorn — need active removal.
4Enlarged prostate
Obstructs flow; cleared with HoLEP laser.
See a doctor if symptoms persist, worsen or keep returning. Early treatment is simpler and avoids complications.
Surgery is not the first step

When is surgery actually needed?

A small, comfortable hydrocele with a normal ultrasound can simply be left alone — it is benign and it does not harm the testis. Aspiration on its own gives temporary relief and reliably refills, so it is mainly used for men too unfit for an operation. Surgery is offered when the swelling is large, uncomfortable, interferes with activity or hygiene, is cosmetically unacceptable, or is steadily enlarging. Where there is a secondary cause — infection or a tumour — that is treated on its own merits first, and the hydrocele is a secondary consideration.

The technique

Why day-care, not open surgery

Day-care hydrocelectomy is done through a small scrotal incision. The sac is opened and drained, and then either turned inside out and its edges oversewn behind the testis (the Jaboulay eversion) or gathered with plicating sutures (Lord's procedure) so that the potential space in which fluid collected no longer exists. A small drain and a firm supportive dressing manage the predictable problem afterwards, which is scrotal swelling and bruising rather than pain.

Compare
Day-care (day-care)
Open surgery
Cuts & stitches
One small incision
Large incision with stitches
Anaesthesia
Spinal / local anaesthesia
General / spinal, longer
Hospital stay
Same-day discharge
2–3 days admitted
Post-op pain
Minimal
Significant for days
Bleeding
Very little
Moderate
Back to work
2–3 days
2–3 weeks
Recurrence
Low
Higher

Your options for hydrocele

Non-surgical options are listed first where they exist. Which one suits you depends on your examination and reports — this table is here so you can ask better questions, not to choose for you.

Option
Stay
Recovery
What it is for, and the trade-off
Observation
Appropriate for a small, comfortable hydrocele where the scan shows a normal testis.
Aspiration alone
Day-care
1–2 days
Quick relief, but it refills. Used mainly for men unfit for anaesthesia.
Aspiration + sclerotherapy
Day-care
1–2 days
Adds a sclerosant to reduce refilling. Can be uncomfortable and may need repeating.
Jaboulay eversion of the sac
Same-day discharge
2–3 days
Standard for a large or thick-walled sac; low recurrence.
Lord's plication
Same-day discharge
2–3 days
Less dissection and less haematoma for a thin-walled sac, where it is suitable.
You choose the doctor

Our urologist surgeons

Dr. Aniket Joshi

Dr. Aniket Joshi

MBBS, MS, MCh (Urology)
4.712 yrs exp
Kidney stones · Uro-oncology
Next slot: Tomorrow · 6:30 PM
Dr. Sanjay Kulkarni

Dr. Sanjay Kulkarni

Senior
MBBS, MS (General Surgery)
4.820 yrs exp
Laparoscopic & GI surgery
Next slot: Today · 10:00 AM
Dr. Arjun Menon

Dr. Arjun Menon

Senior
MBBS, MD, DM (Neurology)
4.718 yrs exp
Stroke care · Epilepsy
Next slot: Tomorrow · 4:30 PM
Dr. Karan Malhotra

Dr. Karan Malhotra

Senior
MBBS, MS (Orthopaedics)
4.817 yrs exp
Joint replacement · Sports injuries
Next slot: Tomorrow · 12:30 PM
Transparent pricing

Cost, EMI & insurance

Hydrocele surgery — all-inclusive package
45,000 – ₹57,500
No-cost EMI from 3,800/month over 12 months.
Your ₹700 consultation is deducted from this package.
Included
Surgeon, anaesthetist & OTDay-care procedure & consumablesDay-care room & nursingMedicines during the stayFree post-op follow-ups
Billed separately
Pre-op tests (₹2,000–5,000)Stay beyond the packageUnrelated conditions

Covered by insurance

Hydrocele surgery is covered by most health policies. We start cashless pre-authorisation before admission — you pay nothing extra at discharge.

Star HealthHDFC ErgoICICI LombardNiva BupaCare HealthTATA AIGAditya BirlaCGHS / ECHS
What to expect after

Your recovery timeline

Day 0
Surgery day
Home with same-day discharge. Light diet, prescribed pain relief and gentle movement encouraged.
First week
Back to routine
Most patients return to desk work within 2–3 days. Simple aftercare speeds healing.
By 2–3 days
Fully recovered
Normal activity and exercise resume around 2–3 days. A free follow-up confirms complete healing.

Week by week after hydrocele surgery

Day 0

Home the same day in a scrotal support, with ice and elevation advised.

Day 1–3

Swelling and bruising peak. This looks far worse than it is and is the expected course, not a complication.

Day 3–5

Desk work for most people.

Week 2

Driving and light activity; wound review.

Week 4–6

The scrotum settles to its final size — judging the cosmetic result before this is premature. Sport and lifting resume.

The honest part

Risks, preparation & aftercare

Every operation carries risk. These are the complications your surgeon will take you through before you consent — they are listed here so you read them without a pen in your hand.

Possible complications of hydrocele surgery

Scrotal haematoma and swelling — the commonest problem after this operation
Infection
Recurrence of the hydrocele
Chronic scrotal pain
Injury to the epididymis or vas deferens, with fertility implications if both sides are involved
Rarely, compromise of the blood supply to the testis
Anaesthetic risks

Before your procedure

A scrotal ultrasound confirming a normal testis is non-negotiable before treating the swelling as benign. Fitness bloods; blood thinners stopped only on advice; shave or clip as instructed. Buy a scrotal support before the day — you will want it immediately. Nothing to eat for 6 hours and clear fluids up to 2 hours before.

After you go home

Wear the support day and night for two weeks. Ice packs for the first 48 hours and elevate the scrotum when sitting. Keep the wound dry for 48 hours. No lifting, cycling or intercourse for two to three weeks. Report fever, spreading redness, rapidly increasing swelling or severe pain.

Good to know

Frequently asked questions

+

Start with a conversation, not a commitment.

Book a ₹700 consultation with a urologist — adjusted into your surgery cost if you go ahead. No pressure, no surgery unless you need it.

Related procedures

700 consult
Adjusted into surgery cost