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work; heavier physical work usually needs longer, around 2-4 weeks."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any early complication (hematoma, swelling, wound infection); serious ones under 2%"},"contraindications":["Active local or systemic infection (e.g., epididymo-orchitis, scrotal skin infection)","Uncorrected bleeding disorder or unmanageable perioperative anticoagulation","Unfitness for anesthesia","Suspected testicular tumor or malignant hydrocele (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; occasional overnight observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":3,"max":6,"unit":"weeks","qualifier":"Light walking earlier; strenuous exercise, heavy lifting and cycling after surgeon 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Later wound check can be done remotely."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"From the day of surgery."}},{"purpose":"assessment","requirement":"conditional","after":{"min":28,"max":42,"unit":"days","qualifier":"From the day of surgery; to check residual swelling or recurrence."}}],"indications":["Large or symptomatic hydrocele causing discomfort, heaviness or cosmetic concern","Recurrent hydrocele after aspiration or sclerotherapy","Persistent hydrocele in adults not resolving spontaneously"],"main_risks":["Scrotal hematoma and prolonged swelling","Wound infection","Recurrence of hydrocele","Chronic scrotal pain","Injury to spermatic cord structures or testis (rare)","Anesthesia-related risks"],"pain":"Mild to moderate scrotal pain and swelling for several days, usually controlled with oral analgesics and scrotal support.","preparation":["Preoperative assessment with scrotal ultrasound to exclude tumor","Fasting before general anesthesia per anesthetic instructions","Review of medications and bleeding risk with surgeon/anesthetist","Arrange transport home and adult supervision on surgery day","Scrotal hygiene before surgery"],"recovery_timeline":[{"phase":"First 48 hours","description":"Rest with scrotal support, ice and analgesia; some swelling and bruising expected.","restrictions":["No driving after anesthesia","Avoid straining"]},{"phase":"Days 3-14","description":"Swelling gradually decreases; return to light desk activity; wound check.","restrictions":["Avoid heavy lifting","Avoid sexual activity until comfortable and cleared"]},{"phase":"Weeks 3-6","description":"Gradual return to full activity as swelling settles.","restrictions":["Avoid strenuous exercise until cleared"]}],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; no formal rehabilitation needed."},"result_longevity":"Usually durable, with low recurrence after surgical excision or plication; recurrence is possible.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Reoperation for recurrence or hematoma evacuation within first year"},"scars":"Small scrotal (or inguinal) incision scar, usually well hidden and fading over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Hydrocele sac excision or plication (Lord's/Jaboulay) under anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of procedure."}}],"qualifier":"One operative session; follow-up checks are separate."},"success":{"metric":"Hydrocele free of recurrence","value":95,"unit":"percent of patients","horizon":"1 year after surgery","population":"Adults with primary symptomatic hydrocele undergoing scrotal excision or plication","evidence_status":"limited"},"techniques":[{"name":"Jaboulay (sac eversion) via scrotal incision","suits_whom":"Adults with large primary hydroceles with a thin sac.","recovery":"Typical recovery of 1-2 weeks for light activity."},{"name":"Lord's plication","suits_whom":"Adults with small to moderate hydroceles with a thin, non-thickened sac.","recovery":"Similar to or slightly faster than excision; low dissection."},{"name":"Sac excision (partial) via scrotal incision","suits_whom":"Thick-walled or large hydroceles.","recovery":"Slightly higher hematoma risk; recovery 1-3 weeks."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Operative time for unilateral hydrocelectomy."},"initial_assessment_documents":["Scrotal ultrasound report","Scrotal ultrasound images","Urologist consultation notes","List of blood thinners","Recent blood test results (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation with same-day discharge; stay about 5-7 days before flying home. 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