Repair of Hydrocele Patient Information Day Surgery Ward 3, Leigh Infirmary Author ID: Leaflet Number: Name of Leaflet: Date Produced: Review Date: Repair of Hydrocele LS SW3.002 Repair of Hydrocele February 2013 February 2015 Page 1 of 8 Welcome to: Day Surgery, Ward 3 Leigh Infirmary, The Avenue, Leigh, WN7 1HS 7:30am to 9:00pm, Monday to Thursday, telephone 01942 264260 or 264261 This leaflet aims to give you information about your operation and your stay in hospital and advice for when you go home. If there is anything you are worried about that is not covered in this leaflet, please feel free to speak to a member of staff. Operation for hydrocele A hydrocele is a collection of fluid in a sac in the scrotum next to the testicle. The normal testis is surrounded by a smooth protective tissue sac. It makes a small amount of “lubricating fluid” to allow the testes to move freely. Excess fluid normally drains away into the veins in the scrotum. If the balance is altered between the amount of fluid made, and the amount that is drained, some fluid accumulates as a hydrocele. Surgical repair or removal of the fluid filled sac is performed through an incision in the scrotum under a general anaesthetic. Benefits of surgery 1. Cosmetic 2. Reduction of scrotal size 3. Pain relief. Are there any risks involved with this procedure? Common • • Swelling of the scrotum lasting several days. Seepage of yellowish fluid from the wound several days after surgery. Occasional • • Blood collection around the testes which resolves slowly or may require surgery to remove. Possible infection at the incision site or testis requiring further treatment. Rare • • Recurrence of fluid collection. Chronic pain in the testicle or scrotum. Repair of Hydrocele Page 2 of 8 Alternative therapy • • • Observation. Removal of fluid with a needle, but the fluid builds up again in a month or two. Various other surgical approaches. Pre-Operative Assessment Clinic At the clinic you will be seen by a nurse, who will complete a pre-operative screening assessment. This will include taking a nursing and anaesthetic history, organising investigations such as blood tests ECG’s; as necessary. The nurse will advise you about your particular operation. He/she will explain to you about your pre and post operative care, how long you will need someone to take care of you when you go home and how long you will be expected to be off work, etc. If you need a sick note please ask the nurse on arrival to hospital How long will I be in hospital? Ward 3 is a day surgery ward with no overnight facilities. Your operation has been planned as a day case procedure which means that you will be able to come into hospital and be discharged later the same day. Very rarely, some patients do not recover in time to go home and will therefore need to be transferred to the Royal Albert Edward Infirmary, Wigan. Before you come into hospital Before you come into hospital you will need to have a bath or shower. Please do not shave your operation site, as this will be done on admission prior to theatre. Admission to hospital On arrival to hospital, you will need to book in at the Admissions desk, which is situated on the ground floor below wards 2 and 3. You will then be directed to the ward; here you will meet your nurse and other members of the team who will be looking after you. The facilities and general routine of the ward will be explained to you. Getting ready for the operation The nurse who is admitting you will ask some routine questions, about your general health, the medications you take and any allergies you have. You will be seen by your surgeon and anaesthetist. You will be asked to sign a consent form if you have not already done so, to say that you understand what you have come into hospital for and what the operation involves. If you have any questions, please ask. The anaesthetist is the doctor who will give you your anaesthetic and look after you during the operation. (Please note that you will be on a theatre list with several other patients, so please be prepared for a wait). Repair of Hydrocele Page 3 of 8 Going to theatre You will be asked to put on a theatre gown. A nurse will check that you have a wristband on with your name, ward and district number and that your documentation, consent is in order. (You will be asked the same questions by several staff en route to theatre, these are all safety measures.) A nurse will escort you to the operation suite where you will meet your anaesthetic nurse who will take you to the anaesthetic room where your anaesthetic will be administered. After your operation You will wake up in the recovery room; here specially trained nurses will monitor closely how you feel. On waking you will have a small oxygen mask in place, this will help the anaesthetic wear off. The nurses will check your blood pressure and pulse and make sure that you are comfortable. When the doctors and nurses are happy with your condition you will be taken back to the ward were you will be made comfortable and can rest. Refreshments will be offered as soon as it is safe for you to have these. Pain control Expect some discomfort. You will have been given strong pain killing and/or local anaesthetic drugs in theatre, which will reduce pain for the first few hours. Your pain will be closely monitored to ensure that it is kept to a minimum. You will be offered and given pain relief, as appropriate. You will be given pain-killing tablets to take home, which you should take as, directed. Going home You must make sure that an adult can take you home in a car or taxi. You will need to go home to rest; you must have an adult stay with you for the first 24 hours after your operation. You should not drink alcohol for a minimum of 48 hours after your operation. The wound You will have dissolving stitches, which may begin to come away after a few days but can take up to two weeks to clear completely. If all is well you may bathe or shower the day after your surgery. Pat the wound dry gently with a clean towel for the first seven days or so. Thereafter you may treat the wound normally. You should expect some swelling to the wound and testicles, which may feel hard and there may be some bruising. Wearing supporting underpants will help to reduce swelling and ease discomfort. A scrotal support will be provided. What to look for It may be several hours before you pass water. If you have any difficulty, particularly if your bladder feels uncomfortably full but you still cannot pass water, you should attend your local Accident and Emergency Department. If you suffer from excessive pain, excessive bruising or excessive swelling of the testicles you should contact your own GP or the ward for advice or attend your local Accident and Emergency Department (01942 244000). Repair of Hydrocele Page 4 of 8 The first few days Gently increase your activity over the first few days, little and often until you can do more each day. You are encouraged to move and walk as this will help prevent stiffness, soreness and help with your circulation and minimize the risk of complications such as chest infection, deep vein clots and clots to the lungs. Take painkillers to ease any discomfort to enable you to mobilize. Work and activity You can get a sick note from the ward for the first week. You will need to see your GP for any further sick notes. At first, discomfort in the wound will prevent you from harming yourself by lifting things that are too heavy. You can return to normal activity when the pain has settled. Swelling of the wound or testicle need not prevent normal activity (if it is not severe). Sex will not harm you but may be painful in the first week or two. You should be able to return to work after about one to two weeks. Driving You may drive as soon as you are confident that you can do an emergency stop. One or two weeks is usual. Check with your insurance company. Outpatients You will not routinely be given an out-patients appointment, but should you have any concerns or would like some advise please ring Ward 3, 01942 264260 or 264261 or contact your GP. This leaflet does not cover everything. We hope you will find it useful however, and that they will help towards making your stay in hospital less worrying. Try and read these notes a few times before you come in, and bring them with you on admission. If you have any questions or worries prior to admission, please contact the ward. 01942 264260/61 Repair of Hydrocele Page 5 of 8 Research Research is undertaken to add to the existing scientific knowledge on a particular subject. There are a number of staff within the Trust who conduct Research studies. It is possible that during the course of your treatment you may be asked to take part in a research study, however, you do have the right to refuse, and this will not affect the care that you receive. Your NHS Number, Keep it Safe Every person registered with the NHS in England and Wales has their own unique NHS Number. It is made up of 10 digits for example 123 456 7890. Everyone needs to use the NHS Number to identify you correctly. It is an important step towards improving the safety of your healthcare. Always bring your NHS number with you to all hospital appointments or quote it if you need to telephone the hospital for any enquires. This will allow staff to check that they have the right patient details by checking this against your NHS number. To improve safety always check your NHS Number on correspondence the NHS sends to you. Ways of finding out your NHS Number If you do not know your NHS number, contact your GP or local Primary Care Trust. You may be asked for proof of your identity, for example a passport or other form of identity this is to protect your privacy. Once you have obtained your NHS Number write it down and Keep it Safe. My NHS Number Information Rights and Access The Trust will keep your information secure and confidential at all times. The Data Protection Act 1998 states that personal and sensitive information must be processed fairly, lawfully and securely. This applies to all information we hold whether on paper or electronically on computer systems. All personal information is processed fairly, lawfully and as transparently as possible so that you: • • • • Understand the reasons for us processing your personal information Give your consent for the disclosure and use of information where necessary Gain trust in the way we handle your information Know that you have the right to request access to personal information we hold about you Information relating to the business of the Trust is available under the Freedom of Information Act 2000. For example, what we spend and what we do. You can find out more by visiting the Trust website or submitting a Freedom of Information request to the Trust for this information. For further information regarding data protection, please read our leaflet called “How we use your personal information”. For Freedom of Information, please read our leaflet called “The Freedom of Information Act and You”. You can also visit the Information Governance pages on the Trust website. Repair of Hydrocele Page 6 of 8 Patient Relations The Patient Relations/PALS Department provides confidential on the spot advice, information and support to patients, relatives, friends and carers. We will do our best to help you to resolve any concerns you may have about the care you received. We can also give you information on the services provided by the Trust. If you have a concern or there is a problem, the best way to get it resolved is usually to tell someone there and then. If you are on a ward, talk to the sister or charge nurse on duty, in a clinic, talk to the receptionist or one of the nursing staff. If you want to talk to a senior manager or to someone who has not been directly involved in your care and treatment, we can usually arrange this during office hours. You can also ask to speak to a member of the Patient Relations/PALS Department. Staff in any ward or department will be able to contact a member of the team for you, or you can telephone 01942 822376. The Patient Relations/PALS Department is open Monday to Friday, 9am to 4pm. Outside of these hours there is an answer-phone service. In addition to Patient Relations/PALS Service you can contact CARE LINE. This is available from 9am to 9pm Monday to Friday excluding Bank Holidays, and 9am to 5pm at weekends. Please telephone CARE LINE on 01942 773377 and follow the instructions given. If you wish to make a formal complaint you can telephone or write to: The Patient Relations/PALS Manager Wrightington, Wigan and Leigh NHS Foundation Trust Royal Albert Edward Infirmary Wigan Lane Wigan WN1 2NN Telephone: 01942 822376 Your views of the service that we provide are important. You can also let us know how you feel by posting your comments on the Patient Opinion website. You can access this from the Trust website on www.wwl.nhs.uk or via www.patientopinion.org.uk Social Media Along with keeping patients, visitors and staff up to date with news and events on our internet site, the Trust also has Facebook and Twitter pages. Facebook: www.facebook.com/wwlnhs Twitter: www.twitter.com/wwlnhs Wrightington, Wigan and Leigh Health Services Charity Wrightington, Wigan and Leigh Health Services Charity (Registered Charity Number 1048659) aims to further improve the quality of the patient experience and care. The Charity relies on the generosity and support of the local community. If you feel you can help or would like more information please visit our website at www.wwl.nhs.uk/charity or contact our Fundraising Officer via [email protected]. Repair of Hydrocele Page 7 of 8 Membership As a Foundation Trust we are keen to build a successful and engaging membership group. As a member of your local hospital you will be kept up to date with news, service developments and future improvements. Why become a Member? Membership provides local people, patients and service users with an opportunity to have a greater say in how we deliver our services. For further information please call freephone 0800 073 1477. Who can become a Member? Anyone can become a member – you just need to be 16 years of age or over and live in the UK. As a member it will be up to you how much you want to get involved. How to become a Member? To apply to become a Member: • • • Telephone freephone 0800 073 1477 Email [email protected] Visit www.wwl.nhs.uk Stop Smoking Support A visit to hospital is very often the trigger for many people to quit smoking, and we know that 70% of people that smoke would like to quit. The Trust is a smoke free area and smoking is prohibited in all buildings, grounds and car parks. For patients wishing to quit smoking following their admission to hospital, or if patients simply require support during their hospital stay, there is a designated specialist Stop Smoking Team available. Patients that aren’t staying in hospital or are planning to quit ahead of their hospital stay can also access specialist support. The Wigan Stop Smoking Service community team provides support across the borough. You can call us on 01942 482539 or free on 0500 7867 669 to speak to a member of the team or visit www.alwch.nhs.uk/stopsmoking for further information. This leaflet is also available in audio, large print, Braille and other languages upon request. For more information call 01942 773106. © Wrightington, Wigan and Leigh NHS Foundation Trust All rights reserved. Not to be reproduced in whole or in part without the permission of the copyright owner Repair of Hydrocele Page 8 of 8