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Testicular swelling surgery may be required when swelling is caused by conditions that cannot be resolved with medication alone. Hereβs an overview to help you understand the possible causes, types of surgery, what to expect, and recovery: π Common Causes of Testicular Swelling Requiring Surgery Hydrocele β Fluid buildup around the testicle. Surgery: Hydrocelectomy Varicocele β Enlarged veins in the scrotum. Surgery: Varicocelectomy Testicular Torsion β Twisting of the spermatic cord (emergency). Surgery: Orchiopexy (untwist and secure testicle) Inguinal Hernia β Part of the intestine pushes into the scrotum. Surgery: Hernia repair Testicular Cancer β Tumor or malignancy. Surgery: Orchiectomy (removal of one or both testicles) π₯ Surgical Procedures 1. Hydrocelectomy Outpatient surgery Incision in the scrotum or lower abdomen to drain and remove fluid Recovery: 2β4 weeks 2. Varicocelectomy Ligation of abnormal veins Often laparoscopic or microsurgical Recovery: 1β2 weeks 3. Orchiopexy (Torsion) Emergency procedure The testicle is untwisted and stitched to the scrotum wall Best outcome if performed within 6 hours of symptoms 4. Hernia Repair Laparoscopic or open surgery Herniated tissue pushed back and reinforced with mesh Recovery: 2β6 weeks 5. Orchiectomy (Cancer) Testicle removed through groin incision May require follow-up treatment (radiation, chemotherapy) Fertility and hormone replacement counseling might be necessary