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The extent of the surgery depends on whether other problems are present.
If the hydrocele is uncomplicated, the doctor makes an incision directly into the scrotum.
While aspiration is usually successful, it is a temporary correction with a high potential for recurrence of the hydrocele.
The most common congenital hydrocele is caused by a failure of a portion of the testicular membrane (processus vaginalis, a membrane that descends with the testicles in the fetus) to close normally.
This failure to close allows peritoneal (abdominal) fluid to flow into the scrotum.
After the canal between the abdominal cavity and the scrotum is repaired, the hydrocele sac is removed, fluid is removed from the scrotum, and the incision is closed with sutures.
If there are complications, such as the presence of an inguinal hernia, an incision is made in the groin area.