Q: Dr. Eppley, I had varicocelectomy in 2014 and after swelling went down the scrotal skin never fully retracted. As a result I ended up with a small residual right hydrocele and a saggy scrotum. I am interested in getting the scrotal lift procedure. Does the fact that I have a small right hydrocele preclude me from getting the procedure done? Will it make sense to have a right hydrocelectomy first and then the scrotal lift?
A: You could have a scrotal lift with an indwelling hydrocoele. But if you knew that you were going to get a hydrocelectomy anyway, it would make the most sense to get it done first and do the scrotal lift second. Such surgery with the additional swelling may cause some additional skin stretch which may affect a scrotal lift adversely if it was done afterwards.
A scrotal lift is done by a midline frappe excision of tissues and brought together to create an upward lift and an overall tightening effect.
Dr. Barry Eppley