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Hydrocele Treatment in Germany - Best Hospitals, Doctors, Prices - Booking Health

Treatment of Hydrocele in Germany

Hydrocele Treatment in Germany | Information about hospitals and doctors | Rankings | Clinics | Prices | Send request to the hospital

Best hospitals and doctors for hydrocele treatment in Germany

Leading hospitals

Cost for treatment

Diagnostic tests for Diagnostics
1.455,00 
Surgery to remove a hydrocele
7.610,90 
General therapeutic rehabilitation
On request
University Hospital Marburg UKGM
Germany, Marburg
University Hospital Marburg UKGM
Overall rating8.6 / 10
The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
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University Hospital Muenster
Germany, Muenster
University Hospital Muenster
Overall rating9.8 / 10
According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
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University Hospital Carl Gustav Carus Dresden
Germany, Dresden
University Hospital Carl Gustav Carus Dresden
Overall rating9.1 / 10
According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
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University Hospital Essen
Germany, Essen
University Hospital Essen
Overall rating9.6 / 10
According to the authoritative Focus magazine the University Hospital Essen ranks among the top German hospitals! With 27 specialized departments and 24 institutes, the hospital in Germany is a maximum care medical facility. The hospital has 1,300 beds for inpatient treatment. A highly qualified medical team of more than 6,000 e
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University Hospital Giessen UKGM
Germany, Giessen
University Hospital Giessen UKGM
Overall rating9.5 / 10
The University Hospital Giessen UKGM positions itself as an ultramodern medical facility with outstanding quality of medical care. The hospital presents almost all areas of medicine, ranging from ophthalmology to traumatology and dentistry. The priorities of the hospital’s activities include surgery, neurosurgery, oncology
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University Hospital Saarland Homburg
Germany, Homburg
University Hospital Saarland Homburg
Overall rating9.8 / 10
The University Hospital Saarland Homburg is the largest hospital in the city of Homburg and the most important medical facility in the region. The hospital, which currently has 30 specialized departments and 20 institutes, was founded in 1947 and operates on the basis of Saarland University. The hospital plays a leading role in
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HELIOS University Hospital Wuppertal
Germany, Wuppertal
HELIOS University Hospital Wuppertal
Overall rating9.8 / 10
According to the prestigious Focus magazine, the HELIOS University Hospital Wuppertal ranks among the top medical facilities in Germany! The hospital rightfully enjoys the status of the maximum care medical facility and provides its high-quality services in all modern fields of medicine. The hospital operates on the basis of the
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Marien Hospital Marl
Germany, Marl
Marien Hospital Marl
Overall rating9.8 / 10
The Marien Hospital Marl is a modern medical facility that provides each patient with high-quality and personalized medical care at the European level. Plans for the construction of the hospital appeared back in 1922, but because of the crises and World War II, they were not fated to be realized at that time. The construction of
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University Hospital Oldenburg
Germany, Oldenburg
University Hospital Oldenburg
Overall rating10 / 10
The University Hospital Oldenburg is a multidisciplinary medical complex offering top-notch services of the European standard. The hospital has 20 specialized departments, 15 highly specialized centers, and more than 10 institutes. The hospital provides services in almost all areas of modern medicine: general and abdominal surge
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Bundeswehr Hospital Berlin
Germany, Berlin
Bundeswehr Hospital Berlin
Overall rating10 / 10
The Bundeswehr Hospital Berlin enjoys a reputation as one of the leading medical facilities in Germany, where patients receive top-class medical care corresponding to the high standards of European university medicine. The medical center is an academic hospital of the Charite University Hospital Berlin – the largest and th
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Catholic Clinic Koblenz-Montabaur
Germany, Koblenz
Catholic Clinic Koblenz-Montabaur
Overall rating10 / 10
The Catholic Clinic Koblenz-Montabaur is a modern medical facility with an excellent reputation in Germany and abroad. The medical center is an academic clinic of the University Hospital Mainz, which gives patients the opportunity to take advantage of scientific advances and innovative treatments. The clinic has the widest possi
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Hospital Bogenhausen Munich
Germany, Munich
Hospital Bogenhausen Munich
Overall rating7.8 / 10
According to the reputable Focus magazine, the Hospital Bogenhausen Munich ranks among the ten best medical centers in Bavaria and among the top 50 medical facilities in Germany! The medical facility is the Academic Hospital of Ludwig Maximilian University of Munich. The modern hospital with the highest level of services annuall
Asklepios Hospital Barmbek Hamburg
Germany, Hamburg
Asklepios Hospital Barmbek Hamburg
Overall rating9.5 / 10
The Asklepios Hospital Barmbek Hamburg is an academic hospital of the University of Hamburg. The hospital was opened in 2005, and today it is one of the best and most modern medical centers in Europe. The priority areas of specialization of the medical facility are emergency medical care and comprehensive treatment of cancer, ur
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Prosper Hospital Recklinghausen
Germany, Recklinghausen
Prosper Hospital Recklinghausen
Overall rating9 / 10
According to the prestigious Focus magazine, the Prosper Hospital Recklinghausen ranks among the top medical facilities in North Rhine-Westphalia! The hospital enjoys the status of a modern medical complex with the highest standards of care and a long history of more than 175 years. The health facility is an academic hospital of
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Leverkusen Clinic
Germany, Leverkusen
Leverkusen Clinic
Overall rating10 / 10
The Leverkusen Clinic is a progressive provider of high-quality diagnostic and therapeutic services in Germany. The medical facility is an Academic Hospital of the University of Cologne, and also maintains close cooperation with the Rhine Research Center. The medical facility houses 12 specialized departments, as well as numerou
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Municipal Hospital Karlsruhe
Germany, Karlsruhe
Municipal Hospital Karlsruhe
Overall rating9.8 / 10
The Municipal Hospital Karlsruhe is a modern maximum care medical facility, which combines a long tradition and the advanced achievements of modern medicine. The hospital operates on the basis of the University of Freiburg, so scientific innovations in the field of diagnostics and treatment are continuously introduced into pract
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| from Booking Health GmbH

A hydrocele is an abnormal accumulation of serous fluid between the two layers of the tunica vaginalis of the testicles. The disease can be congenital or acquired. According to various estimates, from 1.5% to 4% of men suffer from hydroceles. Without treatment, suppuration or dropsy rupture may occur, and reproductive function also worsens. Chronic pain may develop, and some men also have calculi (stones) that increase the risk of developing testicular cancer. The fact that a hydrocele has been detected is an indication for treatment. Therapeutic options may include operations or minimally invasive procedures. You can make an appointment for your diagnostics and treatment of hydrocele in Germany on the Booking Health website.

Content

  1. Types of hydrocele
  2. Symptoms and diagnostics
  3. Surgical treatment
  4. Sclerotherapy
  5. Why to undergo your treatment in Germany?

Types of hydrocele

 

Based on the number of testicles involved, the disease can be unilateral or bilateral. The most common is a unilateral hydrocele.

By origin, the disease can be congenital or acquired. The congenital condition is associated with non-closure of the vaginal process of the peritoneum. Such patients are operated on in the first one and a half to two years of their lives. Acquired hydroceles are associated with injuries, inflammation, swelling, and other causes.

Based on the clinical course, a hydrocele can be acute or chronic. 

Symptoms and diagnostics

 

The main complaints of patients suffering from a hydrocele are as follows: 

  • a cosmetic defect; 
  • pain during movement, during sexual intercourse, or urination. 

When examining a patient, a doctor can see a pear-shaped swelling, which is turned base down. On palpation, the scrotum is painless.

In some cases, a hydrocele may cause no symptoms other than an enlarged testicle. Treatment, however, is still required, since dropsy impairs the blood supply to the scrotum and can lead to complications over time. In 30% of patients, reproductive function may be affected as spermogram parameters deteriorate.

Hydrocele testicles may cause inflammation with suppuration or bleeding with the formation of a hematoma. It increases the risk of infertility, testicular rupture, or testicular cancer. A giant hydrocele can compress the internal organs, disrupting their function. In older men with significant dropsy enlargement, the penis is drawn into the scrotum, which makes it difficult to urinate.

A clinical examination and an ultrasound scan are usually sufficient to diagnose the disease. If these methods are not informative enough, a scrotal MRI will be performed. Duplex ultrasound scans allow doctors to assess the blood flow in the testicles. X-ray methods, including computed tomography, are not used because ionizing radiation has a bad effect on reproductive function.

Surgical treatment

 

Surgery is considered the standard treatment for hydrocele testicles in the departments of urology at German hospitals.

Operations through a scrotal approach. This type of treatment is performed through a scrotal incision. The main types of interventions are Bergmann's operation, Winkelmann's operation, and the more sparing Lord's operation, which has become widespread in developed countries. Lord's operation does not require any isolation of the hydrocele from surrounding tissues, is less traumatic, and excludes any damage to blood and lymphatic vessels. This operation cannot, however, be performed for large and multi-chambered hydroceles. The essence of any variant of surgical treatment is the suturing and partial removal of the testicular membranes. All interventions are equally effective.

The disadvantages of open surgery are a long recovery and scrotal swelling, which persists for several weeks. A patient may also develop complications such as hematomas, bleeding, wound suppuration, lymphostasis, postoperative epididymitis, and orchitis. If you are undergoing your treatment in Germany, the risk of complications will be low. In addition, German doctors often perform operations using an endoscopic technique.

Video-assisted testicular membrane excision. This type of surgery is sparing and minimally invasive. With its help, doctors can treat testicular dropsy of any size. There is no need for the removal of the testicle into the wound, and lymph flow and blood circulation are therefore not disturbed. Doctors do not make any large skin or soft tissue incisions. The surgical procedure is performed through incisions 3-4 mm long. Doctors in Germany have extensive experience in such interventions, so you can be sure of a good result with a low risk of complications. This operation results in a minimal length of a hospital stay, fast rehabilitation, short-term scrotal swelling, and negligible postoperative discomfort.

Tunica vaginalis plasma coagulation. This is an open surgical treatment option. With a stream of ionized inert gas (argon), doctors coagulate the testicle membranes. The technique is not widely used as it requires the removal of the testicle into the wound, which disrupts lymph flow and blood circulation.

Sclerotherapy

 

An alternative to operations is sclerotherapy. This is a procedure for injecting a substance between the testicle membranes, which causes the membranes to fuse together.

If fluid has accumulated between the testicle membranes, it can be removed from there with a syringe. The problem, however, is that after aspiration, after 1-2 weeks, the fluid accumulates again. If sclerotherapy is performed after aspiration, the testicular membranes will be interconnected, and the fluid will not be able to accumulate between them.

Many sclerosing agents are used in urology, such as tetracycline, povidone-iodine, polidocanol, sodium tetradecyl sulfate, ethanolamine, phenol, or 96% ethyl alcohol. When choosing, it is important that the sclerosant does not cause any severe pain, necrosis, or inflammation and is not toxic. Doctors also pay attention to the preservation of reproductive function.

This is how the procedure is performed:

  1. Hydrocele puncture.
  2. Sclerosant injection in a volume that is equal to 10 to 50% of the amount of aspirated fluid. 
  3. Exposure of the sclerosant for 15-30 minutes. 
  4. Complete removal of the sclerosing agent. 
  5. Assessment of results with an ultrasound scan. 
  6. A repeated procedure after 1 month, if required. 

Different hospitals perform the procedure in different ways. Sometimes more aggressive but more effective treatment options can be used. For example, the injection of a larger amount of ethyl alcohol could account for up to 80% of the volume of liquid aspiration. After exposure, only 50% of the injected volume is removed, and the rest remains in the testicle for a long time and continues to damage the cyst walls. As a result, a patient has a rougher scar and needs fewer procedures to achieve the same result.

Another improvement to the technique involves the use of 99.5% alcohol instead of 96%.

Candidates for sclerotherapy are men with a small amount of hydrocele testicles. With a large volume, the procedure is also effective, but it has to be repeated several times. The larger the volume of fluid, the more injections of sclerosant a man will need.

Below are listed some of the benefits of the procedure:

  • no need for a hospital stay;
  • a low incidence of complications; 
  • sclerotherapy can be performed for patients with contraindications to surgery. 

Nonetheless, sclerotherapy also has its drawbacks, so the procedure is not considered the main method for the treatment of dropsy at German hospitals. This manipulation can be painful, although this problem is solved by a spermatic cord block. In 40% of cases, sclerotherapy has to be performed more than once. The effect after one or more procedures is achieved in only 95% of cases, while the effectiveness of the operation is close to 100%.

Why to undergo your treatment in Germany?

 

If you have been diagnosed with a hydrocele, you can undergo your treatment in Germany. The urology centers in this country have state-of-the-art equipment for diagnostics, minimally invasive procedures, and operations. The effectiveness of hydrocele treatment reaches 100% with a minimal risk of complications.

There are a few reasons for you to undergo your treatment in Germany. These are as follows: 

  • Accurate diagnostics can reliably distinguish a hydrocele from an inguinal hernia, a varicocele, a tumor, a spermatocele, inflammatory diseases, and other testicular diseases.
  • Modern modifications to operations allow doctors to achieve reliable treatment outcomes.
  • A low risk of hydrocele recurrences. 
  • A low risk of damage to the epididymis, testicular blood vessels, and vas deferens.
  • The preservation of reproductive function. 
  • Surgeons perform video-assisted operations that are less traumatic compared to open surgery.
  • A non-surgical technique can sometimes be used for the treatment of dropsy, namely sclerotherapy.
  • Adequate pain management during medical procedures with a spermatic cord block. 

You can find out the cost of treatment at German hospitals on the Booking Health website. Our website presents the cost of treatment at different hospitals so that you can compare prices and choose the most suitable option. When making an appointment for your treatment in Germany through the Booking Health service, the cost of treatment for you will be lower than when contacting the hospital directly, due to the absence of additional taxes for foreign patients.

In addition, you will receive insurance against unforeseen medical expenses. This means that the initial cost of treatment will not increase after the start of the program, even if additional procedures are required. If the cost of treatment decreases, the Booking Health employees will help you return unspent funds as soon as possible.

When you make an appointment for your treatment in Germany through the Booking Health service, you do not have to worry about any travel arrangements. We will contact the hospital's administration ourselves, help you prepare the documents, and translate medical records. Our specialists will also book hotel and airline tickets, meet you at the airport in Germany, and take you to the hospital by car.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

MedicineNet

The Lancet

Sience Direct