The fluid accumulation can be drained by aspiration, but this may be only temporary. A more permanent alternative is a surgical procedure, generally, an outpatient ambulatory (same-day) procedure, called a<unk> ctomy. There are two surgical techniques available for<unk> ctomy. ;<unk> ctomy with Excision of the<unk>  Sac: Incision of the<unk>  sac after complete mobilization of the<unk> . Partial resection of the<unk>  sac, leaving a margin of 1–2 cm. Care is taken not to injure<unk> ular vessels, epididymis or ductus deferens. The edge of the<unk>  sac is oversewn for hemostasis (von Bergmann's technique) or the edges are sewn together behind the spermatic cord (Winkelmann's or Jaboulay's technique).<unk>  surgery with excision of the<unk>  sac is useful for large or thick-walled<unk> s and multilocular<unk> s. ;<unk>  Surgery with Plication of the<unk>  Sac: The<unk>  is opened with a small skin incision without further preparation. The<unk>  sac is reduced (plicated) by suture<unk>  surgery: Lord's technique. The plication technique is suitable for medium-sized and thin-walled<unk> s. The advantage of the plication technique is the minimized dissection with a reduced complication rate. If the<unk>  is not surgically removed, it may continue to grow. The<unk>  fluid can be aspirated. This procedure can be done in a urologist's office or clinic and is less invasive, but recurrence rates are high. Sclerotherapy, the injection of a solution following aspiration of the<unk>  fluid may increase success rates. In many patients, the procedure of aspiration and sclerotherapy is repeated as the<unk>  recurs.
Hydrocele testis
Spermatocele
Hematocele
Urethrocele
Cystocele
Testicular torsion
Inguinal hernia
Pneumatocele