Possible complications after aspiration and sclerosing include infection, fibrosis, and mild to moderate pain in the scrotal area. This is a minor surgical procedure that is performed on an outpatient basis using general or spinal anesthesia. You will return from surgery with a scrotal drainage tube in place and a large bulky dressing to the scrotal area. You will be advised to wear a scrotal support for some time after surgery. Ice packs should be kept to the area for the first 24 hours after surgery to reduce the swelling in the area.
Aspiration can cause infection, and the fluid frequently re-accumulates.
Aspiration, however, may be the best alternative for people who are poor surgical risks. Generally, a simple hydrocele goes away without intervention. If surgery is necessary, it is a simple procedure for a skilled surgeon and an excellent outcome is expected. The presence of an inguinal hernia requires surgery. There is no known prevention.