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Это единственный эффективный способ лечения гидроцеле, так как консервативная терапия может дать только временное облегчение [2](https://polyclinika.ru/direction2/urologiya/operatsiya-pri-gidrotsele/)[6](https://taurasmed.com/services/urolog/lechenie-gidrocele/).\n\n\n\n## Показания\nХирургическое вмешательство назначают при: \n* значительном или быстро нарастающем увеличении мошонки [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* выраженном болевом синдроме [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* частых рецидивах после пункции [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* наличии осложнений, включая воспаление, инфицирование или образование кисты [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* нарушении кровоснабжения и функций яичка [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* косметических дефектах, мешающих нормальной жизни пациента [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* планировании зачатия, при котором водянка может быть одним из факторов бесплодия [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* гидроцеле у пожилых мужчин, если симптомы влияют на общее самочувствие [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/).\n\n## Противопоказания\nНекоторые противопоказания к операции при гидроцеле: \n* острые воспалительные процессы в области мошонки (орхит, эпидидимит) [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* тяжёлые сопутствующие патологии (сердечно-сосудистые, печёночные, лёгочные) [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* нарушение свёртываемости крови (гемофилия, приём антикоагулянтов) [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* активные инфекции [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* аллергическая реакция на препараты для анестезии [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/). \n\nВ случае выявления временных противопоказаний операция откладывается до стабилизации состояния пациента [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/).\n\n## Методика\nВрач выбирает один из методов операции в зависимости от клинического случая [8](https://clinicnacpp.ru/centr-hirurgii/operativnaya-urologiya-i-andrologiya/operatsii-pri-gidrotsele/): \n* **Операция Винкельмана** — оболочки яичка выворачиваются наружу и сшиваются [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/). \n* **Операция Бергмана** — частичное иссечение оболочек с последующим ушиванием тканей [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/). \n* **Операция Лорда** — менее травматичная, подходит для неосложнённой водянки [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/). Оболочки не удаляются, а аккуратно ушиваются, что минимизирует риск кровоизлияния [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/). \n\nПроцедура длится около 40–60 минут [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/).\n\n## Реабилитация\nВосстановление после хирургического удаления гидроцеле занимает от одной до трёх недель [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/). В этот период важно строго соблюдать рекомендации врача [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/): \n* ношение специальной поддерживающей повязки — суспензория — в течение 7–10 дней [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* приём антибиотиков, чтобы исключить инфекционные осложнения [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* ограничение физических нагрузок, отказ от посещения бани, сауны и занятий спортом [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* регулярная обработка послеоперационного шва антисептиками [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* приём противовоспалительных и обезболивающих препаратов [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/); \n* воздержание от половой жизни минимум на 2 недели [1](https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/).","linksData":[{"sourceId":1,"url":"https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/","shownUrl":"https://lit-clinic.ru/medicinskie-uslugi/operaciya-pri-gidrocele/","title":"Операция при гидроцеле в Москве: цены на операцию водянки яичка, платное лечение в клинике | Записаться в “Центральная поликлиника на Ленинградке”","shortUrl":"lit-clinic.ru","isTranslated":false,"description":"","greenUrl":"lit-clinic.ru"},{"sourceId":2,"url":"https://polyclinika.ru/direction2/urologiya/operatsiya-pri-gidrotsele/","shownUrl":"https://polyclinika.ru/direction2/urologiya/operatsiya-pri-gidrotsele/","title":"Операция при гидроцеле (водянке яичка) - цена в Москве, сделать в сети клиник Поликлиника.ру","shortUrl":"polyclinika.ru","isTranslated":false,"description":"","greenUrl":"polyclinika.ru"},{"sourceId":3,"url":"https://www.mediccity.ru/directions/444","shownUrl":"https://www.mediccity.ru/directions/444","title":"Гидроцеле (водянка яичка), причины и лечение. 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