CPT® Code 55060

A tunica vaginalis hydrocele refers to an accumulation of fluid within the tunica vaginalis, which is a protective sac surrounding the testis located in the scrotum. This condition can lead to swelling and discomfort in the scrotal area. The Bottle-type procedure is a surgical intervention designed to repair this type of hydrocele. During this procedure, a transverse incision is made in the skin of the anterior scrotum, allowing access to the underlying structures. The incision is extended through the dartos fascia, which is a layer of tissue that helps support the scrotum, until the tunica vaginalis is reached. This exposes the fluid-filled sac that surrounds the testis. The surgical approach involves making a vertical incision along the anterior border of the sac at the upper edge of the spermatic cord, facilitating the drainage of the accumulated fluid. Following the drainage, the hydrocele sac is everted, or turned inside out, around the testicle and secured in place with sutures to prevent recurrence. Finally, the scrotal incision is meticulously closed in layers using absorbable sutures, starting with the dartos fascia and concluding with the skin layer, ensuring proper healing and minimizing the risk of complications.