Why not use a small incision to treat large hydroceles?

Background:  Operative treatment of large hydroceles generally requires a large incision. Methods:  A technique is described which permits a traditional Jaboulay's or Lord's repair to be done through a 3 cm incision. Results:  Twenty patients with large hydroceles were operated on from June 2000 to November 2001 using this technique and to date, only one patient has had a recurrence. There has been no occurrence of either scrotal wound infection or haematoma ­formation. Conclusions:  A hydrocele repair of the surgeon's choice can be done safely through a 3 cm incision.