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HYDROCELECTOMY / SPERMATOCELECTOMY I understand the planned operation: removal of the fluid and part of the lining around the

testis. I understand the risks of the procedure include: 1. Bleeding 2. Infection 3. Swelling 4. Recurrence . In!ur" to testis# epidid"mis or $lood vessels with possi$le fertilit" pro$lems . %nesthesia risks &including stroke# heart attact# $lood clots or death' (. )thers# including need for further surger" Signed: *************************** +ate: ***************************

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