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Discussion Starter · #1 ·
So I am really struggling with a decision for my two year old son. He was diagnosed with a communicating hydrocele and he needs a surgical repair. A hydrocele is like a hernia, but it is just abdominal fluid, and it effects his scrotum. I took him to a ped while I was staying in my old hometown visiting my parents, as this is when I noticed it. The ped than referred us to a local general surgeon who we had a consult with. Now I am trying to decide if I am comfortable enough having this surgeon perform the procedure as he is not a pediatric surgeon and has not had a lot of experience operating on children. Just the demographics of the area, small town, a lot of middle age and elderly population. He has a good reputation. However, I do think I would feel more at ease with a surgeon who has worked on a lot of children. Our insurance situation complicates matters. We have Healthy Families, but because DH is a grad student and we're living on student loans, that is not considered an income, and we will be dropped from coverage after Dec. So we have to have this surgery done before the end of the month. I am not sure we have the time to do another consult with a pediatric surgeon and get an appointment for surgery before the end of the month. But of course, I want what is best for my child? So, what would you do? I talked to the ped who originally saw ds (on the phone) and he said, yeah ideally a ped surgeon would probably be best, if it was his child he would, and he said he could refer us. Now I'm more confused, and just don't know what to do. I liked the surgeon we saw, he was very open and friendly, answered my questions honestly, I know he has a good reputation. Going to a pediatric surgeon will require time and energy and hassle to find one, go to another consult, the insurance mess, and travel to a larger city. I just don't know. I want what's best for my child, but I am just feeling so confused and fearful and paralyzed. Do I make my decision with my intuition? My intellect? I don't want to make it out of fear. The surgery is simple and common and complications are low. I think one website I read said 1.7% to 8%. The surgeon did say if it was a more complex procedure he would have sent us elsewhere, to a pediatiric surgeon, but that he feels capable of performing it. WWYD?
 

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Do you have a regular pedi? Personally, I'd go with a ped.surgeon. Most surgeons have superegos and I'd be hardpressed to find one that would actually say they're not up for the job. Now, I'm NOT saying that your guy is not capable of doing the surgery, JMO.<br><br>
If you do have a regular pedi, I'd stop by and see if I could get a referral and make an appt. ASAP. If you can get in to see a pedi. surgeon within the next 7-10 days, and explain that you need the surgery done by 12/31, I'd hope they'd be able to do it, especially as it seems fairly minor.<br><br>
If you do have to go with the first guy, I'd ask him if he's ever done this procedure on any children at all. If he has, than I might feel more comfortable with him doing it. If he hasn't than I'd be comcerned. Children are not little adults and their bodies respond differently to illness and surgery. That's why they have peds!<br><br>
Good luck mama!
 

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I would go with the pedi surgeon. The closest medical school affiliated hospital will have a couple. You can usually fit them in. The pedi surgeons I worked with typically did a lot of surgeries in Dec, since school kids were getting off school, and parents did not want to incur a new deductible.
 

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My mom has an awesome surgeon who we love, so even though he's not a pediatric specialist, I would probably want to use him for anything we needed.<br><br>
If I were just looking for someone at random, yes, I'd want a pediatric specialist. I'd ask the physician from your hometown for a referral to one, if I were you.
 

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My oldest had a hernia and hydrocele fixed at 15 months old by a regular surgeon. He had a very good reputaion in the area and did a great job.
 

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I would go ahead and make the appt for the surgery with the regular surgeon. Once that is set up and good to go, then I would investigate getting a pediatric surgeon and see if he can do things in your timeline. Then you can cancel the 1st surgery. If not then the surgery is still set up and ready to go.
 

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Discussion Starter · #7 ·
Well, the surgery's scheduled for the 8th. I thought it might give me peace of mind once it was scheduled, but I'm still nervous. I could call tomorrow and see if I could get a referall to a pediatric surgeon, but I'm not sure I would even have time to schedule a consult, and then I would still have to make sure the surgery and follow up could be scheduled in time. Unless they can tell me on the phone that they can schedule all three in December. The surgeon we are scheduled with has a very good reputation, has been a surgeon for 25 or 30 years, (he's in his fifties) and I had a very good impression of him in person and on the phone. I honestly don't think he has a big ego, or would say that he could do the surgery if he couldn't. My mom speaks highly of him, and he did my stepdad's gallbladder surgery. He also does laproscopic surgery. I just don't know how much of this is nerves that I would have anyway, or if I'm extra nervous because I know that a pediatric surgeon would have more experience with children, or I feel that we don't have the right guy. I was actually fine with this surgeon doing it until a relative of DH (who is a NP) said that if it was her, she would take her child to a pediatric surgeon. Then I got fearful, and started questioning everything, and then when I talked to the Dr. further and learned that he doesn't have a lot of experience doing this procedure on children it made me think. Ahhh, I just want it to be over and have gone well already, or my mind to stop torturing me.
 

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Discussion Starter · #8 ·
Well, I put in a call to the ped, to see if I can get referred to the pediatric surgeon's practice. If it works to schedule the consult, surgery and follow up all in the month of Dec, I will go with that. If not, we will go with the surgeon we have already scheduled with. I'm sure that either way, it will probably be fine, but I feel better already just investigating this further. Thanks
 

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My son at age 3 had a hydrocele/hernia repair in the Children's hospital. It was a minor surgery but I chose to have a ped urologist do the procedure, not at a surgical site but in the hospital.<br>
It only took an hour, he went home right after and he was running around as if nothing happened. No pain, no medicine.<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/innocent.gif" style="border:0px solid;" title="shy">
 
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