It depends on the general surgeon. Some are experienced at hydrocele
surgery, some aren't. You should find out from your general surgeon if he is
comfortable with fixing your hydrocele. If he is, then you'd be in good
hands. Hydrocelectomy is a very straightforward operation.

However, I'm curious about your medical history. There are two ways to get a
hydrocele - one is as part of an indirect inguinal hernia, the other is some
local effect on the testicle (trauma or infection). You mention that you've
had "hernias" fixed. If you haven't had trauma or infection to that
testicle, and you had an *inguinal* hernia fixed on the side that you now
have the hydrocele, then that operation  may not have been done properly
since the hydrocele that you have is part of in the indirect sac that should
have been removed when the hernia was fixed. THAT is a question I would
certainly want to ask my hernia surgeon. If you HAVEN'T had an inguinal
hernia repair on the side where the hydrocele is, then you VERY likely have
an inguinal hernia as a cause for the hydrocele, and what you'd need IS NOT
a transcrotal hydrocelectomy, but an inguinal hernia repair AND
hydrocelectomy (same incision). In that case you most definitely want this
problem addressed by the general surgeon and not the urologist.

A hydrocele is a sac of fluid that surrounds the testicle, but that sac
extends all the way back along the spermatic cord to the peritoneal cavity.
If the hernia hasn't been repaired, just fixing the hydrocele means you'll
likely ALSO be needing a hernia repair in the future.

Having said all of this, there are some circumstances where a surgeon might
fix a hernia and intentionally leave the hydrocele alone, but the only one I
can think of off the top of my head would be a *laparoscopic* repair of a
large indirect inguinal hernia.

So:

-have you had an inguinal hernia repair on the side where the hydrocele is?
-have you had significant trauma to the testicle where the hydrocele is?

HMc