Stigma, myths hamper hydrocele surgery uptake in Kapelebyong

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Despite the availability of free hydrocele surgeries at Kapelebyong Health Centre IV, stigma and cultural beliefs continue to prevent many patients from seeking treatment.

In early 2025, Sightsavers, in partnership with local health authorities, identified 301 cases of lymphatic filariasis and 346 cases of hydrocele in Kapelebyong District. During an April surgical camp, 37 hydrocele patients underwent successful operations in just one week.

However, health workers have reported a sharp drop in new cases coming forward since then.

Dr Kenneth Okilan, the officer in charge at Kapelebyong HCIV, attributed the decline to sociocultural beliefs and a temporary funding gap following the end of Sightsavers’ financial year.

“We continue to inform the community that our services are still ongoing, even though we await further funding from Sightsavers. Unfortunately, no new hydrocele cases have presented for surgery since the April camp,” Dr Okilan said.

He added that some elderly men are reluctant to be examined by younger health workers, while others view hydrocele as a mark of status, based on longstanding myths.



In response, the health team has intensified community sensitisation to counter misinformation and highlight the risks of untreated hydrocele and the simplicity of surgical intervention.

Sightsavers has also equipped the health centre with critical supplies, including drugs, surgical instruments, and an ultrasound machine. Several staff members have received specialised training in managing complications related to lymphatic filariasis.

Residents have cited fear and stigma as major deterrents. Kokas Ocepa, a local from Kapelebyong, said many men are afraid they might die during surgery. Meanwhile, Anna Margaret Amongin from Okungur sub-county noted that some young men fear rejection by women after undergoing the procedure.

Kapelebyong HCIV serves a wide area, including districts such as Abim, Otuke, Alebtong, Katakwi, and Amuria. Health officials remain hopeful that with renewed funding and continued outreach, more patients will come forward and reduce the region’s disease burden.