Hydrocele Surgery Yes or No? Help!

I've had a small hydrocele on my left nut since I was a kid.  It was never much of an inconvenience until about the last year and a half.  I am 36 years old.  My nuts have always been rather on the large side but the affected ball is around the size of an egg.  My main complaint is that as it has grown it has become heavy and is sagging.  It is very uncomfortable and is getting in the way of life.  It is making it hard for me to do physical activities, no matter what type of underwear i have.  I am single and it is making me very apprehensive about dating.  It looks like hell.  The sagging is gross and the extra skin is accumulating.  I hate looking at myself in the mirror.  It gets in the way during sex. I feel like it is taking control of my whole life.  I went to a urologist and he did not seem to concerned and did not recommend surgery because it wasn't the size of a softball.  He lined up an ultrasound for me, and when I went for the follow up appointment he told me the hydrocele was minor and  that surgery wouldn't make much of a difference.  He recommended that i wear briefs from now on or a jock strap. I was pretty down after this.  I thought about it for a couple of months and went back to him and requested the surgery.  He said he would do it if that was what I really wanted.  Before I lined up the surgery I chickened out because of the horror stories I read on the internet.  The doctor told me I "made the right choice" by changing my mind.

Also to be noted:  I have a communicating hydrocele - meaning that when I wake up my nut is closer in size to my normal one and not as saggy.  As the day goes on it gets lower and bigger, especially the more I physically exert myself.

I do not know what to do.  I do not want to live like this with a saggy scrotum with more skin than should be there.  I do not want to live the rest of my life like this.  However, I do not want to make things worse by getting the surgery and have something go wrong or have an accumulation of scar tissue of permanent swelling.  I don't want to live like that either.  This is really giving me anxiety and making me depressed.  It is getting in the way of my life in every aspect: socially, physically, professionally, sexually, etc.  It really has me down because I am single and would like to find someone to settle down with.  I don't like looking at myself naked so I don't know who else would.  I live in a smaller community and I'm not trying to have my balls be the center of discussion when people see me what by.  This is making life suck and my self esteem down in the gutter.  My motivation isn't as strong as usual.  I know the hydrocele wont get better by itself.

I have no idea what to do.  What do you think?

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