Can child stay awake during a hydrocele removal?

For what purpose? Hydrocoel repair is going to involve kids >1y. Although it might be possible to do so using an elaborate local anesthesia, i would never consider doing it awake in that age group. This non-verbal kid would be witness multiple painful injections in the area with the hope it would work, but a backup plan to go to general anesthesia would be necessary if it didn't. Seems cruel to me so why ?
No way. We can not have a child moving during the operation, we might accidentally cut the spermatic vesses or vas deferens (sperm duct).