Study of Testicular Geometry and Resistivity Indices Before and After Hydrocelectomy in Unilateral Idiopathic Hydrocele 1* 1 (original) (raw)
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2015
Journal of the Arab Society for Medical Research 2012, 7:68–72 Background/aim Hydrocele is a common chronic condition in men that causes physical, psychological, social, and economic distress. This study aimed to evaluate the outcome of hydrocelectomy through the inguinal approach as compared with the scrotal approach in adults. Subjects and methods This prospective study was conducted on 40 patients who presented to the El-Hussein University Hospital with idiopathic hydrocele and underwent hydrocelectomy. These patients were divided into two groups: group I (inguinal approach group) included 20 patients with a mean age of 30.75 ± 10.76 years and who underwent hydrocelectomy through the inguinal approach, group II (scrotal approach group) included 20 patients with a mean age of 29.35 ± 8.93 years and who underwent hydrocelectomy through the scrotal approach. A comparison was made between the two groups as regards the volume of the hydrocele sac, operative time, postoperative morbidi...
A Mini Review on Hydrocele: The Most Common Scrotal Problem
Abnormal collection of serous fluid between the visceral and parietal layers of the tunica vaginalis is termed as hydrocele. It is the commonest reason for painless scrotal swelling and affects about 1% of men, mostly above forty years of age, and 4.7% neonates. Normally it is idiopathic in origin, yet infection, variococelectomy, inguinal surgery, a patent processus vaginalis and trauma are linked with its consequent expansion. Surgical removal of hydrocele is still considered as the gold standard of care. Cases have been reported with high success rates, 85%-96%, after using aspiration and sclerotherapy in combination. This article reviews some aspect of treatment and complication of Hydrocele.
Testicular Volume Before and After Hydrocelectomy in Children
Journal of Ultrasound in Medicine, 2006
The purpose of this study was to investigate whether there is an association between communicating congenital hydroceles and testicular volume in children. Methods. Seventeen children with unilateral communicating congenital hydroceles who underwent hydrocelectomies were included in the study. Testicular volumes were measured before and after hydrocelectomy on both the affected and unaffected sides. Results. We found statistically significant differences in testicular volumes between the normal sides (mean ± SD, 0.62 ± 0.24 mL) and the sides with hydroceles (0.72 ± 0.26 mL) before surgery (P < .001) and in testicular volumes of the sides with hydroceles before (0.72 ± 0.26 mL) and after (0.60 ± 0.19 mL) surgery (P < .001). There was no significant difference in testicular volumes before (0.62 ± 0.24 mL) and after (0.62 ± 0.21) surgery on the normal sides (P = .978). The mean decrease in volume of the testes with hydroceles after hydrocelectomy was approximately 15%. Conclusions. This study shows that there is an association between congenital communicating hydroceles and testicular volume in children. Clinicians should be aware that there is a decrease in testicular volume after hydrocelectomy so they do not misdiagnose this change as postoperative trauma or atrophy.
European Journal of Radiology, 2007
Objective: To determine the limits for the amount of tunical fluid enough to be termed as hydrocele by using extended-field of view US technology and to define hydrocele for the first time with standard numerical criteria. Methods: A total of 60 patients were evaluated in this prospective study. Group 1 consisted of 20 patients with unilateral clinical hydrocele. Group 2 included 20 patients referred for scrotal US for reasons other than hydrocele. Group 3 comprised 20 male controls with no scrotal complaints. Testis volume (V t ), scrotum volume (V s ) and V t /V s ratio were calculated for each subject by dimensions measured in longitudinal and tranverse planes. Results: Mean V t /V s ratio was 0.28 ± 0.17 (range, 0.07-0.57), 0.69 ± 0.08 (range, 0.53-0.80) and 0.71 ± 0.07 (range, 0.61-0.85) for groups 1, 2 and 3, respectively. Mean V t /V s for group 1 was significantly lower than those for groups 2 and 3, respectively (p < 0.001 for each). Based on the ROC curve analysis, 0.55 for V t /V s ratio was determined as the optimal cut-off point below which the US diagnosis of hydrocele could be made (sensitivity 95.0% and specificity 97.5%). Conclusions: We propose a novel US parameter of V t /V s ratio below 0.55 for a standard distinction between hydrocele and physiological amount of scrotal fluid.
Effects of Hydrocele on Morphology and Function ofTestis
Annals of Medical and Health Sciences Research, 2020
Hydrocele is generally believed as innocent. But there is increasing evidence of noxious influences of hydrocele on testis resulting in morphological, structural and functional consequences. These effects are due to increased intrascrotal pressure and higher temperature-exposure of the testis. Increased intrascrotal pressure can cause testicular dysmorphism and even testicular atrophy. The testicular dysmorphism is reversible by early hydrocele surgery, but when persist, possibly indicate negative influence on future spermatogenesis. Spermatic cord compression by hydrocele is responsible for testicular volume increase. Such testes lose 15%-21% volume after hydrocele surgery. Tense scrotal hydrocele can cause acute scrotal pain from testicular compartment syndrome, which is relieved by evacuation of hydrocele. Higher resistivity index of subcapsular artery of testis and higher elasticity index of testicular tissue are caused by large hydrocele. As an aftermath, testis suffers ischaem...
Comparative study of inguinal versus scrotal approach in idiopathic vaginal hydrocele
International Surgery Journal
Background: Hydrocele is a common cause of painless scrotal swelling worldwide.Methods: Hydrocele is a common cause of painless scrotal swelling worldwide. This prospective study was carried out at AVBRH, Sawangi Wardha, Maharashtra, India with the aim of comparing scrotal and inguinal approaches of hydrocelectomy. 100 patients were enrolled between September 2015 and September 2017 and were randomly selected for inguinal and scrotal approaches (n=50 each). They were compared on the basis of volume of hydrocele sac, operative time, post-operative hospital stay, post-operative complications, number of doses of injectable analgesia required and time of return to daily life activity.Results: The patients’ age ranged from 23 to 65 years (42.80±9.73 years) in the inguinal approach group and 22 to 65 years (41.30±11.21 years) in the scrotal approach group. Operative time in the scrotal approach group was less and was associated with more post-operative complications (pain and scrotal edem...
Journal of Urology, 2004
Purpose: We determine the incidence of complications following outpatient scrotal surgery for the treatment of hydroceles and spermatoceles. Materials and Methods: A retrospective study of all patients undergoing hydrocelectomy or spermatocelectomy between April 1, 1997 and March 31, 1999 at 1 institution was performed. The hospital and office charts were reviewed, and postoperative complications (infection, persistent swelling, chronic pain) were recorded. The type of preoperative antiseptic preparation (iodine based versus chlorhexidine) and the presence or absence of surgical drains were also recorded. Results: A total of 161 patients were included in the study with an average age of 53.7 years. The overall complication rate was 19.2%. Infection/scrotal abscess formation occurred in 9.3% of patients, persistent swelling (treatment failure) in 9.3% and chronic pain in 0.6%. There was no significant difference in the complication rate when the preoperative preparations and the presence or absence of surgical drains were compared. Conclusions: The most common complications following scrotal surgery for hydroceles and spermatoceles are persistent scrotal swelling, inflammation and postoperative infection. Further prospective investigation is required to study factors such as the use of drains, preoperative and/or perioperative antibiotics and the type of surgical preparations, which may have a role in complication rates.
Inguinal versus Scrotal Approach for The Management of Vaginal Hydrocele in Adult Patients
The Egyptian Journal of Hospital Medicine
Background: Hydrocele is one of the commonest causes of painless scrotal swelling which results from a pathological accumulation of serous fluid between the two layers of the tunica vaginalis. The scrotal approach is the standard approach for treating adult vaginalis hydrocele. Scrotal swelling is commonly encountered postoperative complication in such an approach. Objective: This study aimed to improve the postoperative outcomes of hydrocelectomy in adult patients. Patients and methods: This prospective study was conducted on 32 male adult patients with hydrocele in the period from February 2021 to January 2022, in General Surgery Department, Zagazig University Hospitals. The patients were subdivided into two groups: patients in group (1) were managed by hydrocelectomy through scrotal approach, while those in group (2) hydrocelectomy were performed through inguinal approach. Results: The mean age of patients in group (1) was 24.5 ± 4.81664 years versus 25.4375 ± 5.31625 years in group (2). Persistent postoperative scrotal edema for more than one month was encountered in five patients in group (1), while no patient in group (2) developed persistent postoperative scrotal edema. This was statistically significant (p < 0.05). Conclusion: The inguinal approach was better than the scrotal approach for hydrocelectomy in adults with hydrocele. The inguinal approach provides better postoperative outcomes and more patient satisfaction.
Be cautious of “complex hydrocele” on ultrasound in young men
Archivio Italiano di Urologia e Andrologia, 2020
Hydrocele is the most common benign cause of painless scrotal enlargement and only very rarely can be reactive to an underlying testicular tumor. We present the case of a healthy young man, complaining of mild left scrotal discomfort and swelling. Physical examination revealed a non-tender fluctuant left scrotum and serum tumor markers were normal. Scrotal ultrasonography (US) showed a normal right hemiscrotum and testicle and a fluid collection among thickened irregular septations in the left hemiscrotum, a finding which was considered as a complex hydrocele. Intraoperatively the presumed “complex hydrocele” was in fact a multicystic testicular tumor. We proceeded with orchiectomy through the scrotal incision and pathology revealed a mixed germ cell tumor of the testis consisting of cystic teratoma, in situ germ cell neoplasia unclassified (IGCNU) and Sertoli cell tumor. This is the first reported case of this type of testis tumor presenting as complex hydrocele. The aim of this ca...