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New Indian Journal of Surgery

Volume  7, Issue 2, May-Aug 2016, Pages 161-164
 

Original Article

A Study on Management of Hydrocele Cases at a Tertiary Care Hospital

Nitin Tengli*, Chimkode Ravindra**

*Assistant Professor, Department of Surgery, KBNIMS, Gulberga, Karnataka.**Associate Professor, Department of Surgery, GIMS, Gulberga, Karnataka.

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.7216.16

Abstract

 Introduction: Hydrocele is abnormal collection of serous fluid in the tunica vaginalis. There are several methods in the treatment of hydrocele and it is mainly surgical. Apart from surgery, Sclerosant therapy is also available. After surgery several complications like hematoma, infection, scrotal edema, torsion of testis, epididymitis and testicular atrophy can occur. Methods: A total of 60 patients will be selected after applying the various inclusion and exclusion criteria. The patients will be subjected to various modalities of management like Lord’s plication, Jaboulay’s procedure, Radical excision of sac and tapping with sclerotherapy depending on the presentation. Patients will be followed up for 6 months for complication. Results: Of the total 60 patients selected, 50 patients were subjected to open surgeries while the remaining 10 patients were subjected to Aspiration Sclerotherapy. The following study reveals that among open surgeries, techniques in which no dissection or excision of the tunica vaginalis is done are superior since they have less post-operative complications. Results of aspiration sclerotherapy reveal that complications are minimal and comparable with that of open surgeries. Conclusion: Among open surgeries Lord’s plication is better than Joboulay’s procedure and radical excision of sac with respect to effectiveness, complication and postoperative hospital stay. Aspiration sclerotherapy can be utilized as an effective alternative to open surgery in patients who are not fit for surgery or those who refuse surgery.

Keywords: Hydrocele; Management; Sclerotherapy.


Corresponding Author : Nitin Tengli*