Abstract
Fifteen patients with hydroceles of the testis or spermatic cord were treated by aspiration and injection of the sclerosant solution polidocanol. The cure rate of hydroceles after one sclerotherapy session was 73%, and the overall cure rate using the procedure was 87%. No patient experienced pain during or after the procedure, which was conducted without anaesthesia. No complications were observed. It is concluded that sclerotherapy of hydroceles with polidocanol may be a useful alternative to open operation, due to its ease of administration, low frequency of complications, and high rate of effectiveness, and that this agent is preferable to certain other drugs in that it causes no pain during or after the injection.
Similar content being viewed by others
References
Amblard, P.: Our experiences with Aethoxysclerol.Phlebologie, 30, 213 (1977).
Badenoch, D. F., Fowler, C. G., Jenkins, B. J., Roberts, J. V., Tiptaft, R. C.: Aspiration and instillation of tetracycline in the treatment of testicular hydrocele.Br. J. Urol., 59, 172 (1987).
Bodker, A., Sommer, W., Andersen, J. T., Kristensen, J. K.: Treatment of hydrocele of the testis with aspiration and injection of tetracycline.Br. J. Urol., 57, 192 (1985).
Byne, P. D., May, R. E.: Aspiration and injection treatment of hydroceles and epididymal cysts.Br. J. Clin. Pract., 32, 256 (1978).
Fuse, H., Nishikawa, Y., Shimazaki, J., Katayama, T.: Aspiration and tetracycline sclerotherapy of hydrocele.Scand. J. Urol. Nephrol., 25, 5 (1991).
Gasser, F., Kirkeby, H. J., Berg, V., Gasser, G.: Sclerotherapy of hydroceles and epididymal cysts with polidocanol (Aethoxysclerol).Surg. Res. Comm., 7, 183 (1990).
Hellström, P., Tammela, T., Kontturi, M., Lukkarinen, O.: Ethanolamine oleate as a sclerosant for testicular hydroceles and epididymal cysts.Br. J. Urol., 62, 445 (1988).
Hu, K.-N., Khan, A. S., Gonder, M.: Sclerotherapy with tetracycline solution for hydrocele,Urology, 24, 572 (1984).
Kaye, R.: Treatment of hydroceles by injection of sclerosing agents.N. Engl. J. Med., 307, 1149 (1982).
Larsen, T., Devantier, A., Iversen, E., Fischer, A., Hansen, R., Dragsted, J.: Treatment of testicular hydrocele with fibrin adhesive.Ugeskr. Laeger, 148, 896 (1986).
Lord, P. H.: A bloodless operation for the radical cure of idiopathic hydrocele.Br. J. Surg., 51, 914 (1964).
Lund, L., Bartolin, J.: Treatment of hydrocele testis with aspiration and injection of polidocanol.J. Urol., 147, 1065 (1992).
Macfarlane, J. R.: Sclerosant therapy for hydroceles and epididymal cysts.Br. J. Urol., 55, 81 (1983).
Moloney, G. E.: Comparison of results of treatment of hydrocele and epididymal cysts by surgery and injection.Br. Med. J., 3, 478 (1975).
Nash, J. R.: Sclerotherapy for hydroceles and epididymal cysts.Br. J. Surg., 66, 289 (1979).
Rodriquez, W. C., Rodriquez, D. D., Fortuno, R. F.: The operative treatment of hydrocele: A comparison of 4 basic techniques.J. Urol., 125, 804 (1981).
Thompson, H., Odell, M.: Sclerosant treatment for hydroceles and epididymal cysts.Br. Med. J., 2, 704 (1979).
Thorup, J., Schultz, A., Christiansen, L.: Treatment of hydrocele with puncture and injection of fibrin adhesive (Tisseel).Ugeskr. Laeger, 148, 1759 (1986).
Winkelmann, O.: Neue Methode der radikalen Operation der Hydrocele.Zentralbl. Chir., 44, 1092 (1898).
Zimmerman, R. E., Nevin, R. S., Allen, D. J., Jones, C. D., Goettel, M. E., Burck, P. J.: Antifertility effects of tetradecyl sodium sulphate in rabbits.J. Reprod. Fertil., 68, 257 (1983).
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Fuse, H., Sakamoto, M., Fujishiro, Y. et al. Sclerotherapy of hydroceles with polidocanol. Int Urol Nephrol 26, 199–204 (1994). https://doi.org/10.1007/BF02768287
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF02768287