Abstract
This prospective study compared the effects of scrotal and inguinal approaches in hydrocele repair. Thirty-two adult patients, enrolled between January 1994 and May 2000, were randomly assigned to an inguinal (n=17) or a scrotal (n=15) approach. Scrotal size (at the surgical site) was measured preoperatively and postoperatively. Edema, infection, and hematoma formation were evaluated on the first, second, and third days after operation. Hematoma occurred in 4 patients in the scrotal approach group and in 1 patient in the inguinal approach group. Scrotal size was significantly smaller in the scrotal approach group on all postoperative evaluation days. Three months after surgery, all patients in both groups were free of hydrocele. The inguinal approach is a feasible option in the surgical treatment of adults with hydrocele; it results in less edema than is noted with the scrotal approach. Larger studies are needed to confirm these results.
Similar content being viewed by others
References
Elder JS. Abnormalities of the genitalia in boys and their surgical management. In: Walsh PC, Retik AB, Vaughan ED, Wein JA, eds.Campell’s Urology. Philadelphia, Pa: WB Saunders Co; 2002: 2334–2394.
Chalasani V, Woo HH. Why not use a small incision to treat large hydroceles?ANZ J Surg. 2002; 72: 594–595.
McAninch JW. Disorders of the testis, scrotum, and spermatic cord. In: Tanagho EA, McAninch JW, eds.Smith’s General Urology. New York, NY: McGraw-Hill; 2000: 6846–6898.
Rodriguez WC, Rodriguez DD, Fortuno FR. The operative treatment of hydrocele: a comparison of 4 basic techniques.J Urol. 1981; 125: 804–805.
Ku JH, Kim ME, Lee NK, Park YH. The excisional, plication and internal drainage techniques: a comparison of the results for idiopathic hydrocele.Br J Urol. 2001; 87: 82–84.
Oesterlıng JE. Scrotal surgery: a reliable method for the prevention of postoperative hematoma and edema.J Urol. 1990; 143: 1201–1202.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ceylan, K., Yüksel, Y., Hasan, G. et al. Inguinal approach in adult hydrocele surgery: Preliminary randomized study. Adv Therapy 23, 159–162 (2006). https://doi.org/10.1007/BF02850356
Issue Date:
DOI: https://doi.org/10.1007/BF02850356