Document Detail

Comparison of aspiration-sclerotherapy with hydrocelectomy in the management of hydrocele: a prospective randomized study.
MedLine Citation:
PMID:  19595803     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Hydrocelectomy is practiced as the gold standard technique for the treatment of hydrocele worldwide. Aspiration and sclerotherapy is cheap, less invasive and safe compared to hydrocelectomy. However, the outcomes are inconsistent because of lack of uniformity in methods and sclerosing agents used.
MATERIALS AND METHODS: This was a randomized controlled study conducted in a university hospital for a period of one year. Sixty symptomatic adult males without fertility concern or coexisting scrotal pathology were enrolled. Aspiration and sclerotherapy and hydrocelectomy were performed in 30 each.
PRIMARY OUTCOME MEASURES: incidence of complications, loss of working days, cost involved, recurrence rate and patient's satisfaction. Patients were followed up till 6 months after the procedures.
RESULTS: Eight patients (26.7%) after hydrocelectomy developed fever which was significantly more (p<0.05) than 2 patients (6.7%) following sclerotherapy. Four patients (14%) with hydrocelectomy had infection (p<0.05). The incidence of pain and haematocele between the two groups were comparable. Nine patients (34.6%) after sclerotherapy developed recurrence at 3 months. All patients developed recurrence after repeat aspiration and sclerotherapy. The level of satisfaction was more in hydrocelectomy 19 (95%) versus 13 (61.9%) patients in sclerotherapy (p<0.05). The cost involved was fivefold and the loss of working days sevenfold in hydrocelectomy (p<0.01) as compared to sclerotherapy.
CONCLUSION: Although aspiration and sclerotherapy had less complications, morbidity and was cheaper, it had lower success rate and less patient's satisfaction than hydrocelectomy.
Sudeep Khaniya; Chandra Shekhar Agrawal; Rabin Koirala; Rajendra Regmi; Shailesh Adhikary
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2009-07-10
Journal Detail:
Title:  International journal of surgery (London, England)     Volume:  7     ISSN:  1743-9159     ISO Abbreviation:  Int J Surg     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-25     Completed Date:  2009-12-01     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  101228232     Medline TA:  Int J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  392-5     Citation Subset:  IM    
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MeSH Terms
Chi-Square Distribution
Follow-Up Studies
Prospective Studies
Risk Assessment
Sclerotherapy / methods*
Severity of Illness Index
Sodium Tetradecyl Sulfate / therapeutic use*
Statistics, Nonparametric
Testicular Hydrocele / diagnosis,  surgery,  therapy*
Treatment Outcome
Urogenital Surgical Procedures / methods*
Reg. No./Substance:
Q1SUG5KBD6/Sodium Tetradecyl Sulfate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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