Document Detail


Efficacy of endoscopic hydrocele ablation.
MedLine Citation:
PMID:  8481725     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a new endoscopic technique that was used for the treatment of symptomatic scrotal hydroceles in 10 men. Through a small skin incision, the parietal surface of the tunica vaginalis was ablated endoscopically using either electrocautery or the KTP:YAG laser. This approach permitted visual inspection of the scrotal contents with minimal manipulation and was performed using monitored local anesthesia with bilateral spermatic cord blocks. With a mean follow-up interval of 6.1 months, no hydrocele recurrences, wound infections, or hematomas have been detected. The mean operative time was comparable (53 minutes) to that in a historical control group consisting of 15 men who had undergone open hydrocelectomy at our institution (46 minutes). Postoperative scrotal discomfort was minimal, with 6 of the 10 patients requiring no analgesics. Patients were able to resume their preoperative lifestyles an average of 2 days after surgery. In contrast, 11 of the 15 men in the control group was still complaining of scrotal pain, requiring oral analgesics, at their 2-week follow-up visit. Thus, endoscopic hydrocele ablation appears to be an effective and well-tolerated alternative to treat hydroceles with minimal postoperative discomfort.
Authors:
G T Ho; R A Ball; W Schuessler; L R Kavoussi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  7     ISSN:  0892-7790     ISO Abbreviation:  J. Endourol.     Publication Date:  1993 Feb 
Date Detail:
Created Date:  1993-06-03     Completed Date:  1993-06-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  71-4     Citation Subset:  IM    
Affiliation:
Division of Urological Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Endoscopy / methods*
Follow-Up Studies
Humans
Male
Middle Aged
Scrotum / surgery*
Testicular Hydrocele / surgery*
Treatment Outcome

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


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