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- Title
Current practice regarding timing of patent processus vaginalis ligation for idiopathic hydrocele in young boys: a survey of UK surgeons.
- Authors
Jobson, Matthew; Hall, Nigel; Hall, Nigel J
- Abstract
<bold>Purpose: </bold>The aim of this study was to determine the current UK practice regarding timing of surgical repair of hydroceles in young boys.<bold>Methods: </bold>Through a validated, online survey, participants were asked their preferred management option in five different clinical scenarios across five age ranges.<bold>Results: </bold>71 responses were included in the analysis. The most common age to offer surgical intervention for a congenital hydrocele that is stable or increasing in size, or a hydrocele of the cord is 24-36 months. For a stable hydrocele presenting after 12 months of age, the most common age to offer repair is between 36 and 48 months. Approximately ¼ of respondents defer surgery until 4 years of age for any stable hydrocele. For a congenital hydrocele that is decreasing in size, the majority of respondents (57%) do not offer surgical intervention even over 4 years of age. The majority of respondents (61%) do not differentiate between communicating and non-communicating hydroceles when considering age for repair.<bold>Conclusion: </bold>These results suggest that there is uncertainty regarding the optimum age for PPV ligation and adequate underlying variability in practice to support a prospective study of the optimum age for hydrocele repair and the natural history of PPV closure.
- Subjects
HYDROCELE; OPERATIVE surgery; CONGENITAL disorders; SPERMATIC cord diseases; TESTICULAR diseases; TESTIS surgery; TESTIS abnormalities; AGE distribution; INTERNET; LIGATURE (Surgery); LONGITUDINAL method; SURVEYS; PROFESSIONAL practice
- Publication
Pediatric Surgery International, 2017, Vol 33, Issue 6, p677
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-017-4085-4