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- Title
The Role of Prophylactic "Window" Hydrocelectomy in Prevention of Postvaricocelectomy Hydroceles.
- Authors
Mohammad, Ehab Jasim; Jaffal, Waleed Nassar; Abdulkareem, Duraid Taha
- Abstract
One of the common complications of varicocele surgical treatment is the post-operative hydrocele (PH). A 'window' in tunica vaginalis we describe here as a PH prevention procedure modification. From January 2010 to January 2015, 300 patients, aged 17-39 year old referred to AL-RAMADI TEACHING HOSPITAL in ANBAR, IRAQ, were involved in a case controlled study. They were referred for Varicocelectomy. The patients were into 2 equal groups each of 150 patients. Group A; underwent Sub-inguinal repair without modification, and group B; underwent Subinguinal repair with Window hydrocelectomy. Patients in both groups were evaluated for 12 months. The age of patients ranged from 17 to 37 years in group A (mean 28±4.3), 18-39 years in group B (mean 27±5.1), there was no significant difference between the two groups. None of the patients in the Subinguinal repair with Window hydrocelectomy group developed post-operative hydroceles, while 24 (16%) of patients in the Subinguinal repair without modification group developed post-operative hydroceles, (P= 0.005) which is statistically highly significant. Non-significant difference was reported with other parameters between group A and B. Patient follow up, recurrent varicocele was seen in 5 patients in group A and 3 in group B which is statistically non-significant. The seminal fluid parameters improved in 94 patients in group A and in 96 patients in group B with statistically non-significant difference. Wound infection occurred in 3 patients in group A and 4 patients in group B with no significant difference (p value > 0.05). Window hydrocelectomy is safe and effective in preventing postvaricocelectomy hydrocele formation.
- Publication
Indian Journal of Public Health Research & Development, 2019, Vol 10, Issue 4, p1500
- ISSN
0976-0245
- Publication type
Article
- DOI
10.5958/0976-5506.2019.00928.8