Comparison of Hydrocelectomy Techniques: A Retrospective Cohort Study on Surgical Outcomes, Complicatons and Recurrence Rates.

AKTAŞ, Yasin; KARAMIK, Kaan; YILMAZ, Kayhan; KILIÇ, Şahin; ŞAMBEL, Murat; ATEŞ, Mutlu; ÖLÇÜCÜ, Mahmut Taha

Objective: The aim of this study was to compare the clinical success, complications, operative time, amount of bleeding, and aspirated hydrocele fluid rates of three different open surgical hydrocelectomy methods. Material and Methods: A total of 47 patients diagnosed with adult idiopathic hydrocele were retrospectively included in the study. Patients who underwent hydrocelectomy were divided into 3 groups. Group 1 underwent the Jaobulay or Winckleman technique, Group 2 underwent the ONOL technique and Group 3 underwent the Eversion technique. The results of the patients were observed and recorded. The age of the patients, amount of aspirated hydrocele fluid, amount of bleeding, operation time were recorded and compared statistically. The 6th-month and 2nd-year postoperative hydrocele recurrence data of the patients were also statistically compared. Results: There was no difference between the groups in terms of age, amount of aspirated fluid and amount of bleeding (p>0.05). Among the operation times of the groups, Group 3 had a shorter operation time than the other 2 groups statistically. There was no difference between Group 3 and other groups in terms of Clavien-Dindo Grade 1 complication. No recurrent hydrocele was observed in any patient during follow-up. Conclusion: The eversion technique seems more advantageous in terms of duration, while both the eversion and ONOL techniques seem more advantageous in terms of complications.

TESTIS surgery; AGE groups; HYDROCELE; SURGICAL complications; HEMORRHAGE; IDIOPATHIC diseases; DISEASE relapse

Journal of Reconstructive Urology, 2024, Vol 14, Issue 3, p77

2587-0483

Academic Journal

10.5336/urology.2024-105937