Adolescent de novo hydroceles – should they be dealt with by inguinal or scrotal approach?
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Read the article on jpedsurg.org ↗Article · Sep 2018 · 1 min read
In brief
In brief
Retrospective study comparing inguinal versus trans-scrotal approaches for adolescent hydrocele repair found no difference in complication rates between techniques. Patent processus vaginalis was identified in 61% of inguinal cases, with younger age (<12 years) associated with higher PPV presence.
Written by the GCMD Library team from the article.
Aim
The objective of this study was to investigate the optimal approach for the treatment of hydroceles in adolescents.
Materials and methods
A retrospective chart review of all adolescents (10–16 years old) diagnosed with a de-novo hydrocele in 2 tertiary care institutions over a 10 year period (2007–2016) was performed comparing the inguinal and trans-scrotal (Jaboulay) approaches.
Results
Fifty-three boys with a mean age of 13.4 years (range 10–16 years) were diagnosed with hydrocele. The inguinal approach was used in 31 (59%) patients for treatment of their hydrocele. In 19 (61%) of these cases a patent processus vaginalis (PPV) ligation was performed. In the other 12 (39%) patients the PPV was closed or not found and a further repair of the hydrocele through the same inguinal incision was performed. A transcrotal Jaboulay procedure was performed in 22 (41%) of the patients. There was no difference in the complications rate between inguinal and trans-scrotal approaches (p = 0.71). Age of presentation less than 12 years was associated with the presence of a PPV (p