MINI HYDROCELECTOMY – A BETTER ALTERNATIVE IN THE MANAGEMENT OF MODERATE TO SEVERELY ENLARGED IDIOPATHIC HYDROCELE

Abstract

Background:

Hydrocele is the most common benign scrotal swelling. Although different treatment options are tried two surgical techniques got popularity, Lords Plication and Jabuleys repair. To establish the role of Mini Hydrocelectomy in the management of moderate to severely enlarge idiopathic hydrocele.

Material and Methods:

This study was conducted at Social Security Teaching Hospital, Lahore. All patients suffering from moderate to severe hydrocele, who needs surgical exploration were included in the study. These patients were followed for six months postoperatively. Five different variables, pain, haematoma, infection, the persistence of swelling and reoccurrence were measured in these patients postoperatively and in the follow-up period.

Results:

A total of 132 male patients who were suffering from moderate to severe hydrocele were included in this study. Among these 47 patients had left-sided, 67 had right-sided while 18 patients had a bilateral hydrocele, 82 had moderately enlarged hydrocele and 50 had severely enlarged. Regarding pain 20 patients (15.27%) developed mild pain,107 (81.68%) moderate pain and 5 (3.82%) patients developed severe pain. Haematoma was developed in 5 (3.82%) patients. Only 3 patients (2.29%) suffered from wound infection. There was persistent scrotal swelling in 6 patients (4.58%). No patient was reported with reoccurrence.

Conclusion:

In this study we tried to conclude that due to minimal manipulation and local trauma to the tissue, the overall complication rate is much less with more patient satisfaction