SummaryA comparison has been made between a series of hydroceles and cysts of epididymis treated by surgery with a complication rate of at least 17% haematoma and 10% sepsis, an average hospital stay of five days, and a much longer time off work, and a series treated by tapping and injection (described in detail) requiring one to three visits to outpatients, an almost negligible complication rate, and no failures in those completing treatment.
IntroductionHydrocele and cyst of the epididymis may be treated by operation or by tapping and injection. An assessment of the results of both methods with their complications is presented here. Patients with both conditions who had been treated by operation by junior or senior staff members of the Radcliffe Infirmary were reviewed from the records retrospectively from the end of 1973 until 100 had been found who had had no other simultaneous operation on the groin or scrotum (mainly for hernia).The operations were of all types including excision of the sac, unfolding of the sac, and plication of the sac through a small incision, depending on the size of the swelling and the operator's inclination.
SUMMARY
The case history is detailed of a patient with a malignant pheeochromocytoma of the bladder, probably the third recorded, and the only one going on to exhibit widespread metastases over a period of three and a half years. Problems of management and treatment, and pathological, radiological and biochemical data are noted and discussed.
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