Objective: To evaluate the treatment of hydrocele and compare the post-operative course and outcome of sodium tetradecyl sulfate (3 %) (STDS) as a harmless and active sclerosant followed by aspiration with conventional hydrocelectomy for the management of adult hydrocele. Study Design: Cross Sectional, Randomized study. Setting: Liaquat University of Medical and Health Sciences, Jamshoro. Period: 1st May 2019 to 31st October 2019. Material & Methods: Fifty patients with unilateral or bilateral primary vaginal hydrocele were included in this study. Subjects with secondary vaginal hydrocele (secondary to trauma, malignancy, or epididymo-orchitis), communicating hydrocele, infected hydrocele, having a positive history of previous intervention (sclerotherapy or operation) and/or uncontrolled diabetes mellitus were excluded. Data were analyzed in SPSS version 22.0. Results: All patients were equally divided into two groups A and B. Group A (n = 25) patients were submitted to Sclerotherapy and Group B (n = 25) patients were submitted to the Conventional Surgical Hydrocelectomy. Most of the patients 24(96.0%) who underwent in Group A (Sclerotherapy, n = 25), were discharged within 1-6 days i.e. less postoperative stay whereas the majority of the patients 14(56.0%) who underwent in Hydrocelectomy group were discharged between 1 to 6 days. Patients who underwent Hydrocelectomy had more postoperative stay and in 3 cases up to 18 days. Conclusion: Sclerotherapy is the treatment of choice for primary hydrocele. Complications like pain, hematoma, and infection are less than surgical procedures. Hospital stay is minimal and does not affect the day-to-day work of the patient having sclerotherapy.
Background: European association of urology (EAU) recommended α- blockers for managing distal ureteric stones in the paediatric population. This paper will help to understand the efficacy of Silodosin as a medical expulsive agent for distal ureteric stones in children, along with the required time duration of stone expulsion. Methods: Forty participants were enrolled and evaluated for complaints, pain severity, associated symptoms, and ultrasound was done to confirm the position and size of the distal stone. Follow-ups were scheduled after every 7 days (1 week) for redo ultrasound and assessment of the stone position. Data was entered and analyzed in the SPSS version 23. To evaluate the significance of data chi-square test was performed, p-value <0.005 was considered significant. Results: The minimum and maximum age limits recorded are 3 years and 18 years respectively with a mean age of 9.5±4.5 years and mean stone size was measured as 0.6±0.1 cm. Distribution of stone size indicated the minimum size of 0.4 cm and maximum of 1.0 cm stone in study subjects. Maximum stone expulsion was reported within 14 days or an initial 2 follow-up scans. Conclusion: The efficacy of Silodosin and medical expulsive therapy evaluated the effect on pain management as pain episodes declined with Silodosin treatment and spontaneous passage of stones were increased within the first 14 days of treatment. This study will be a beneficial contribution in literature especially in a developing country population where paediatric urolithiasis is on expansion and ongoing
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