Minimally access versus conventional hydrocelectomy: a randomized trial

Saber, Aly

doi:10.1590/s1677-5538.ibju.2014.0248

Cited by 13 publications

(19 citation statements)

References 16 publications

(59 reference statements)

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“…Recurrence rates were identical between techniques (1.6%). 21,24 However, the extremely low recurrence rate is very atypical (much lower than other reported series with Jaboulay or other techniques). Also, as hydrocelectomy is most commonly performed in the outpatient-setting, a 6-hour difference in hospitalization duration is of questionable clinical significance.…”

Section: Discussionmentioning

confidence: 69%

“…We identified favorable early outcomes in men undergoing our MIMFeT for treatment of symptomatic hydroceles. 6,12,[19][20][21] This procedure can be performed safely and effectively in the office under local anesthesia. In the current era of ever-increasing medical costs, the ability to perform this and other urologic procedures under local anesthesia has important and meaningful implications for our patients and the healthcare system as a whole.…”

Section: Discussionmentioning

confidence: 99%

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Office-based, Minimal-Incision Modified Fenestration Technique for Symptomatic Hydroceles Under Local Anesthesia

Ziegelmann

Dodge

Alom

et al. 2020

Urology

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Office-based, Minimal-Incision Modified Fenestration Technique for Symptomatic Hydroceles Under Local Anesthesia

Ziegelmann

Dodge

Alom

et al. 2020

Urology

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“…In terms of safety, edema and hematoma of scrotum, incision infection, injury of spermatic cord, torsion of testis, chronic scrotal pain and orchiatrophy were common complications after scrotoscope exploration 13,14 . But, none of these complications was observed in all the 6 patients of our study during a median follow-up of 21 months.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Management of Scrotal Wall Mass with the Aid of Scrotoscope: Case Series Report

Zhang

Gao

et al. 2020

Preprint

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Background Scrotal wall mass is relatively rare in clinical practice, and very difficult to be differentiated from scrotal content lesions by physical or ultrasound examination. Herein, we would like to share the experiences of scrotoscope in diagnosis and treatment of Scrotal wall masses. Methods Retrospectively reviewed all the clinical data of scrotal wall mass patients treated by our medical team between June 2015 and July 2019. The diagnostic value was evaluated by comparing with Doppler ultrasound examination and the therapeutic value was evaluated by comparing with traditional surgery. Suspected scrotal tuberculosis or malignant scrotal tumor patients were excluded. Results Totally, 6 patients with scrotal wall masses were diagnosed and treated with scrotoscope. Preoperative ultrasound examination leaded to ambiguous or incorrect diagnosis of the origination of scrotal wall masses in all the 6 cases. The location of all the masses was clearly confirmed by scrotoscope exploration. Three patients were diagnosed as scrotal wall cysts, and 1 of them was successfully resected during the procedure, the other 2 were resected through small incision. In the other 3 patients, a total of 4 scrotal wall solid masses were resected through small incision after diagnosis by scrotoscope. There was no wound infection, scrotal edema, hematoma, chronic scrotal pain or injury of testicular or epididymis. Conclusions Scrotal wall masses are relatively rare, and it is very difficult for preoperative ultrasound examination to make a firm diagnosis of its origination. Scrotoscope can confirm the localization of the tumor, and provides us important information for minimally invasive resection. And even in some cases, endoscopic resection of the masses can be performed under scrotoscope.

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“…Testicular hydrocele is a common benign disease in men[1,2]. Hydrocelectomy is recognized as the gold standard for the treatment of hydrocele[3-5], but it often causes complications after surgery, including hematoma, infection, persistent swelling, hydrocele recurrence, and chronic pain[2,5]. In recent years, several methods for minimally invasive treatment of hydrocele have appeared, such as hydrocelectomy with a small (3 cm) incision[6] and a 1.5-cm incision pull-out technique for hydrocele[5].…”

Section: Introductionmentioning

confidence: 99%

“…In recent years, several methods for minimally invasive treatment of hydrocele have appeared, such as hydrocelectomy with a small (3 cm) incision[6] and a 1.5-cm incision pull-out technique for hydrocele[5]. Saber reported a 2-cm incision procedure and excised only a small portion of the disk of the parietal tunica vaginalis, which otherwise would require to double the size of the incision[3,4]. Herein, we introduce a new method for individualized minimally invasive treatment of hydrocele.…”

Section: Introductionmentioning

confidence: 99%

Individualized minimally invasive treatment for adult testicular hydrocele: A pilot study

Lin¹,

Hong²,

Gao³

et al. 2019

WJCC

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BACKGROUND Hydrocelectomy is the gold standard for the treatment of hydrocele, but it often causes complications after surgery, including hematoma, infection, persistent swelling, hydrocele recurrence, and chronic pain. In recent years, several methods for minimally invasive treatment of hydrocele have been introduced, but they all have limitations. Herein, we introduce a new method of individualized minimally invasive treatment for hydrocele. AIM To present a new method for the treatment of adult testicular hydrocele. METHODS Fifty-two adult patients with idiopathic testicular hydrocele were included. The key point of this procedure was that the scope of the resection of the sheath of the tunica vaginalis was determined according to the maximum diameter (d) of the effusion measured by ultrasound and the maximum diameter of the portion of the sheath pulled out of the scrotum was approximately πd/2. The surgical procedure consisted of a 2-cm incision in the anterior wall of the scrotum, drainage of the effusion, and dissection of part of the sheath of the tunica vaginalis. After the sheath was peeled away to the predetermined target extent, the pulled-out sheath was removed. The intraoperative findings and postoperative complications were analyzed. RESULTS All patients were successfully treated with a median operation time of 18 min. The median maximum diameter of the effusion on ultrasound was 3.5 cm, and the median maximum diameter of the resected sheath was 5.5 cm. Complications occurred in four (7.7%) patients: two (3.8%) cases of mild scrotal edema, one (1.9%) case of scrotal hematoma, and one (1.9%) case of wound infection. All of the complications were grade I-II. Recurrent hydrocele, chronic scrotal pain, and testicular atrophy were not observed during a median follow-up of 12 mo. CONCLUSION We report a new technique for individualized treatment of testicular hydrocele, which is quantitative and minimally invasive and yields good outcomes. Further study is warranted to verify its potential value in clinical practice.

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Minimally access versus conventional hydrocelectomy: a randomized trial

Cited by 13 publications

References 16 publications

Office-based, Minimal-Incision Modified Fenestration Technique for Symptomatic Hydroceles Under Local Anesthesia

Office-based, Minimal-Incision Modified Fenestration Technique for Symptomatic Hydroceles Under Local Anesthesia

Diagnosis and Management of Scrotal Wall Mass with the Aid of Scrotoscope: Case Series Report

Individualized minimally invasive treatment for adult testicular hydrocele: A pilot study

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