A challenging abdomino-scrotal hydrocele—successful resolution with the help of interventional radiology guided sclerosis

Rassam, Joseph; Healey, Andrew; Wood, Sarah; Corbett, Harriet J.

doi:10.1093/jscr/rjy232

Cited by 7 publications

(8 citation statements)

References 10 publications

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“…There was not a single instance of a recurrence of hydrocele in either of the two collections of patients. 11 discuss a case of a 4-year-old child who had a congenital hydrocele that did not go away even after the ligation of a patent processus vaginalis and a Jaboulay surgery, which were expected to resolve the condition. A later MRI scan revealed a sizable intra-abdominal component that was connected to the scrotum.…”

Section: Resultsmentioning

confidence: 99%

Abdominoscrotal Hydrocele: A Systematic Review

Utama Putri

2023

JARMHS

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Introduction: In children, ASH was first described in the year 1861; however, the origin of this condition is still a topic of discussion. In most cases, juvenile children are the ones that experience the symptoms of acute ASH, which is a clinical syndrome that occurs only quite frequently. The aim: This study review about abdominoscrotal hydrocele. Methods: For this systematic review, publications that were published from 2012 to 2023 were taken into account during the search process. This was achieved through the utilization of numerous online reference sources, such as Pubmed and SagePub. The decision was made to exclude review articles, previously published works, and incomplete works. Result: We found nine studies showed the diagnosis and management patient’s with abdominoscrotal hydrocele. The dominant of the studies are case report and origin from United State. Conclusion: This condition is commonly found due to failure in embryology. An ultrasound examination can quickly show the presence of ASH, while an MRI will show which location is affected. The initial action can be monitoring, then surgery is carried out.

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Section: Resultsmentioning

confidence: 99%

Abdominoscrotal Hydrocele: A Systematic Review

Utama Putri

2023

JARMHS

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“…However, it is hard to associate many studies due to difference of relapse, overall success after the first treatment has been reported with phenol (48%), polidocanol (59%), doxycycline (84-86%). 27,29…”

Section: Figure-2mentioning

confidence: 99%

Comparison of sodium tetradecyl sulphate versus conventional hydrocelectomy for adult hydrocele aspiration.

Laghari¹,

Akram²,

Ali³

et al. 2022

TPMJ

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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.

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“…According to studies approximately in 80 to 94% of newborns, the processus vaginalis may persist 1,2 . This proportion gradually decreases until it reaches around 25-40% at two years of age 3 .…”

Section: Introductionmentioning

confidence: 99%

“…The hydrocele in the majority of infants resolves spontaneously during the first two years of life 6 . If the problem persists, surgical treatment is usually the best option 1 . However, it is estimated that the rate of complications after surgery and anesthesia is as high as 80% 7 .…”

Section: Introductionmentioning

confidence: 99%

“…However, it is estimated that the rate of complications after surgery and anesthesia is as high as 80% 7 . As a result, several studies now point to non-operative, minimally invasive, and pain-free treatment options 1 . Sclerotherapy is gaining popularity as a treatment for hydrocele because it has lower morbidity, is less invasive, and has a quicker recovery time than surgery 8 .…”

Section: Introductionmentioning

confidence: 99%

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Injection Sclerotherapy in Encysted Hydrocele in Paediatric Population

Khan¹,

Mumtaz²,

Chaudhary³

et al. 2022

PJMHS

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Objective: To determine the role of Sclerotherapy for treating encysted hydrocele in the paediatric population. Study Design: Prospective Study Place and Duration of Study: Department of Paediatric Surgery, Children Hospital Pakistan Institute of Medical Sciences, Islamabad for six months (1st November,2021 to 30th April,2022) Patients and Methods: This study on the captioned topic involved 39 patients aging 2 to 12 years who attended the outpatient department with the complaints of scrotal swelling. In order to rule out non-communicationg hydroceles, these patients were examined clinically and scrotal ultrasound was advised to all the patients which was carried out by them accordingly. In this study, the single team performed the above said procedure on Operation theatre days regularly. The incidence of complications was also monitored with each follow up visits on 1st, 3rd and 6th weeks after the procedure. Results: Study was conducted on 39 children having mean age 4.77 ± 2.860. Pre and post volumes of hydrocele fluid were satistically significant (p≤0.05) with average of 9.00 and 3.269 respectively. Complication rates were decreasing at every follow-up and these were not statisticaly significant (p≥0.05), recurrence complication was significant (p≤0.05). Conclusion: Sclerotherapy has been found to be a positive alternate approach, which is simpler to perform, less time consuming and involving lower complication rate. Keywords: Encysted Hydrocele, Paediatric Population, Sclerotherapy

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A challenging abdomino-scrotal hydrocele—successful resolution with the help of interventional radiology guided sclerosis

Cited by 7 publications

References 10 publications

Abdominoscrotal Hydrocele: A Systematic Review

Abdominoscrotal Hydrocele: A Systematic Review

Comparison of sodium tetradecyl sulphate versus conventional hydrocelectomy for adult hydrocele aspiration.

Injection Sclerotherapy in Encysted Hydrocele in Paediatric Population

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