Clinical Study and Management of Scrotal Swellings in Adults

Bhovi, Sabayya; Tondare, Sangamesh B.; Chimkode, Ravi; C.R., Shiva Kumar; Jagadish, B; Pratiksha, .

doi:10.21088/nijs.0976.4747.8217.5

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“…Testicular torsions when diagnosed early within six hours can be managed by exploration and orchidopexy. [10][11][12] In our study, maximum number of cases were observed in the age group 18-28 years were 32 (35.56%), followed by 28-38 were 29 (32.22%) and were 38-48 years 13 were (14.44%), followed up by 48-58 years were 6 (6.67%), 58-68 years were 7 (7.78%) and 68-78 years were 3 (3.33%) (Table 2). In the study conducted by Chauhan et al maximum incidence of patients was in the age group of 21-30 years (41%) followed by 31-40 (18%) and 41-50 years (13%).…”

Section: Discussionmentioning

confidence: 99%

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Clinical study of the management of scrotal swelling in adult patients at a rural medical college and research hospital

2022

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Background: Scrotal swellings are commonest clinical entities in surgical practice. Hydrocele is abnormal collection of serous fluid in the tunica vaginalis or any part of the processus vaginalis, which needs to be differentiated from other conditions and surgically managed. Methods: This prospective, observational study was carried out on 90 adult male patients between January 2021 to August 2021 diagnosed with scrotal swelling, admitted, treated at MVJMC and RH. Inclusion criteria were male patients of age >18 years. Exclusion criteria were patients with paediatric scrotal swellings. Routine blood investigations, COVID test and ultrasound of the scrotum was done. The patients underwent one of the standard surgical procedures and were observed for post-operative complications during their stay at the hospital and were followed up for 3 months. The collected data was analyzed using SPSS-21 software.Results: Collected data was analysed using SPSS-21. In our study hydrocele was seen in 48 (53.33%), epididymo-orchitis 5 (5.56%). 3 (3.33%) cases of varicocele, 2 (2.22%) cases of epididymal cyst and 1 (1.11%) each of sebaceous cyst, spermatocele, hematocele, sebaceous cyst, Fournier’s gangrene, infected encysted hydrocele, pyocele, scrotal abscess and filarial hydrocele. 2 (2.22%) testicular tumour and 21 (23.86%) testicular torsion. Of 90 patients 81 (90%) underwent surgery, while 9 (10%) patients were managed conservatively.Conclusions: Primary vaginal hydrocele was the commonest scrotal swelling. Ultrasound of the scrotum is diagnostic tool in differentiating from other swellings in the scrotum especially in testicular torsion when the testis can be saved. Jaboulay’s procedure was the commonest surgery performed with least complications.

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Section: Discussionmentioning

confidence: 99%

“…Testicular torsions when diagnosed early within six hours can be managed by exploration and orchidopexy. [10][11][12]…”

Section: Introductionmentioning

confidence: 99%