Comparison of results of treatment of hydrocele and epididymal cysts by surgery and injection.

Abstract

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.

Ultrasound Follow-Up of Ethanolamine Oleate Sclerotherapy for Spermatoceles

“…The scrotal wall is no longer thickened, 4 mm. were totally cured and 50% partly so [7], The reason for the poor results was clearly multilocularity, in agreement with Moloney [3], who1 stated that multilocular celes may be treated by injection provided that there are only 2 or 3 loculi. For that reason only patients who had no more than 3 loculi were treated by sclerotherapy in the present instance.…”

“…Although sclerotherapy as a treatment for extratesticular cystic lesions in the scrotum has been known for centu ries [1], it was still an unproven form of treatment as recently as 1973 [2], Since Moloney [3] in 1975 reported good results after sclerotherapy for hydroceles and epidid ymal cysts with minimal complications as compared with surgery, this treatment modality has gained in popularity [4][5][6][7][8][9][10][11], although there is no consensus on whether scierò-Patients and Methods treated cele in 3. The scrotal wall was thickened in 34 out of the 39 cases.…”

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“…No intratesticular or other extratesticular lesions were found. The volumes of the testes were 10.0 to 34.0 cm 3 (mean, 20.0 cm 3 ) and those of the hydroceles to to 800 cm 3 (mean, 179 cm 3 ). The scrotal wall was normal in every case, not exceeding 4 mm.…”

Treatment of Hydrocele Testis with Aspiration and Sclerotherapy

“…Hydrocele aspiration and sclerotherapy was first reported in 1975 as a nonsurgical outpatients treatment for hydroceles [4]. Sclerotherapy for asymptomatic hydrocele testis has been increasingly used and advocated as a minimally invasive procedures, and a variety of sclerosing agent have produced different outcomes [4].…”

“…Sclerotherapy for asymptomatic hydrocele testis has been increasingly used and advocated as a minimally invasive procedures, and a variety of sclerosing agent have produced different outcomes [4].…”