Epidemiological, Clinical and Therapeutic Aspects of Hydrocele at the Fana Reference Health Center

Abstract

Described since the 15th century by Ambroise Paré, adult hydrocele is an abnormal collection of serous fluid in the space between the parietal and visceral layers of the tunica vaginalis It is generally a lesion acquired by attack of the integrity of the vagina, unlike the hydrocele of the child due to the persistence of the peritoneal-vaginal canal. Purpose: To study the epidemiological, clinical and therapeutic aspects of hydrocele in the reference health center of Fana. Methodology: A descriptive prospective study, conducted from January 1, 2020 to December 31, 2020 of the CSRéf of Fana. Results: We collected 66 cases of hydroceles be 16.8% of surgical activities. The average age of disease was 49.27 ± 4 years. The age of 60 to 74 was the most represented with a frequency of 39.4%; Harming during physical activities has been the most common reason for consultation and accounted for 51%. The hydrocele was idiopathic in the majority of our patients in our study, or 65%. The nature of the vaginal fluid was yellow citrin in the majority of patients or 90.9%. Hernie was the most frequently associated pathology with the hydrocele (11 out of 26) or 42%. The Bergman technique was used in 77% of patients and closing the peritoneo-vaginal canal in 23%. Morbidity was 4.5% (3 cases) with hematoma type and 1.5% (1 case) with type of infection. The mortality rate has been zero. Conclusion: Vaginal hydrocele is a pathology that remains frequent in tropical regions. Surgical treatment by total vaginal resection with hemostatic overlock gives good results. Its morbidity is low, dominated by intrascrotal hematoma and infection of the surgical site which are generally well controlled by rigorous care.