Ethanolamine Oleate Sclerotherapy for Hydroceles and Spermatoceles: A Survey of 158 Patients with Ultrasound Followup

Tammela, Teuvo L.J.; Hellström, Pekka; Mattila, Sampo; Ottelin, P. Juhani; Malinen, Lauri J.; Mäkäräinen, H

doi:10.1016/s0022-5347(17)37623-1

Cited by 35 publications

(21 citation statements)

References 18 publications

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“…before and after sclerotherapy showed no changes in testicular structure and size [5]. While there is some Discussion indication that sclerotherapy might decrease fertility, it seems reasonable to exclude younger men from this These results show that both polidocanol and tetracycline are useful agents for the sclerotherapy of hydrocele treatment until more data are available.…”

Section: Introductionmentioning

confidence: 80%

“…Some patients underwent scrotal ultradescribed in a series of phase II studies; eÂective treatment has been described using phenol [4], ethanolamine sonography pre-operatively. All patients were treated on an out-patient basis oleate [5], sodium tetradecyl sulphate [6], polidocanol [7] and tetracycline [8,9]. The side-eÂects are generally according to a common protocol in three separate Departments between December 1991 and February reported to be low, except for tetracycline, where the results are conflicting.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of polidocanol and tetracycline in the sclerotherapy of testicular hydrocele and epididymal cyst

Daehlin¹,

Tønder

Kapstad

1997

British Journal of Urology

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Objective To compare the eÂects and side-eÂects of politreatment while polidocanol therapy was almost painfree. Re-instillation should be considered for recurdocanol and tetracycline when used as sclerosants for testicular hydrocele and epididymal cyst.rences. At the follow-up after 35 months, 16 of 18 men treated with polidocanol and 20 of 22 men Patients and methods Forty-five men (median age 67 years, range 42-81) with 46 hydroceles or epididymal treated with tetracycline were satisfied with the outcome. cysts were assessed. After puncture and aspiration, the empty sac was instilled with either polidocanol or Conclusion Both polidocanol and tetracycline are useful sclerosants for treating testicular hydrocele and epiditetracycline, assigned randomly. Patients recorded any treatment-associated pain on a visual analogue scale.dymal cyst. We prefer polidocanol as a first choice in older patients because there were few short-term Results At 9 months of follow-up, nine of 17 men were cured after sclerotherapy with polidocanol compared side-eÂects.

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Section: Introductionmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Comparison of polidocanol and tetracycline in the sclerotherapy of testicular hydrocele and epididymal cyst

Daehlin¹,

Tønder

Kapstad

1997

British Journal of Urology

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“…This side effect depends on the type of sclerosing agent used, and occurs also with the use of Etanolamine in 15% of patients (19), with sodium Tetradecyl Sulfate in up to 9% (20) and with Tetracycline in up to 7.5% (21).…”

Section: Sclerotherapy Of Hydroceles and Spermatocelesmentioning

confidence: 99%

Sclerotherapy of hydroceles and spermatoceles with alcohol: results and effects on the semen analysis

et al. 2011

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Purpose:To evaluate the success rates of sclerotherapy of the tunica vaginalis with alcohol for the treatment of hydroceles and/or spermatoceles, as well as, evaluation of pain, formation of hematomas, infection and its effects in spermatogenesis . Materials and Methods: A total of 69 patients, with offsprings and diagnosis of hydrocele and/or spermatocele, were treated during the period from April 2003 to June 2007. Semen analysis was obtained from patients who were able to provide us with samples. The sclerotherapy with alcohol at 99.5% was undertaken as outpatient procedure. Results: The average volume drained pre-sclerotherapy was 279.82 mL (27 to 1145). The median follow-up was 43 months (9 to 80). A total of 114 procedures were performed on 84 units, with an average of 1.35 procedures / unit and an overall success rate of 97.62%. Of the 69 patients, 7 (10.14%) reported minor pain immediately after the procedure, 3 (4.35%) moderate pain and 2 (2.89%) intense pain. Post-Sclerotherapy spermograms revealed reduction of the parameters regarding: concentration, motility and morphology up to 6 months post procedure , with return to normal parameters 12th months after procedure. Conclusions: Sclerotherapy of hydroceles and spermatoceles with 99.5% alcohol is an efficient procedure that can be perormed without difficulties, cost-effectiveness, with few side effects and which may be performed in patients who wish fertility.

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“…Sclerotherapy has grown in popularity as it is a safe, effective, and painless outdoor procedure and also economically beneficial for the patient. The effectiveness of various sclerosants reported in the literature is between 53 and 98 % [7,8]. The present study was carried out with an aim to perform a prospective study to establish the role of sodium tetradecyl sulfate (3 %) (STDS) as a safe and effective sclerosant in the management of primary hydrocele.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Role of Sodium Tetradecyl Sulfate as a Sclerosant in the Treatment of Primary Hydrocele

et al. 2013

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The present study was carried out with an aim to perform a prospective study to establish the role of sodium tetradecyl sulfate (3 %) (STDS) as a safe and effective sclerosant in the management of primary hydrocele. Sclerotherapy was performed with 3 % STDS on an outdoor basis. The amount of sclerosant injected depended on the amount of fluid drained. All patients were given prophylactic antibiotics. Patients were clinically reassessed at 1 week, 1 month, 3 months, and 6 months and earlier if complications occur. The data were analyzed using Statistical Package for Social Sciences Version 15.0. The data have been represented as frequencies and percentages. Chi-square test was used to compare the data. A total of 57 patients with primary vaginal hydrocele gave consent for being enrolled in the study. The age of patients ranged from 18 to 65 years with a mean age of 35.72±13.18 years. The success rate at the end of the study was observed to be 84.2 %. As regards patient satisfaction, in present study, in a limited time period of follow up, all the patients who had a successful procedure were satisfied. Overall, sclerotherapy was observed to be a relatively cost-effective (including both direct and indirect costs) procedure with low complications, high satisfaction, and a high success rate within the limited period of follow-up.

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Ethanolamine Oleate Sclerotherapy for Hydroceles and Spermatoceles: A Survey of 158 Patients with Ultrasound Followup

Cited by 35 publications

References 18 publications

Comparison of polidocanol and tetracycline in the sclerotherapy of testicular hydrocele and epididymal cyst

Comparison of polidocanol and tetracycline in the sclerotherapy of testicular hydrocele and epididymal cyst

Sclerotherapy of hydroceles and spermatoceles with alcohol: results and effects on the semen analysis

Evaluation of the Role of Sodium Tetradecyl Sulfate as a Sclerosant in the Treatment of Primary Hydrocele

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