Comparative Study Of Sclerotherapy With Phenol and Surgical Treatment for Hydrocele

Abstract

Sclerotherapy for hydrocele with phenol is as efficacious as hydrocelectomy, while causing less morbidity and similar effects on spermatogenesis.

Sclerotherapy for hydrocele revisited: a prospective randomised study

“…In the present study the mean hydrocele volume (212.9 ml) is comparable to the mean volume reported in other [3,[5][6][7]. The volume of phenol instilled by us is in accordance with the studies of Shan et al in which volume of phenol instilled was proportional to the volume of the hydrocele [3].…”

“…This was followed by injection of 5-10 ml of 5% aqueous phenol or 2-4 ml of 1% polidocanol. The respective volumes were selected on the basis of the studies of Shan et al and Sigurdsson et al for phenol and polidocanol, respectively [3,4]. In none of the cases a second injection of the sclerosant was given.…”

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

“…In our earlier research, in a study which compared hydrocelectomy with sclerotherapy we found a slight reduction in the concentration of sperm per milliliter at 6th and 12th months, with no statistical significance. The reduction occurred on both groups that underwent sclerotherapy or hydrocelectomy (11). In this present study we found a reduction in the parameters up to 6t months, with no statistical significance, but at the 12th month these abormalities returned to baseline parameters.…”

Endoscopic versus open hydrocelectomy for the treatment of adult hydroceles: a randomized controlled clinical trial

“…Reported complications in the hydrocelectomy group were edema, hematoma, wound infection, cellulites in 2, 5, 2 and 1 cases of 24 patients, respectively. Although sclerotherapy allows patients to return to normal activity on the same day, requirement for multiple injections is the limitation of the procedure [7]. Endoscopic hydrocelectomy, another minimally invasive technique in the treatment of hydroceles, was first described by Ho GT in a single case, in 1992 [1].…”