Imaging Scrotal Lumps in Adults-2: Cysts and Fluid Collections

Valentino, Massimo; Barozzi, Libero; Pavlica, Pietro; Rossi, Cristina

doi:10.1007/174_2011_184

Cited by 2 publications

(1 citation statement)

References 33 publications

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“…Although hydroceles are considered to be bilateral in 7-10% of patients, this figure has been known to vary markedly in different studies. 2 This apart, 20 cases of epididymal cyst and 4 case of secondary hydrocele were found to be bilateral.…”

Section: Discussionmentioning

confidence: 93%

Comparative Study of Cystic Swellings of Scrotum in Adult Patients

Karuppasamy¹,

Kunche²,

Shanmugapathy³

2019

jemds

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BACKGROUND Cystic swellings of the scrotum are common clinical entities that surgeons encounter in daily practice. Males of all ages are affected. Today, considerable heterogeneity exists in their treatment. This study sought to identify the prevalence and patterns of presentation of these swellings in adults and evaluate the different modalities of surgical management. MATERIALS AND METHODS A cross-sectional study was undertaken from January 2016 to December 2018. A total of 372 patients fulfilling the inclusion criteria were included. Data was collected using a proforma. All patients were surgically managed. RESULTS Majority of cases (28%) were observed between 41-50 years (mean age 43.9 years). In 71%, mode of presentation was a painless, gradually progressive swelling. Mean duration of symptoms was 17.3 months. Primary vaginal hydrocele was the commonest swelling encountered (in 73.1%). Jaboulay's procedure was undertaken in 75.2% of patients. Lord's plication was associated with a comparatively shorter operative time, lesser postoperative scrotal oedema and a shorter hospital stay. Epididymal cysts accounted for 19.4% and were managed by excision. The most common complication observed irrespective of surgery performed was scrotal oedema (in 36%). Haematoma and infection were less frequently observed. Patients were followed-up for a mean period of 1.8 months. No recurrences were detected during this period. CONCLUSION Cystic swellings of the scrotum are conditions predominantly affecting middle-aged males. Among these, primary hydrocele is the commonest. Although Lord's plication is simpler and gives good results with fewer complications, Jaboulay's procedure remains the gold standard for surgical management of hydrocele.

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Section: Discussionmentioning

confidence: 93%

Comparative Study of Cystic Swellings of Scrotum in Adult Patients

Karuppasamy¹,

Kunche²,

Shanmugapathy³

2019

jemds

View full text Add to dashboard Cite

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Scrotal Masses

Chiriacò

Bertolotto

Iannelli

et al. 2017

Atlas of Ultrasonography in Urology, Andrology, and Nephrology

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Imaging Scrotal Lumps in Adults-2: Cysts and Fluid Collections

Cited by 2 publications

References 33 publications

Comparative Study of Cystic Swellings of Scrotum in Adult Patients

Comparative Study of Cystic Swellings of Scrotum in Adult Patients

Scrotal Masses

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