Minimal Hydrocelectomy with the aid of scrotoscope: a ten-year experience

Abstract

ARTICLE INFO ______________________________________________________________ ______________________Background: Since hydrocelectomy remains the choice of surgical treatment of hydrocele and standard surgical procedures may cause postoperative discomfort and complications, a new minimal surgery procedure is needed. The scrotoscope was used for the diagnosis and treatment of intrascrotal lesions. The aim of the study is to illustrate a new minimal hydrocelectomy with the aid of scrotoscope, in an effort to decrease complications. Materials and Methods:Between 2002 and 2012, 65 patients underwent hydrocelectomy with the aid of a scrotoscope. Before carrying out hydrocelectomy, the scrotoscopy was first used to examine the intrascrotal contents to exclude any pathological lesions. After determining the condition of testis, epididymis and spermatic cord and excluding any other secondary causes of hydrocele, a 2.0cm scrotal incision was performed. The parietal tunica vaginalis was then grasped out of scrotum, and the mobilized tunica was excised. The scrotoscopy was then performed again to inspect the intrascrotal contents.Results: Mean operative time was 35.4 minutes. No major complications occurred during the post-operative follow-up period. Of these 65 patients, 61 underwent scrotoscopy and minimal hydrocelectomy, two patients underwent open hydrocelectomy because thickening of hydrocele wall was identified; two patients with acute inflammation only underwent scrotoscopy. Pathological changes were observed among eight patients. All patients were satisfied with the outcomes. Conclusions: Minimal hydrocelectomy shows commendable results and fewer complications. The combination of minimal hydrocelectomy and scrotoscopy seems to be an encouraging technique. This novel surgical procedure proves to be a viable option for the diagnosis and treatment of hydrocele.

Comparison between Open Epididymal Cystectomy and Minimal Resection of Epididymal Cysts Using a Scrotoscope: A Clinical Trial for the Evaluation of a New Surgical Technique

“…16,17 In our previous study, we performed minimal hydrocelectomies with the aid of scrotoscope, and it was proven to be an encouraging technique. 18 Herein, we report our findings on performing EC decortication with the aid of scrotoscope in comparison with the open excision of cysts.…”

“…[17][18][19] After general or lumbosacral anesthesia, patients were placed in the lithotomy position and sterilized. A 1-cm minimal incision was made in the anterior inferior part of the lesion side of scrotum.…”

“…In our previous study, we had applied this technique to minimal hydrocelectomy and it was proven to be an encouraging method. 18 In this study, its application of EC decortication was reported comparing a total of 23 patients treated with OEC and 25 patients treated with MECS. No significant difference was found in demographic characteristics of both groups, including the mean age, duration of symptoms, maximum diameter of the cyst, location of the cyst, and follow-up times (all P >.05).…”

Office-based, Minimal-Incision Modified Fenestration Technique for Symptomatic Hydroceles Under Local Anesthesia

“…We identified favorable early outcomes in men undergoing our MIMFeT for treatment of symptomatic hydroceles. 6,12,[19][20][21] This procedure can be performed safely and effectively in the office under local anesthesia. In the current era of ever-increasing medical costs, the ability to perform this and other urologic procedures under local anesthesia has important and meaningful implications for our patients and the healthcare system as a whole.…”

RE: Minimal Hydrocelectomy with the aid of scrotoscope: a ten-year experience

“…Dear editor, we would like to discuss on the article on “Minimal hydrocelectomy with the aid of scrotoscope ( 1 )”. Bin et al concluded that “the combination of minimal hydrocelectomy and scrotoscopy seems to be an encouraging technique ( 1 )”.…”