Testicular Size and Vascular Resistance Before and After Hydrocelectomy

Mihmanlı, İsmail; Kantarcı, Fatih; Kulaksızoğlu, Haluk; Gürses, Bengı; Öĝüt, Gündüz; Ünlüer, Erdinç; Uysal, Ömer; Altuğ, Ayça

doi:10.2214/ajr.183.5.1831379

Cited by 53 publications

(37 citation statements)

References 12 publications

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“…Until recently, the effect of idiopathic hydrocele on the testis was poorly understood as it was thought to be completely harmless to testicular health, however Mihmanli et al [18] were able to demonstrate that idiopathic hydrocele may cause testicular enlargement and increased vascular resistance in the intratesticular arteries, thereby adversely affecting testicular function. The incidence of hydrocele in the sub-fertile men our study is consistent with reports by others [3,5].…”

Section: Discussionmentioning

confidence: 99%

Scrotal abnormalities and infertility in west African men: A comparison of fertile and sub-fertile men using scrotal ultrasonography

Tijani

Oyende

Awosanya

et al. 2014

African Journal of Urology

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Objective: To determine and compare the spectrum of scrotal abnormalities in fertile and sub-fertile west African men using scrotal US. Subjects and methods: The study examined 249 subjects over a period of 13 months. The subjects comprised 149 patients with diagnosis of male infertility, as well as 100 healthy individuals for comparison. The relevant clinical history of each patient was extracted from their case notes. All the subjects had their testes examined using a high frequency (7.5 MHz) linear transducer of an ultrasound scanner. Images in B-mode ultrasound scan and color Doppler were acquired in the supine and upright position. The results were expressed as percentages and tests of significance were done using the chi-square and Fisher's t-test. A P-value < 0.05 was considered statistically significant. Results: The prevalence of abnormal scrotal findings in the sub-fertile and fertile men was 65.1% and 23% respectively (P < 0.01). Varicocele was the commonest and was found in 55% and 12% of the fertile and subfertile men respectively (P < 0.01). Hydrocele and epididymal abnormalities were the next common with higher prevalence in the sub-fertile men (P > 0.05), while testicular tumor was confirmed in one sub-fertile patient. With the exclusion of varicocele, there was no statistically significant difference in the prevalence of the other abnormalities between the sub-fertile and fertile groups.Scrotal abnormalities and infertility in west African men 181 Conclusion: Male sub-fertility was associated with a higher prevalence of scrotal abnormalities. Apart from the diagnoses of the possible causes of the sub-fertility, routine scrotal US was able to diagnose other abnormalities of clinical relevance in the sub-fertile male. Scrotal US is a valuable tool in the evaluation of the sub-fertile west African man and should be considered in the routine evaluation of the sub-fertile west African man.

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Section: Discussionmentioning

confidence: 99%

Scrotal abnormalities and infertility in west African men: A comparison of fertile and sub-fertile men using scrotal ultrasonography

Tijani

Oyende

Awosanya

et al. 2014

African Journal of Urology

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“…Nye et al, 2 in a study of testicular blood flow, showed that there is a significant difference in the pulsatility index, resistivity index and testicular size before and after hydrocoele repair. Mihmanli et al 3 published a case report documenting absence of diastolic blood flow prior to hydrocoele repair that was reversed post-procedure. Although no intrascrotal pressures were measured in the case described, the presence of pain and absence of A pressing diagnosis -a compromised testicle secondary to compartment syndrome blood flow signifies the unusual diagnosis of a compartment syndrome within the tunica vaginalis compromising the testis.…”

Section: Discussionmentioning

confidence: 99%

A pressing diagnosis – a compromised testicle secondary to compartment syndrome

Douglas

Hicks²,

Manners³

et al. 2008

Ann R Coll Surg Engl

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“…The pathophysiology of an acquired hydrocele testis is unclear, but may result from increased serous fluid secretion, lack of efferent lymphatic's of failure of lymphatics in the mesothelial lining to reabsorb fluid [14]. The hydrostatic pressure of hydrocele has been demonstrated to be greater than the pressure of the blood vessels in the scrotum, which may create stasis in venous and lymphatic flow which results in an accumulation of fluid with an increase in scrotal size [15].…”

Section: Discussionmentioning

confidence: 99%

Treatment of Hydrocele Testis with Aspiration and Sclerotherapy

2015

IJSR

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Introduction and Objective: Acquired hydrocele testis is a common cause of increase scrotal size in the adult male. In this study our aims is to demonstrate that Hydrocele aspiration sclerotherapy (HAS) with doxycycline is an effective and safe nonsurgical treatment option for the nonseptated hydrocele correction. Material and Methods: HAS was performed in an outpatient office setting in all patients in this study. Before undergoing HAS all patients were evaluated with a history, a thorough genital examination, and scrotal ultrasound to determine the nature of hydrocele. Men who presented with a nonseptated hydrocele and were interested in nonsurgical correction were eligible for HAS. Exclusion criteria were presentation with a multiseptated hydrocele, a recidivant hydrocele, spermatocele, infection or hernia. Results: There were 18 patients with mean age of 51.3 years who presented with nonseptated hydrocele testis between 2008-2013. Overall mean follow-up was 22.2 months. Of these hydroceles 83.3% (n=15) were successfully treated with a single HAS procedure. In the group reporting success 13 patients presented with unilateral hydrocele and 2 presented with a bilateral hydrocele. Mean, median and range of fluid aspirated from successful treatment group were 195cc (SD 115.3) and 100 to 500 cc, respectively. Of those patients in whom HAS failed,one had hydrocele successfully with a second HAS treatment,2 did not have success with a second HAS and underwent hydrocelectomy. Conclusion: HAS appears to be a safe quick, far less costly and reasonably effective in-office procedure for the treatment of nonseptated single hydroceles. Our findings demonstrate that success rate with HAS are similar to those with surgical management while avoiding many of the complications and expenses associated with surgery. For patients in whom HAS failes, surgical hydrocelectomy remains a viable treatment options.

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Testicular Size and Vascular Resistance Before and After Hydrocelectomy

Abstract: There is an association between the development of an idiopathic hydrocele and testicular size and vascular resistance. We believe that the increase in volume and vascular resistance is due to an increase in impedance to venous and lymphatic flow.

Cited by 53 publications

References 12 publications

Scrotal abnormalities and infertility in west African men: A comparison of fertile and sub-fertile men using scrotal ultrasonography

Scrotal abnormalities and infertility in west African men: A comparison of fertile and sub-fertile men using scrotal ultrasonography

A pressing diagnosis – a compromised testicle secondary to compartment syndrome

Treatment of Hydrocele Testis with Aspiration and Sclerotherapy

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