Comparative study between eversion of tunica vaginalis versus fenestration in treatment of unilateral primary vaginal hydrocele. | ||
| The Egyptian Journal of Surgery | ||
| Volume 43, Issue 4, October 2024, Pages 1520-1524 PDF (421.31 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/EJSUR.2024.296237.1098 | ||
| Authors | ||
| Mahmoud A. Abdelrazik; Omnia M. Rabie; Ahmed M. Ahmed* | ||
| Department of General Surgery, Faculty of Medicine (for Girls), Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Introduction: Hydrocele is among the most common benign conditions of the scrotum. Its incidence is around 1% in the adult male population, with a predilection for males above 40 years of age. Aim: This is to evaluate the efficacy, safety, and outcomes of eversion of tunica vaginalis versus fenestration in the treatment of unilateral primary vaginal hydrocele in adult males. Patients and Methods: This is prospective study was conducted at the Department of General Surgery, Al-Zahraa University Hospital, between May 2023 and April 2024. This study was done on 30 patients who were classified into two equal groups. Group A includes 15 patients undergoing excision eversion of tunica vaginalis. Group B 15 patients undergoing fenestration of tunica vaginalis. All the patients were followed up postoperatively in weeks 1, 4, and 12. Results: Out of the patients in group A (eversion), three (20%) patients had edema and hardness, and only one (6.7%) patient had a postoperative hematoma. Additionally, one (6.7%) patient reported a wound infection, and another patient (6.7%) reported a recurrence. Nine patients, or 60% of the total, had no postoperative problems. Merely two (13.3%) patients of the research participants in group B (fenestration) exhibited problems, with one (6.7%) patient experiencing edema and hardness. Furthermore, one (6.7%) patient reported having a wound infection. Out of the total patients, 13 (86.5%) patients had no postoperative problems. Conclusion: We hereby present our experience with that the fenestration technique to be the procedure of choice for the treatment of primary vaginal hydrocele. | ||
| Keywords | ||
| Fenestration; scrotal swelling; testicular hydrocele | ||
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