Comparison of two method of hydrocele repair in children

Abstract

Introduction: Hydroceles is accumulation of fluid in the processus vaginalis (PV) resulting in swelling of the inguinal region or scrotum. Its treatment depends on age, symptoms and conection with abdomen. Preferred method of treatment is subject of debate. In this study we assessed two different method of hydrocele repair in children's hydrocelotomy and hydrocelectomy and compared their complications and recurrences rate. Materials and Methods: 70 children with noncomunicating hydrocele included in study, allocating every other subject to each treatment group (alternating allocation) for the hydrocelotomy group(incision and evacuation of hydrocele sac)and hydrocelectomygroup(excision and removing of heydrocele sac. The complications and recurrence rate were recorded in both groups and compared together. Results: From 70 children 25 patient had right side hydrocele(%35/7) and in 45 children hydrocele found in left side.(%64/3). No statistical difference was found for complications like bleeding, wound infection, spermatic cord damage, and recurrent hydrocele between two groups in post operation Period. Conclusion: although there not found very different result in rate of complications and recurrency between two groups but it seems that hydrocelotomy is enough treatment with less probability of spermatic cord damage and other complication.

Keywords

• hydrocelotomy
• hydrocelectomy
• recurrence