Minimally Invasive Hydrocoelectomy shows better outcome in treatment of adult testicular hydrocoele in a rural tertiary care centre: prospective study

Dr. Dhrubajyoti Maulik; Dr. Oli Das Adhikary

Volume : IX, Issue : II, February - 2020

Minimally Invasive Hydrocoelectomy shows better outcome in treatment of adult testicular hydrocoele in a rural tertiary care centre: prospective study

Dr. Dhrubajyoti Maulik, Dr. Oli Das Adhikary

Abstract :

BACKGROUND: Hydrocele is among the commonest benign conditions of scrotum. Its incidence is around 1% in adult male population with a predilection for males above 40 years of age. Conventional surgical procedures like Jaboulays Eversion of Sac (EOS) and Lords plication of redundant tunica vaginalis remain the most commonly used procedures used in the treatment of idiopathic adult hydrocele.But they are more invasive & complication rate are high.To reduce these complication rate we used minimally invasive hydocoelectomy procedure in our study. AIMS: The aim of this study is to compare the operative outcomes among the primary vaginal hydrocele patients those underwent minimal access hydrocelectomy and conventional hydrocelectomy. SETTINGS & DESIGN: This prospective study was conducted at Bankura Sammilani Medical College & Hospital for a period of 18 month on a study population of 60 patients . MATERIAL AND METHODS: .62 patients of primary vaginal type hydrocele with ASA grade 1 were randomly allocated into two groups .one Mini–Hydroceletomy (Group A) and the other group routine Jaboulays EOS (Group B). All the patients were followed up for a period ranging from 6–18 months.there outcomes compared SummaryThe MIH for hydrocelectomy provided satisfactory cosmetic results with a 2 cm scrotal incision only. It resulted in no recurrence, fewer complications, and rapid postoperative rehabilitation in comparison to the traditional “JES procedure.” So The minimally invasive hydrocoelectomy may be gold standard for the conventional surgical treatment of adult primary vaginal hydrocele.