Minimally access versus conventional hydrocelectomy: a randomized trial
ABSTRACTObjective:To compare our previously published new minimally access hydrocelectomy versus Jaboulay's procedure regarding operative outcome and patient's satisfaction.Materials and Methods:A total of 124 adult patients were divided into two groups: A and B. Group A patients were subj...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
2015-08-01
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| Series: | International Brazilian Journal of Urology |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382015000400750&lng=en&tlng=en |
| _version_ | 1818516770901721088 |
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| author | Aly Saber |
| author_facet | Aly Saber |
| author_sort | Aly Saber |
| collection | DOAJ |
| description | ABSTRACTObjective:To compare our previously published new minimally access hydrocelectomy versus Jaboulay's procedure regarding operative outcome and patient's satisfaction.Materials and Methods:A total of 124 adult patients were divided into two groups: A and B. Group A patients were subjected to conventional surgical hydrocelectomy (Jaboulay's procedure) and group B patients were subjected to the new minimal access hydrocelectomy. The primary endpoint of the study was recurrence defined as a clinically detectable characteristic swelling in the scrotum and diagnosed by the two surgeons and confirmed by ultrasound imaging study. The secondary endpoints were postoperative hematoma, wound sepsis and persistent edema and hardening.Results:The mean operative time in group B was 15.1±4.24 minutes and in group A was 32.5±4.76 minutes (P≤0.02). The mean time to return to work was 8.5±2.1 (7–10) days in group B while in group A was 12.5±3.53 (10–15) days (P=0.0001). The overall complication rate in group B was 12.88% and in group A was 37%. The parameters of the study were postoperative hematoma, degree of scrotal edema, wound infection, patients’ satisfaction and recurrence.Conclusion:Hydrocelectomy is considered the gold standard technique for the treatment of hydrocele and the minimally access maneuvers provide the best operative outcomes regarding scrotal edema and hardening and patient's satisfaction when compared to conventional eversion-excision hydrocelectomies. |
| first_indexed | 2024-12-11T00:46:57Z |
| format | Article |
| id | doaj.art-86a28d02631b4a01b63fe2c0042d53fa |
| institution | Directory Open Access Journal |
| issn | 1677-6119 |
| language | English |
| last_indexed | 2024-12-11T00:46:57Z |
| publishDate | 2015-08-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-86a28d02631b4a01b63fe2c0042d53fa2022-12-22T01:26:45ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192015-08-0141475075610.1590/S1677-5538.IBJU.2014.0248S1677-55382015000400750Minimally access versus conventional hydrocelectomy: a randomized trialAly SaberABSTRACTObjective:To compare our previously published new minimally access hydrocelectomy versus Jaboulay's procedure regarding operative outcome and patient's satisfaction.Materials and Methods:A total of 124 adult patients were divided into two groups: A and B. Group A patients were subjected to conventional surgical hydrocelectomy (Jaboulay's procedure) and group B patients were subjected to the new minimal access hydrocelectomy. The primary endpoint of the study was recurrence defined as a clinically detectable characteristic swelling in the scrotum and diagnosed by the two surgeons and confirmed by ultrasound imaging study. The secondary endpoints were postoperative hematoma, wound sepsis and persistent edema and hardening.Results:The mean operative time in group B was 15.1±4.24 minutes and in group A was 32.5±4.76 minutes (P≤0.02). The mean time to return to work was 8.5±2.1 (7–10) days in group B while in group A was 12.5±3.53 (10–15) days (P=0.0001). The overall complication rate in group B was 12.88% and in group A was 37%. The parameters of the study were postoperative hematoma, degree of scrotal edema, wound infection, patients’ satisfaction and recurrence.Conclusion:Hydrocelectomy is considered the gold standard technique for the treatment of hydrocele and the minimally access maneuvers provide the best operative outcomes regarding scrotal edema and hardening and patient's satisfaction when compared to conventional eversion-excision hydrocelectomies.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382015000400750&lng=en&tlng=enMinimally Invasive Surgical Procedurescomplications [Subheading]Testicular Hydrocele |
| spellingShingle | Aly Saber Minimally access versus conventional hydrocelectomy: a randomized trial International Brazilian Journal of Urology Minimally Invasive Surgical Procedures complications [Subheading] Testicular Hydrocele |
| title | Minimally access versus conventional hydrocelectomy: a randomized trial |
| title_full | Minimally access versus conventional hydrocelectomy: a randomized trial |
| title_fullStr | Minimally access versus conventional hydrocelectomy: a randomized trial |
| title_full_unstemmed | Minimally access versus conventional hydrocelectomy: a randomized trial |
| title_short | Minimally access versus conventional hydrocelectomy: a randomized trial |
| title_sort | minimally access versus conventional hydrocelectomy a randomized trial |
| topic | Minimally Invasive Surgical Procedures complications [Subheading] Testicular Hydrocele |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382015000400750&lng=en&tlng=en |
| work_keys_str_mv | AT alysaber minimallyaccessversusconventionalhydrocelectomyarandomizedtrial |