Comparative study between eversion of tunica vaginalis versus fenestration in treatment of unilateral primary vaginal hydrocele.

Document Type : Original Article

Authors

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

The Egyptian Journal of Surgery
Volume 43, Issue 4
October 2024
Pages 1520-1524

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