Journal of Reconstructive Urology

.: ORIGINAL RESEARCH
Comparison of Hydrocelectomy Techniques: A Retrospective Cohort Study on Surgical Outcomes, Complicatons and Recurrence Rates
Hidroselektomi Tekniklerinin Karşılaştırılması: Cerrahi Sonuçlar, Komplikasyonlar ve Tekrarlama Oranları Üzerine Retrospektif Bir Kohort Çalışması
Yasin AKTAŞa , Kaan KARAMIKb , Kayhan YILMAZc , Şahin KILIÇc , Murat ŞAMBELc , Mutlu ATEŞc , Mahmut Taha ÖLÇÜCÜc
aUşak University Faculty of Medicine, Department of Urology, Uşak, Türkiye
bAntalya Kemer State Hospital, Clinic of Urology, Antalya, Türkiye
cUniversity of Health Science Antalya Training and Research Hospital, Department of Urology, Antalya, Türkiye
J Reconstr Urol. 2024;14(3):77-82
doi: 10.5336/urology.2024-105937
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study was to compare the clinical success, complications, operative time, amount of bleeding, and aspirated hydrocele fluid rates of three different open surgical hydrocelectomy methods. Material and Methods: A total of 47 patients diagnosed with adult idiopathic hydrocele were retrospectively included in the study. Patients who underwent hydrocelectomy were divided into 3 groups. Group 1 underwent the Jaobulay or Winckleman technique, Group 2 underwent the ONOL technique and Group 3 underwent the Eversion technique. The results of the patients were observed and recorded. The age of the patients, amount of aspirated hydrocele fluid, amount of bleeding, operation time were recorded and compared statistically. The 6th-month and 2nd-year postoperative hydrocele recurrence data of the patients were also statistically compared. Results: There was no difference between the groups in terms of age, amount of aspirated fluid and amount of bleeding (p>0.05). Among the operation times of the groups, Group 3 had a shorter operation time than the other 2 groups statistically. There was no difference between Group 3 and other groups in terms of Clavien-Dindo Grade 1 complication. No recurrent hydrocele was observed in any patient during follow-up. Conclusion: The eversion technique seems more advantageous in terms of duration, while both the eversion and ONOL techniques seem more advantageous in terms of complications.

Keywords: Hydrocelectomy; Jaobulay or Winckleman technique; ONOL technique; eversion technique
ÖZET
 Amaç: Bu çalışmanın amacı, üç farklı açık cerrahi hidroselektomi yönteminin klinik başarısını, komplikasyonlarını, operasyon süresini, kanama miktarını ve aspire edilen hidrosel sıvı oranlarını karşılaştırmaktır. Gereç ve Yöntemler: Erişkin idiyopatik hidrosel tanısı almış toplam 47 hasta retrospektif olarak çalışmaya dâhil edildi. Hidroselektomi geçiren hastalar 3 gruba ayrıldı. Grup 1'e Jaobulay veya Winckleman tekniği, Grup 2'ye ONOL tekniği ve Grup 3'e eversiyon tekniği uygulandı. Hastaların sonuçları gözlemlendi ve kaydedildi. Hastaların yaşı, aspire edilen hidrosel sıvı miktarı, kanama miktarı, operasyon süresi kaydedildi ve istatistiksel olarak karşılaştırıldı. Hastaların 6. ay ve 2. yıl postoperatif hidrosel nüks verileri de istatistiksel olarak karşılaştırıldı. Bulgular: Gruplar arasında yaş, aspire edilen sıvı miktarı ve kanama miktarı açısından fark yoktur (p>0,05). Grupların operasyon süreleri arasında, Grup 3 diğer 2 gruptan istatistiksel olarak daha kısa operasyon süresine sahiptir. Clavien-Dindo Grade 1 komplikasyonu açısından Grup 3 ile diğer gruplar arasında fark yoktur. Takip sırasında hiçbir hastada tekrarlayan hidrosel gözlenmedi. Sonuç: Eversiyon tekniği süre açısından daha avantajlı görünürken, eversiyon ve ONOL teknikleri komplikasyonlar açısından daha avantajlı görünmektedir.

Anahtar Kelimeler: Hidroselektomi; Jaobulay veya Winckleman tekniği; ONOL tekniği; eversiyon tekniği
REFERENCES:
  1. Dagur G, Gandhi J, Suh Y, Weissbart S, Sheynkin YR, Smith NL, et al. Classifying Hydroceles of the pelvis and groin: an overview of etiology, secondary complications, evaluation, and management. Curr Urol. 2017;10(1):1-14. [Crossref]  [PubMed]  [PMC] 
  2. Mihmanli I, Kantarci F, Kulaksizoglu H, Gurses B, Ogut G, Unluer E, et al. Testicular size and vascular resistance before and after hydrocelectomy. AJR Am J Roentgenol. 2004;183(5):1379-85. [Crossref]  [PubMed] 
  3. Rioja J, Sánchez-Margallo FM, Usón J, Rioja LA. Adult hydrocele and spermatocele. BJU Int. 2011;107(11):1852-64. [Crossref]  [PubMed] 
  4. Lord PH. A bloodless operation for the radical cure of idiopathic hydrocele. Br J Surg. 1964;51:914-6. [Crossref]  [PubMed] 
  5. Jaboulay M. Chirurgie des centres nerveux des viscères et des membres. Lyon/Paris: Storck; 1902. p.192.
  6. Onol SY, Ilbey YO, Onol FF, Ozbek E, Arslan B, Akbaş A. A novel pull-through technique for the surgical management of idiopathic hydrocele. J Urol. 2009;181(3):1201-5. [Crossref]  [PubMed] 
  7. Saber A. New minimally access hydrocelectomy. Urology. 2011;77(2):487-90. [Crossref]  [PubMed] 
  8. Kiddoo DA, Wollin TA, Mador DR. A population based assessment of complications following outpatient hydrocelectomy and spermatocelectomy. J Urol. 2004;171(2 Pt 1):746-8. [Crossref]  [PubMed] 
  9. Agbakwuru EA, Salako AA, Olajide AO, Takure AO, Eziyi AK. Hydrocelectomy under local anaesthesia in a Nigerian adult population. Afr Health Sci. 2008;8(3):160-2. [PubMed]  [PMC] 
  10. Tsai L, Milburn PA, Cecil CL 4th, Lowry PS, Hermans MR. Comparison of recurrence and postoperative complications between 3 different techniques for surgical repair of idiopathic hydrocele. Urology. 2019;125:239-42. [Crossref]  [PubMed] 
  11. Saber A. Minimally access versus conventional hydrocelectomy: a randomized trial. Int Braz J Urol. 2015;41(4):750-6. [Crossref]  [PubMed]  [PMC] 
  12. Ozkaya F, Cakici OU. Jaboulay's technique contrasted with a novel hydrocelectomy technique using a vessel sealer in the treatment of adult hydrocele: a prospective randomized study. Int Urol Nephrol. 2020;52(3):447-53. [Crossref]  [PubMed] 
  13. Fuchs EF. Cord block anesthesia for scrotal surgery. J Urol. 1982;128(4):718-9. [Crossref]  [PubMed] 
  14. Rodríguez WC, Rodríguez DD, Fortuño RF. The operative treatment of hydrocele: a comparison of 4 basic techniques. J Urol. 1981;125(6):804-5. [Crossref]  [PubMed] 
  15. Nigam VK. Window operation: new technique for hydrocele. Urology. 1984;24(5):481-2. [Crossref]  [PubMed] 
  16. Jahnson S, Johansson JE. Results of window operation for primary hydrocele. Urology. 1993;41(1):27-8. [Crossref]  [PubMed] 
  17. Shakiba B, Heidari K, Jamali A, Afshar K. Aspiration and sclerotherapy versus hydrocoelectomy for treating hydrocoeles. Cochrane Database Syst Rev. 2014;2014(11):CD009735. [Crossref]  [PubMed]  [PMC] 
  18. Onol SY, Onol FF. Outpatient novel 'out-leaf' (ONOL) procedure for idiopathic hydrocele. BJU Int. 2010;105(6):890-4. [Crossref]  [PubMed] 
  19. Tariel E, Mongiat-Artus P. Traitement des hydrocèles de i'adulte [Treatment of adult hydrocele]. Ann Urol (Paris). 2004;38(4):180-5. French. [Crossref]  [PubMed] 
  20. Swartz MA, Morgan TM, Krieger JN. Complications of scrotal surgery for benign conditions. Urology. 2007;69(4):616-9. [Crossref]  [PubMed] 

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