Hydrocele in the pediatric patient: inguinal or scrotal approach?

The Journal of Urology
Jason M WilsonLaurence S Baskin

Abstract

The recommended approach for repairing hydrocele in children is inguinal to address a patent processus vaginalis. Hydrocele repair in adults is performed with a scrotal incision. We identified an age above which a significant percent of children had noncommunicating hydroceles, justifying a scrotal approach. A retrospective chart review was performed of children undergoing hydrocele repair at our institution between 1998 and 2006. Operative reports were reviewed by 2 investigators and intraoperative findings were recorded for statistical analysis relating age and findings at the time of the procedure using logistic regression and ROC analysis. Laterality and recurrence rates were also noted. In this retrospective chart review 82.1% of hydroceles in children older than 10 years had intraoperative findings consistent with noncommunicating hydrocele and 86.4% in children older than 12 years were noncommunicating. One hydrocele in the age group older than 12 years was communicating and the history was suggestive of communication. Age was significantly associated with a patent processus vaginalis (OR 0.783, p <0.0001). It is possible in children older than 12 years to repair hydroceles through a scrotal incision unless the clinical ...Continue Reading

References

Feb 1, 1969·Journal of Pediatric Surgery·M I RoweH W Clatworthy
Jun 1, 1981·The Journal of Urology·W C RodríguezR F Fortuño
Sep 5, 1998·Pediatric Clinics of North America·P KapurP L Glick
May 17, 2002·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Ch FearneD Aquilina
Oct 16, 2002·Journal of Korean Medical Science·Chang Hee Han, Sung Hak Kang
Apr 11, 2003·The Journal of Urology·J Kellogg ParsonsSteven G Docimo
Apr 29, 2006·Advances in Therapy·Kadir CeylanKus Alpaslan
Nov 7, 2006·International Journal of Urology : Official Journal of the Japanese Urological Association·Tyler ChristensenBrent W Snow
Mar 27, 2007·The Journal of Urology·Yaser S BasselAndrew J Kirsch

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Citations

Sep 3, 2010·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A KapisizA C Basaklar
Apr 9, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Simon Clarke
Jun 25, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ryuta SakaRyo Tsukada
Mar 25, 2014·The Kaohsiung Journal of Medical Sciences·Bilal Firat AlpMurat Dayanc
Aug 28, 2016·The Journal of Surgical Research·Quan XuFei Peng
Aug 16, 2016·Seminars in Pediatric Surgery·Ciro EspositoAlessandro Settimi
May 1, 2015·Clinical Pediatrics·Richard H Schwartz, Teresa Lee
Aug 1, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Zhichang Jin, Furan Wang
Jun 16, 2010·Nature Reviews. Urology·Marcello CimadorEnrico De Grazia
Aug 11, 2020·Acta Medica (Hradec Králové)·Ioannis PatouliasDimitrios Patoulias

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