Prophylaxis of Hydrocele after Varicocelectomy | ||
Medical Journal of Babylon | ||
Article 1, Volume 12, Issue 3, September 2015, Pages 792-796 | ||
Authors | ||
Hussein Oudah Al-Jasmawy; Adel Ibraheem Muhi; Ali Abdulhaleem Kadhim | ||
Abstract | ||
Hydrocele comes on the top of complications after surgical repair of varicocele.To evaluate the efficacy of selective vein ligation procedure by the aid of loupe optical magnification with creation of a window in tunica vaginalis to prevent the formation of hydrocele after varicocelectomy. Two hundred patients with varicocele treated were analyzed. A study is applied on two patient groups, of each one hundred patient. Group 1: Conventional procedures for varicocele, without use of optical magnification including: Paloma, inguinal mass ligation and subinguinal selective ligation, and a group 2; underwent subinguinal selective varicocelectomy with the aid of optical magnifications and completed by creation of a window in tunica vaginalis. Hydrocele, as a complication following varicocelectomy, is reduced from 15% in group 1 to 3% in group 2. By theaid of optical magnification with creation a window in tunica vaginalis,a significant decrease in incidence of post varicocelectomy hydrocele in group 2 was found. So this procedure seems effective and we recommend its addition to the standard procedures of varicocelectomy. | ||
Keywords | ||
hydrocele; varicocelectomy; optical magnification; window in tunica vaginalis | ||
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