Title: Hydrocele: Side Incidence and Age Group Affected

Author: Dr Gurmeet Singh Sarla

 DOI: https://dx.doi.org/10.18535/jmscr/v7i6.51

Abstract

Background: Hydrocele is collection of fluid along the path of testicular descent which usually presents as a painless, cystic scrotal mass leading to an increase in the volume of the scrotal contents.

Aim: The aim of this study is to analyse the side incidence and age groups affected in hydrocele.

Materials and Methods: A total of 110 patients who were diagnosed clinically and sonologically as having long standing hydrocele of 6 months and more were included in the study and were offered surgery in the form of eversion of sac. Patients with acute onset hydrocele/haematocele and associated with trauma were not included in the study. None of these patients on preoperative ultrasound or on surgical exploration was diagnosed with a more serious underlying pathology.

Results: Out of 110 patients who underwent eversion of sac for hydrocele, 60 (54.54%) patients had Right sided hydrocele and 46 (41.81%) patients had Left sided hydrocele. 4 (3.63%) patients had bilateral hydrocele. The most common age group affected was the age bracket of 31-40 years which comprised of 38 (34.54%) patients, followed by age group between 21-30 years, 41-50 years and 51- 60 years each of the group affecting 20 (18.18%) patients.

Conclusion: Right sided hydrocele is more common as compared to left sided hydrocele. This study showed that 60 (54.54%) patients had Right sided hydrocele as compared to 46 (41.81%) patients who had Left sided hydrocele. The age group of 31-40 years was the most commonly affected age group affected which consisted of 34.54% of patients. This was followed closely by age group of 21-30 years, 41-50 years and 51-60 years which affected 18.18% patients each.

Keywords: Hydrocele, side incidence, age group affected.

References

  1. Simonsen PE, Meyrowitsch DW, Makunde WH, Magnunssen P. Bancroftianfilariasis: The pattern of microfilaraemia and clinical manisfestations in three endemic communities of northeastern Tanzania. Acta Trop. 1995;60:179–87.
  2. Sandlow JI, Winfield HN, Goldstein M. Surgery of the scrotum and seminal vesicles. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell – Walsh Urology.9th ed. Philadelphia: Saunders Elsevier; 2007. pp. 1098–127.
  3. Nundy S. Difficulties of surgery in the developing world: A personal view. 1999;353(suppl. 1):21–3.
  4. Okorie CO, Pisters LL, Liu P. Longstanding hydrocele in adult Black Africans: Is preoperative scrotal ultrasound justified?. Niger Med J. 2011;52(3):173–176. doi:10.4103/0300-1652.86130
  5. Thomas G, Richards FO, Jr, Eigege A, Dakum NK, Azzuwut MP, Sarki J, et al. A pilot program of mass surgery weeks for treatment of hydrocele due to lymphatic filariasis in central Nigeria. Am J Trop Med Hyg. 2009;80:447–51.
  6. Savion M, Wolloch Y, Savir A. Phenol sclerotherapy for hydrocele: A study in 55 patients. J Urol. 1989;142:1500–1. 
  7. Suwan P. Treatment of hydroceles by aspirations and tetracycline instillations. J Med Assoc Thai. 1994;77:421–5. 
  8. Suwan P. Treatment of hydroceles by aspirations and tetracycline instillations. J Med Assoc Thai. 1994;77:421–5. 
  9. Beiko DT, Kim D, Morales A. Aspiration and sclerotherapy versus hydrocelectomy for treatment of hydroceles. 2003;61:708–12.
  10. Khaniya S, Agrawal CS, Koirala R, Regmi R, Adhikary S. Comparison of aspiration-sclerotherapy with hydrocelectomy in the management of hydrocele: A prospective randomized study. Int J Surg. 2009;7:392–5.

Corresponding Author

Dr Gurmeet Singh Sarla

Senior Advisor Surgery, Military Hospital Devlali, Devlali Cantt, Nasik, Maharashtra. Pin 422401