Orignal Article Mini Hydrocelectomy – A Better Alternate in the Managemment of Moderate to Severely Enlarged Idiopathic Hydrocele

Abstract

Background: Hydrocele is most common benign scrotal swelling. Although different treatment options are tried but two surgical techniques got popularity, Lords Plication and Jabuleys repair.  Objective: To establish the role of Mini Hydrocelectomy in management of moderate to severely enlarge idiopathic hydrocele. Method: This study was conducted at Social Security Teaching Hospital, Lahore. All patients suffering from moderate to severe hydrocele, who needs surgical exploration were included in the study. These patients were followed for six months post operatively. Five different variables, pain, haematoma, infection, persistence of swelling and reoccurrence were measured in these patients post operatively and in follow up period. Results: Total 132 male patients who were suffering from moderate to severe hydrocele were included in this study. Among these 47 patients had left sided, 67 had right sided while 18 patient had bilateral hydrocele, 82 had moderately enlarged hydrocele while 50 had severely enlarged. Regarding pain 20 patients (15.27%) developed mild pain,107 (81.68%)  moderate pain while 5 (3.82%) patients developed severe pain. Haematoma was developed in 5 (3.82%) patients. Only 3 patients (2.29%) suffered with wound infection. There was persistent scrotal swelling in 6 patients (4.58%). No patient was reported with reoccurrence. Conclusion: In this study we had tried to conclude that due to minimal manipulation and local trauma to the tissue, the overall complication rate is much less with more patient satisfaction.

Key Words: Hydrocele. Mini Hydrocele. Minimal access surgery. Scrotal swelling.