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Title: Comparison of sodium tetradecyl sulphate versus conventional hydrocelectomy for adult hydrocele aspiration.
Authors: Hamid Raza Laghari, Muhammad Akram, Farhan Ali, Syed Kashif Hussain, Illahi Bux Brohi, Zulfiqar Ahmed Qaim
Journal: The Professional Medical Journal (TPMJ)
Publisher: Independent Medical College, Faisalabad- Pakistan
Country: Pakistan
Year: 2022
Volume: 29
Issue: 11
Language: English
DOI: 10.29309/TPMJ/2022.29.11.7130
Keywords: SclerotherapyHydroceleSodium Tetradecyl Sulphate
Objective: To evaluate the treatment of hydrocele and compare the post-operative course and outcome of sodium tetradecyl sulfate (3 %) (STDS) as a harmless and active sclerosant followed by aspiration with conventional hydrocelectomy for the management of adult hydrocele. Study Design: Cross Sectional, Randomized study. Setting: Liaquat University of Medical and Health Sciences, Jamshoro. Period: 1st May 2019 to 31st October 2019. Material & Methods: Fifty patients with unilateral or bilateral primary vaginal hydrocele were included in this study. Subjects with secondary vaginal hydrocele (secondary to trauma, malignancy, or epididymo-orchitis), communicating hydrocele, infected hydrocele, having a positive history of previous intervention (sclerotherapy or operation) and/or uncontrolled diabetes mellitus were excluded. Data were analyzed in SPSS version 22.0. Results: All patients were equally divided into two groups A and B. Group A (n = 25) patients were submitted to Sclerotherapy and Group B (n = 25) patients were submitted to the Conventional Surgical Hydrocelectomy. Most of the patients 24(96.0%) who underwent in Group A (Sclerotherapy, n = 25), were discharged within 1-6 days i.e. less postoperative stay whereas the majority of the patients 14(56.0%) who underwent in Hydrocelectomy group were discharged between 1 to 6 days. Patients who underwent Hydrocelectomy had more postoperative stay and in 3 cases up to 18 days. Conclusion: Sclerotherapy is the treatment of choice for primary hydrocele. Complications like pain, hematoma, and infection are less than surgical procedures. Hospital stay is minimal and does not affect the day-to-day work of the patient having sclerotherapy.
To evaluate the treatment of hydrocele and compare the post-operative course and outcome of sodium tetradecyl sulfate (3 %) (STDS) as a harmless and active sclerosant followed by aspiration with conventional hydrocelectomy for the management of adult hydrocele.
Cross-sectional study conducted at Liaquat University of Medical and Health Sciences, Jamshoro, from May 1, 2019, to October 31, 2019. Fifty patients with unilateral or bilateral primary vaginal hydrocele were included. Patients were divided into two groups: Group A (n=25) underwent sclerotherapy with 3% STDS, and Group B (n=25) underwent conventional hydrocelectomy. Data were analyzed using SPSS version 22.0.
graph TD
A["Patient Recruitment 50 patients with hydrocele"] --> B["Randomization"];
B --> C["Group A: Sclerotherapy n=25"];
B --> D["Group B: Hydrocelectomy n=25"];
C --> E["Sclerotherapy Procedure"];
D --> F["Hydrocelectomy Procedure"];
E --> G["Post-operative Assessment & Follow-up"];
F --> G;
G --> H["Data Analysis SPSS v22.0"];
H --> I["Comparison of Outcomes & Complications"];
I --> J["Conclusion"];
Hydrocelectomy is considered the gold standard, but aspiration and sclerotherapy offer fewer complications and a higher success rate. Sclerotherapy is effective, less invasive, and cost-effective, leading to improved patient satisfaction and reduced hospital stay. While recurrence was higher in the sclerotherapy group in this study, the overall complication profile and patient satisfaction favor sclerotherapy.
Sclerotherapy patients had a shorter hospital stay (96.0% discharged within 1-6 days) compared to hydrocelectomy patients (56.0% discharged within 1-6 days, with 12.0% requiring 13-18 days). Sclerotherapy resulted in fewer complications like hematoma and infection. Recurrence was higher in the sclerotherapy group (32.0%) compared to the hydrocelectomy group (16.0%), but this difference was statistically significant (p=0.004) particularly for large hydroceles. Overall patient satisfaction was higher with sclerotherapy (84% satisfied).
Sclerotherapy is the treatment of choice for primary hydrocele, offering fewer complications, lower financial strain, improved patient satisfaction, and excellent post-treatment recovery compared to hydrocelectomy.
* Study Period: The study was conducted from May 1, 2019, to October 31, 2019. (Confirmed in text)
* Patient Allocation: Fifty patients were equally divided into two groups, with 25 patients in each group (Group A: Sclerotherapy, Group B: Hydrocelectomy). (Confirmed in text)
* Hospital Stay for Sclerotherapy: 96.0% of patients in Group A (Sclerotherapy) were discharged within 1-6 days. (Confirmed in text)
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