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Observations on hydroceles following adolescent varicocelectomy
Shannon N Nees1, Kenneth I Glassberg
1Division of Pediatric Urology, Morgan Stanley Children's Hospital of New York-Presbyterian, Department of Urology, Columbia University, College of Physicians and Surgeons, New York, New York 10032, USA.
The Journal of Urology
|October 25, 2011
Summary
Hydroceles are a common complication after varicocelectomy in adolescents. Laparoscopic lymphatic sparing surgery results in fewer hydroceles, and patients need at least two years of follow-up.
Area of Science:
- Urology
- Pediatric Surgery
Background:
- Hydrocele is a known complication of varicocelectomy.
- Reported incidence of hydrocele after varicocelectomy varies widely.
Purpose of the Study:
- Determine the incidence of hydrocele and hydrocelectomy after adolescent varicocelectomy.
- Analyze the time to hydrocele manifestation and treatment outcomes.
Main Methods:
- Reviewed adolescent varicocele registry for post-varicocelectomy hydroceles.
- Evaluated physical examination, ultrasound findings, and treatment results.
Main Results:
- 15.4% of 521 varicocelectomies resulted in hydrocele within 2 years.
- Open, bilateral, and non-lymphatic sparing procedures had higher hydrocele rates.
- Jaboulay bottleneck hydrocelectomy showed a 100% success rate in 29 patients.
Conclusions:
- Hydroceles are a common sequela of varicocelectomy.
- Laparoscopic lymphatic sparing varicocelectomy is associated with the lowest incidence.
- Follow-up for at least 2 years is recommended; Jaboulay hydrocelectomy is effective.
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