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Abdominoscrotal hydrocele: A systematic review
Alexander D Doudt1, John E Kehoe1, Romeo C Ignacio2
1Department of Urology, Naval Medical Center San Diego, San Diego, CA.
Journal of Pediatric Surgery
|July 17, 2016
Summary
Abdominoscrotal hydrocele (ASH) is rare, typically unilateral, and often associated with other testicular issues. Surgical management, commonly inguinal, can be improved with laparoscopic or scrotal approaches to reduce complications.
Area of Science:
- Pediatric Surgery
- Urology
- Medical Research
Background:
- Abdominoscrotal hydrocele (ASH) presents as a rare inguinoscrotal and abdominal fluid collection.
- Optimal management strategies for ASH remain debated.
- This study systematically reviews ASH presentation, treatment, and outcomes.
Purpose of the Study:
- To systematically review the literature on abdominoscrotal hydrocele (ASH).
- To analyze the presentation, surgical management, and outcomes of ASH.
- To identify optimal surgical approaches for ASH.
Main Methods:
- A comprehensive literature search was performed across major biomedical databases (MEDLINE/PubMed, Embase, Ovid, Web of Science, Scopus).
- Data extraction and risk of bias assessment were conducted independently by two authors.
- Included studies were case series detailing ASH presentation, management, and outcomes.
Main Results:
- Eighteen case series involving 116 patients and 146 hydroceles were analyzed.
- Unilateral ASH occurred in 59% of cases, frequently accompanied by undescended testicle or inguinal hernia.
- The inguinal approach was most common (67.2%), but scrotal approaches showed fewer complications.
Conclusions:
- Abdominoscrotal hydrocele (ASH) is predominantly managed surgically via inguinal approach.
- Combined laparoscopic or extraperitoneal approaches may be beneficial for coexisting pathologies.
- The scrotal approach may reduce surgical morbidity in ASH management.
