Jaboulay's versus harmonic scalpel hydrocelectomy: prospective randomized controlled study

Area of Science:

• Urology
• Surgical Innovation
• Patient Outcomes

Background:

• Surgical management of vaginal hydroceles aims to prevent recurrence and improve cosmesis.
• The Jaboulay's procedure is a common technique, but sac eversion can cause postoperative edema and discomfort, especially in large hydroceles.
• Sac excision may offer superior outcomes by removing excess tissue.

Purpose of the Study:

• To compare the outcomes of harmonic scalpel sac excision versus Jaboulay's procedure for adult hydroceles.
• To evaluate differences in scrotal edema, hematoma formation, and cosmetic appearance.

Main Methods:

• A randomized study involving 72 adult patients with vaginal hydroceles.
• Patients were assigned to either harmonic scalpel sac excision or Jaboulay's procedure.
• Postoperative data on complications and outcomes were collected, with cosmetic satisfaction assessed at 3 months.

Main Results:

• The Jaboulay's procedure group showed slightly higher, though not statistically significant, rates of postoperative edema and scrotal mass sensation.
• Seroma and wound infection rates were comparable between both surgical groups.
• The harmonic scalpel sac excision group reported significantly better patient satisfaction with the cosmetic outcome.

Conclusions:

• Hydrocelectomy utilizing harmonic scalpel sac excision leads to reduced postoperative edema.
• This technique improves patient satisfaction regarding cosmetic results compared to the traditional Jaboulay's procedure for adult hydroceles.