Modified scrotoscopic surgery for testicular hydrocele
10.13263/j.cnki.nja.2024.10.008
- VernacularTitle:改良阴囊镜手术在治疗睾丸鞘膜积液中的应用
- Author:
Tian-Hao FENG
1
;
Ai-Bing YAO
;
Qi JIANG
;
Xiao-Feng ZHU
;
Yu XIONG
;
Zhen-Qian SONG
;
Feng-Feng LU
;
Bin JIANG
;
Zhi-Feng WEI
Author Information
1. 南京医科大学第四附属医院泌尿外科,江苏南京 211800
- Keywords:
modified scrotoscopic surgery;
testicular hydrocele;
effect evaluation
- From:
National Journal of Andrology
2024;30(10):910-914
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application of modified scrotoscopic surgery(MSS)in the treatment of testicular hydro-cele.Methods:We selected 45 cases of testicular hydrocele for this study,22 treated by traditional scrotoscopic surgery(TSS)and the other 23 by MSS,which was performed with a pin-shaped electrode bent inward at an angle of 60° instead of a circular electrode used in TSS.We recorded the general clinical data,operation time,incision length,intraoperative injury,incision infection,scrotal e-dema,postoperative hospital stay and postoperative Visual Analogue Scale(VAS)scores of the patients and compared them between the two groups.Results:There was no statistically significant difference in the general clinical data between the two groups(P＞0.05).Compared with the patients of the TSS group,those of the MSS group showed significantly shorter operative time([32.86±3.80]vs[26.13±2.81]min,P＜0.05),incision length([14.09±2.23]vs[8.73±1.48]mm,P＜0.05)and postopera-tive hospital stay([4.36±1.05]vs[2.00±0.90]d,P＜0.05),and achieved remarkably lower VAS scores on postoperative days 1(4.41±1.05 vs 3.09±0.79,P＜0.05),2(3.36±1.05 vs 2.78±1.13,P＜0.05),3(2.65±0.72 vs 1.74±0.86,P＜0.05)and 7(1.91±0.81 vs 1.04±0.82,P＜0.05).At 3 and 7 days after surgery,scrotal edema was markedly mil-der in the MSS than in the TSS group(P＜0.05).No testicular or epididymal damage,or wound infection occurred in either of the two groups.Conclusion:MSS is safe and effective in the treatment of testicular hydrocele,superior to TSS for its advantages of shorter operation time,smaller surgical incision,less postoperative pain and milder scrotal edema.
