Metachronous Contralateral Occurrence of Hydrocele After Unilateral Hydrocelectomy in Children Younger Than 8 Years

© 2023 The Korean Academy of Medical Sciences..

BACKGROUND: Hydrocele on the contralateral side after surgical repair is an uncommon condition compared to surgical site recurrence. Although there has been much research on metachronous contralateral inguinal hernia in children, metachronous contralateral hydrocele, which share a common pathology with inguinal hernias, has not yet been investigated. We have investigated the incidence and risk factors for metachronous contralateral occurrence of communicating and noncommunicating hydroceles in children younger than 8 years.

METHODS: From January 2017 to June 2020, 302 children younger than 8 who were diagnosed with unilateral hydroceles were treated in our hospital without surgical exploration of contralateral hydrocele. The disease was classified into communicating and noncommunicating hydroceles. We divided patients into two groups according to the presence of metachronous contralateral hydrocele and analyzed the differences between the two groups.

RESULTS: Among 302 patients, the mean age was 36.4 ± 20.9 months. Metachronous contralateral hydrocele occurred in 15 (4.9%) patients as communicating hydroceles. Comparison between the two groups showed statistically significant differences in type of hydrocele (P = 0.047) at first diagnosis.

CONCLUSION: Clinically evident risk of metachronous contralateral hydrocele after unilateral hydrocelectomy was 4.9%. Despite the relatively low incidence rate, the risk of metachronous contralateral occurrence should always be consulted with parents before surgical treatment of hydroceles.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:38

Enthalten in:

Journal of Korean medical science - 38(2023), 10 vom: 13. März, Seite e79

Sprache:

Englisch

Beteiligte Personen:

Kim, Jae Yeon [VerfasserIn]
Chung, Jae Min [VerfasserIn]
Don Lee, Sang [VerfasserIn]

Links:

Volltext

Themen:

Child
Incidence
Journal Article
Recurrence
Risk Factors
Testicular Hydrocele

Anmerkungen:

Date Completed 16.03.2023

Date Revised 17.03.2023

published: Electronic

Citation Status MEDLINE

doi:

10.3346/jkms.2023.38.e79

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM354235826