Treatment of cystic swelling of scrotum: a clinical analysis
DOI:
https://doi.org/10.18203/2349-2902.isj20220318Keywords:
Cystic swelling, Hydrcele, Surgical treatment, ScrotomAbstract
Background: Cystic swellings of scrotum are usually painless and can attain a very big size without causing much discomfort. Management of cystic swelling of a particular type can be done in various ways; hence there is a necessity to study the ideal modality of management for each type of cystic swelling of scrotum possible in our setup of rural hospital.
Methods: A total of 100 cases of cystic swellings of scrotum fulfilling the methodology criteria’s were subjected to preformatted study. Final diagnosis was made with clinical examination and ultrasonography of scrotum. All cases were treated surgically.
Results: Most of the patients were in age group of 51-60 years (30%), presenting feature being scrotal swelling as a main complaint in 86% of cases, majority of them were right sided (60%), primary vaginal hydrocele was the commonest cystic swelling (76%), followed by epididymal cyst, spermatocele, sebaceous cyst. Lord’s plication was the procedure, which was associated with early discharge of the patient and least post-operative complications.
Conclusions: Primary vaginal hydrocoele was the commonest cystic swellings of scrotum. Most of the cystic swellings were treated surgically with good results. Lord’s procedure was the least to have post-operative complication.
References
Dagur G, Gandhi J, Suh Y, Weissbart S, Sheynkin YR, Smith NL et al. Classifying hydroceles of the pelvis and groin: an overview of etiology, secondary complications, evaluation, and management. Current urology. 2016;10:1-14.
Kumar KS, Sasikumar J, Seetharamaiah T, Kumar BA, Venugopalacharyulu NC. Cystic swellings of scrotum: management. International Journal of Medical Research & Health Sciences. 2014;3:338-41.
Velavan SM. Analysis of scrotal swellings in Madurai Medical College. Madurai Medical College, Madurai. 2018.
Shivashankar D. Analysis of Scrotal Swellings in Government Royapettah Hospital. Kilpauk Medical College, Chennai. 2009.
Yamakanamardi S, Kemparaj T. Cystic Swellings of the Scrotum in Adults–A Clinical Study. IJSS Journal of Surgery. 2020;6:10-5.
Amalan S, Mohankumar A, Pondy MP, Anandan H. Analysis of Cystic Swellings of the Scrotum: A Prospective Observational Study. International Journal Of Scientific Study. 2017;5:78-81.
Karuppasamy P, Kunche SR, Shanmugapathy M. Comparative study of cystic swellings of scrotum in adult patients. Journal of Evolution of Medical and Dental Sciences. 2019;8:777-83.
Tong SY, Davis JS, Eichenberger E, Holland TL, Fowler Jr VG. Staphylococcus aureus infections: epidemiology, pathophysiology, clinical manifestations, and management. Clinical microbiology reviews. 2015;28:603-61.
Agbakwuru E, Salako A, Olajide A, Takure A, Eziyi A. Hydrocelectomy under local anaesthesia in a Nigerian adult population. African health sciences. 2008;8:160-2.
Agbakwuru EA, Salako AA, Olajide AO, Takure AO, Eziyl AK. Hydrocelectomy under local anaesthesia in a Nigerian adult population. Afr Health Sci. 2008;8(3):160-62.
Usman L, Quddus R, Muhammad AB, Tajammal AS, Abid R. Hydrocele; Surgery Vs Sclerotherapy. Prof Med J. 2008;15(1):125-28.
Kumar SK, Sasikumar J, Seetharamaiah T. Cystic swellings of scrotum: management. Int J Med Res Health Sci. 2014;3(2):338-41.
Bruner DI, Ventura EL, Devlin JJ. Scrotal pyocele: uncommon urologic emergency. J Emergencies Trauma Shock. 2012;5(2):206.
Swartz MA, Morgan TM, Krieger JN. Complications of scrotal surgery for benign conditions. Urology. 2007;69(4):616-9.
