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

김재연,정재민,이상돈 대한의학회 2023 Journal of Korean medical science Vol.38 No.10

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.

A Case Giving Proof of Pathogenesis of Abdominoscrotal Hydrocele: A Case Report

양희조,손명원,김두상 순천향대학교 순천향의학연구소 2021 Journal of Soonchunhyang Medical Science Vol.27 No.2

An abdominoscrotal hydrocele (ASH) is an uncommon condition characterized by cystic mass that occupies the scrotum and abdomen. The characteristic aspect is the presence of two hydrocele sacs in the abdominal cavity and the scrotum, and compression of one side causes enlargement of the other side, thereby connecting the two sacs. There are several hypotheses regarding the occurrence of ASH. However, the evidence of the hypotheses is lacking. The patient was a 52-year-old male. During observation of the right inguinoscrotal hydrocele, the patient complained of a palpable mass lesion on the right lower quadrant of the abdomen. Physical examination revealed ASH that occurred with the growth of the inguinoscrotal hydrocele. This was further confirmed by sequential imaging test thereby proposing the verification of cephalad extension of hydrocele. The surgical excision was recommended and inguinal exploration was performed under general anesthesia. No evidence of relapse was observed during the 2-year follow-up period after surgery. The present case proves the cephalad extension of hydrocele among other hypotheses on the etiology of ASH.

Calculi in Hydrocele: Incidence and Results of Infrared Spectroscopy Analysis

Winfried Vahlensieck,Albrecht Hesse 대한비뇨의학회 2010 Investigative and Clinical Urology Vol.51 No.5

Trauma, inflammation, or necrosis in the scrotal cavity may lead to depositing of organic material in hydrocele fluid with consecutive calcification if the fluid is oversaturated. During a period of 25 years, 2 scrotal calculi (calculous material in hydrocele fluid) in 2 of 42 patients (4.8%) were found during surgery on symptomatic hydroceles by the first author. In these symptomatic cases, infrared spectroscopy revealed carbonate apatite as the causative mineral. The appearance of scrotal calculi in hydrocele does not change the treatment or prognosis of hydroceles. However, if the calculous material is attached to the visceral or parietal part of the tunica vaginalis and does not change position during sonography with different postures, tumor growth may be a problem. An inguinal approach for operation should be chosen in such situations. Infrared spectroscopy can be used to determine the mineralogy of scrotal calculi. Carbonate apatite, the predominantly found mineral in scrotal calculi, can precipitate in an alkaline milieu.

광주지역의 초등학생을 대상으로 한 잠복고환증, 물음낭증, 덩굴정맥류의 유병률 및 인식에 대한 역학조사

황용,박성운 대한비뇨의학회 2009 Investigative and Clinical Urology Vol.50 No.3

Purpose: We investigated the prevalence and parent's concern of cryptorchidism, hydrocele and varicocele among elementary school boys. Materials and Methods: A total of 1,795 elementary school boys who resided in Gwangju were investigated by questionnaires. Among them, 1,115 boys who agreed to a physical checkup underwent physical examination between May and June 2007. Results: The most frequent anomaly was hydrocele, which was seen in 37 boys (3.31%) on questionnaires and physical examination. The other anomalies were cryptorchidism in 17 boys (1.52%) and varicocele in 7 boys (0.62%). Most of the boys and their parents were not aware of their cryptorchidism (70.58%) and varicocele (71.42%). The boys who replied in questionnaires that they had been diagnosed with hydrocele appeared to had undergone hydrocele repair in the past. Conclusions: By survey, the prevalence rates of cryptorchidism, hydrocele, and varicocele were 3.31%, 1.52%, and 0.62%, respectively. Education of the public and primary care physicians about cryptorchidism and varicocele and a screening system are needed to achieve better therapeutic outcome. Purpose: We investigated the prevalence and parent's concern of cryptorchidism, hydrocele and varicocele among elementary school boys. Materials and Methods: A total of 1,795 elementary school boys who resided in Gwangju were investigated by questionnaires. Among them, 1,115 boys who agreed to a physical checkup underwent physical examination between May and June 2007. Results: The most frequent anomaly was hydrocele, which was seen in 37 boys (3.31%) on questionnaires and physical examination. The other anomalies were cryptorchidism in 17 boys (1.52%) and varicocele in 7 boys (0.62%). Most of the boys and their parents were not aware of their cryptorchidism (70.58%) and varicocele (71.42%). The boys who replied in questionnaires that they had been diagnosed with hydrocele appeared to had undergone hydrocele repair in the past. Conclusions: By survey, the prevalence rates of cryptorchidism, hydrocele, and varicocele were 3.31%, 1.52%, and 0.62%, respectively. Education of the public and primary care physicians about cryptorchidism and varicocele and a screening system are needed to achieve better therapeutic outcome.

Collatamp를 이용한 소아수술에서의 효용성

유정우,서영진,이경섭,김기호 대한요로생식기감염학회 2015 Urogenital Tract Infection Vol.10 No.1

Purpose: The purpose of this study is to evaluate efficacy of Collatamp (EUSA Pharma [Europe]; a gentamicin-containing collagen implant, GCCI) in pediatric urologic surgery. Materials and Methods: The study comprised a retrospective analysis of 35 consecutive children who underwent pediatric urologic surgery for treatment of hydrocele, undescended testis and varicocele between March 2013 and March 2015. Collatamp containing 130 mg gentamicin and 280 mg collagen were immersed in 300 ml normal saline for up to 6 hours. At set times after immersion the GCCI were removed, the saline diluted in normal human serum and the gentamicin content assayed by a validated immunoassay (Cedia, Microgenics Ltd., UK) to provide an estimate of the loss from each implant. Patients were classified according to two groups: patients with Collatamp (group A) and those without Collatamp (group B). Postoperative complication, operative time and age, etc. were assessed at postoperative 7 days.Results: Sixteen hydrocele, 16 undescended testis, and 3 varicocele patients were identified, with a median age of 87.43±54.10 months, operation time of 103.60±29.41 minutes, and hospitalization period of 3.20±0.68 days. Mean age, operation time, and hospitalization period in group A, B was 64.81±60.32 months, 100.80±46.80 months (p=0.02), 122.30±40.70 minutes, 103.61±29.39 minutes (p=0.17), and 3.20±0.40 days, 3.20±0.80 days (p=0.67), respectively. No statistically significant differences in postoperative complication were observed between the two groups. However, cost was higher in group A than in group B (300,000 won vs, 15,900.82±3,905.72 won).Conclusions: Collatamp may be useful and effective in preventing wound infection in pediatric urologic surgery, although Collatamp is more expensive.

Scrotal Hydrocele as the First Clinical Manifestation of Occult Gastric Cancer

여정균 대한비뇨의학회 2009 Investigative and Clinical Urology Vol.50 No.11

We report a rare case of a metastatic tumor of the tunica vaginalis and epididymis with hydrocele from occult gastric cancer. A 72-year-old patient showed a painless scrotal swelling. Scrotal ultrasound showed a right hydrocele and a follow-up hydrocelectomy showed a mass on the epididymis. The operation was thus converted to radical orchiectomy. The tumor was revealed as an adenocarcinoma in the tunica vaginalis and epididymis. Abdominal computed tomography found gastric cancer, which was confirmed by a gastric fibroscopy biopsy. The patient was referred to the hemato-oncology department for chemotherapy but died after 3 months.

Persistent Genital Swelling after Hydrocele Ligation in a Patient Receiving Continuous Ambulatory Peritoneal Dialysis

신보성,김선욱,황인상,황의창,오경진 대한배뇨장애요실금학회 2012 International Neurourology Journal Vol.16 No.1

We report a case of genital swelling in a patient receiving continuous ambulatory peritoneal dialysis. A physical examination did not identify any defect. Ultrasonography revealed a large hydrocele, and surgical repair brought resolution of the genital swelling. Two months later, however, the genital swelling had recurred and was not improved until peritoneal dialysis was replaced by hemodialysis 3 months later.

Hydrocelectomy via scrotal incision is a valuable alternative to the traditional inguinal approach for hydrocele treatment in boys

오정훈,정호석,유호송,강택원,권동득,김선옥 대한비뇨의학회 2018 Investigative and Clinical Urology Vol.59 No.6

Purpose: Few studies have explored the treatment of isolated communicating hydroceles via scrotal incision. We prospectively evaluated the surgical outcomes of such treatment in boys with hydroceles compared with that using traditional, inguinal incision hydrocelectomy. Materials and Methods: Of 347 boys aged 0–12 years who were diagnosed as hydrocele on ultrasonography, 173 boys were assigned to the scrotal incision hydrocelectomy group (group I, n=173) and 172 boys were assigned to the traditional inguinal incision hydrocelectomy group (group II, n=172), and finally 156 boys in group I and 156 boys in group II were included in this study. Surgical outcomes, including postoperative complications and hydrocele relapse rates, were compared between groups. Results: The overall success rates were similar in both groups (group I, 96.8%; group II, 89.1%; p=0.740). The operation time and hospital stay were significantly shorter in group I (30.94±3.95 minutes and 3.94±0.30 days) than in group II (38.02±7.12 minutes and 4.24±0.99 days; p<0.001 and p=0.009, respectively). The postoperative complication rate was lower in group I than in group II (3.2% vs. 10.9%, p=0.740). Conclusions: Scrotal incision hydrocelectomy in boys was associated with shorter operative time and hospital stay, and a lower postoperative complication rate, than was the inguinal incision approach. The scrotal incision technique might be an easy and effective alternative treatment when used to treat hydroceles in boys as well as inguinal incision approach.

Acute Scrotum due to Gallbladder Perforation after a Percutaneous Liver Biopsy

김윤동,송미호,송진현,김봉기,양원재,송윤섭 대한비뇨의학회 2009 Investigative and Clinical Urology Vol.50 No.7

Acute scrotum can occur as a complication of various procedures, such as open, laparoscopic surgeries or diagnostic procedures. We present an unusual case of acute hemiscrotum due to inadvertent gallbladder injury following an ultrasound-guided liver biopsy.

신장이식 후 음낭 부종으로 발현된 림프낭종 1예

전연주 ( Yeon Joo Chun ),유지한 ( Ji Han Yu ),이희연 ( Hee Yeon Lee ),양철우 ( Chul Woo Yang ),김용수 ( Yong Soo Kim ),방병기 ( Byung Kee Bang ) 대한신장학회 2007 Kidney Research and Clinical Practice Vol.26 No.6