MINIMAL INCISION AND PULL THROUGH HYDROCELECTOMY- A NEWER SURGICAL MANAGEMENT OF PRIMARY VAGINAL HYDROCELE

Introduction: Idiopathic hydroceles are the most common cause of scrotal swellings Although benign large idiopathic hydroceles can become symptomatic and affect quality of life. Various open surgical methods have been described such as The Jaboulay Procedure. Minimal invasive approaches including sclerotherapy and tunica vaginalis fenestration have limited efficacy. This study deals with a minimal invasive surgical variant.

Materials/Patients and Methods: A total of 52 patients were operated and observed in this prospective study in the age group between 18-70 years with unilateral idiopathic primary vaginal hydrocele who underwent sac eversion with minimal separation technique posted as an elective technique. Follow up was done for 6 months.

Results: A total of 52 patients underwent minimal incision and pull through technique with the most common age group being 31 to 40 years .Post operative pain was evaluated by VAS score which showed significantly lesser score on post operative day Pain discomfort difficulty during intercourse were the major post operative complaints. No recurrence serious morbidity or mortality was seen in the study group.

Conclusion: Minimal incision and pull through technique is a good surgical technique for surgical management of primary vaginal hydrocele as the technique is easier,smaller incision, lesser time consuming and more importantly lesser post operative complications.