ASPIRATION TETRACYCLINE SCLEROTHERAPY IN NON-OPERATME TREATMENT OF REACTIVE HYDROCELE IN BOYS
Article published in Urologia Polska 2000/53/2.

authors

Jerzy Niedzielski ¹, Dariusz Paduch ², Mieczysław Miodek ¹

¹ Klinika Chirurgii i Onkologii Dziecięcej Instytutu Pediatrii AM w Łodzi
Kierownik Kliniki: dr hab. n. med. J. Niedzielski
² Division of Urology and Renal Transplantation, Oregon Health Sciences University, Portland, OR, USA
Kierownik Oddziału: prof. S. J. Skoog

keywords

testis hydrocele aspiration sclerotherapy tetracycline

summary

Objective. Reactive hydrocele being usually the result of testicle trauma,

inflammation or sequel to operative treatment of varicocele creates therapeutic

problem both in children and in adults. Authors present their experience with

non-operative treatment of reactive hydrocele in boys.

Material and method. The group of 36 boys, aged 14 to 18 years, with

hydrocele was analysed. In 30 patients (83.4%) hydrocele was the complication

of operative treatment of varicocele, in 3 boys was result of trauma and in 3

instances was considered idiopathic. All patients underwent treatment of

aspiration tetracycline sclerotherapy performed as an OPD procedure. Results

were evaluated in ultrasound examination.

Results. Complete regression of hydrocele was achieved in all 36 patients. In

20 cases (55%) one or two interventions were enough, while in 16 boys (46%)

procedure had to be repeated up to six times if necessary. The duration of therapy

was from 2 to 6 months (mean 3.7). Majority of patients (30/36) presented with

temporary vegetative symptoms such as weakness, nausea and abdominal pain.

Statistically significant positive correlation between hydrocele volume and

number of procedures performed in one patient was found (r = 0.45, p < 0.01).

Conclusion. Aspiration tetracycline sclerotherapy is in authors' opinion an

effective, safe and low cost method of non-operative treatment of reactive

hydrocele in boys.

references