Ministry of Health Ankara Teaching and Research Hospital, Clinic of 1st Urology, 1.Sigorta Blokları 10/1, Oran, Ankara, Turkey.
Int Urol Nephrol. 2011 Mar;43(1):55-9. doi: 10.1007/s11255-010-9752-5. Epub 2010 May 21.
To compare outcomes of endoscopic treatment of hydrocele with conventional open hydrocelectomy regarding complications and patient satisfaction.
Patients with clinically significant hydroceles were prospectively enrolled into two treatment groups. Groups 1 and 2 consisted of patients who underwent endoscopic (n = 27) and open surgical treatments (n = 27), respectively. Outcome measures were perioperative and postoperative complications and recurrence rates.
Hydrocele recurred in the first two cases in Group 1 during the initial phase of the learning curve of the technique. No recurrence was encountered in Group 2. As a complication, moderate to severe edema occurred in 4 cases in the endoscopic group. In the open surgery group, significant edema and hematoma occurred in 8 and 2 cases, respectively. On the first and tenth postoperative days, endoscopic procedure was found more cosmetically acceptable and covered a more comfortable convalescence period when compared to open surgical group (P < 0.05). In Groups 1 and 2, 88 and 70% of the patients, respectively, declared that they would recommend this procedure to their friends (P < 0.05).
Endoscopic method is a viable option in the treatment of hydrocele. Outstanding feature of the endoscopic method is an earlier achievement of a better cosmetic outcome and a comfortable postoperative period when compared with the conventional treatment.
比较内镜治疗与传统开放手术治疗鞘膜积液的并发症和患者满意度。
前瞻性地将有临床意义的鞘膜积液患者纳入两组治疗组。第 1 组和第 2 组分别由接受内镜（n=27）和开放手术治疗（n=27）的患者组成。评估指标包括围手术期和术后并发症以及复发率。
在该技术学习曲线的初始阶段，第 1 组的前两例中鞘膜积液复发。第 2 组未发生复发。内镜组有 4 例出现中度至重度水肿，作为并发症。在开放手术组中，分别有 8 例和 2 例出现明显水肿和血肿。在术后第 1 天和第 10 天，与开放手术组相比，内镜组在美容方面更具吸引力，且恢复期更舒适（P<0.05）。第 1 组和第 2 组分别有 88%和 70%的患者表示会向朋友推荐该手术（P<0.05）。
内镜治疗是鞘膜积液的一种可行选择。与传统治疗相比，内镜治疗的突出特点是更早地获得更好的美容效果和更舒适的术后恢复期。
