Okorie Chukwudi O, Pisters Louis L, Liu Ping
Pan African Academy of Christian Surgeons at Banso Baptist Hospital, Department of Surgery, Box 9, Kumbo, NWP, Cameroon, Kenya.
Niger Med J. 2011 Jul;52(3):173-6. doi: 10.4103/0300-1652.86130.
Longstanding hydrocele is very common among adult Black Africans. Preoperative scrotal ultrasound is widely used for adult patients presenting with hydrocele, with the main aim to rule out more serious underlying pathologies like malignancy or testicular torsion. This paper analyzes the findings and the necessity of automatic ordering of scrotal ultrasound in cases of longstanding hydrocele in adult Black Africans.
102 consecutive patients with longstanding scrotal hydrocele were investigated clinically and all patients also had routine preoperative scrotal ultrasound.
Overall, none of our patients had any serious underlying pathology associated with their hydrocele. 97% of the patients had simple hydrocele on ultrasound. Hydrocele is more common on the right (P=0.04) and is more bilateral in elderly patients (P=0.0002).
Routine preoperative scrotal ultrasound does not seem to be justified in longstanding hydroceles. This is especially important considering the fact that most hydroceles are benign in origin and nature.
长期存在的鞘膜积液在成年非洲黑人中非常常见。术前阴囊超声广泛应用于出现鞘膜积液的成年患者，主要目的是排除更严重的潜在病变，如恶性肿瘤或睾丸扭转。本文分析了成年非洲黑人长期鞘膜积液病例中阴囊超声自动订购的结果及必要性。
对102例连续的长期阴囊鞘膜积液患者进行了临床研究，所有患者均进行了术前常规阴囊超声检查。
总体而言，我们的患者中没有任何与鞘膜积液相关的严重潜在病变。97%的患者超声检查显示为单纯性鞘膜积液。鞘膜积液在右侧更常见（P=0.04），在老年患者中双侧发病更为常见（P=0.0002）。
对于长期鞘膜积液，术前常规阴囊超声检查似乎并无必要。考虑到大多数鞘膜积液本质上是良性的，这一点尤为重要。
