Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, 430071, China.
Operating room, Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, 430071, China.
Sci Rep. 2019 Jun 24;9(1):9152. doi: 10.1038/s41598-019-45229-5.
This paper was aimed to introduce and compare outcomes of a novel "Su-Wang (S-W) technique" for endoscopic treatment of adult hydrocele with conventional open hydrocelectomy with "Jaboulay's (JA) procedure" regarding adverse events (AEs) and patient satisfaction. In the randomized controlled trial, adult males with primary hydroceles were prospectively assigned into S-W or JA group. We recorded perioperative data and postoperative AEs (incision length, recurrence, hematoma, wound infection and edema vanished time). Finally, a total of 42 adult patients underwent the S-W (n = 22) or JA (n = 20) procedure. Procedures were successfully completed for all 42 patients. No significant differences were found between the two groups regarding age, symptom duration, body mass index, and size of the hydrocele. The incision length was significantly shorter in the S-W group (1.00 ± 0.24 cm) than in the JA group (6.10 ± 1.46 cm). After 6 months' follow-up, complete data of 90.5% (38/42) were obtained. Severe AEs did not occur in any patient. Recurrence, hematoma, wound infection, edema vanished time values, and satisfaction in the S-W group were superior to those in the JA group. All patients in the S-W group were satisfied with this novel procedure, particularly due to the minimally invasive incision. In conclusion, the novel "S-W technique" for hydrocelectomy provided satisfactory cosmetic results with a 1-cm scrotal incision only. With the near-complete excision of the parietal TV, it resulted in no recurrence, fewer AEs, and rapid postoperative rehabilitation in comparison to the traditional "JA procedure." The endoscopic "S-W technique" may be a viable alternative for the surgical treatment of adult primary vaginal hydrocele.
本文旨在介绍和比较一种新的“苏-王（S-W）技术”与传统的开放式精囊积水切除术（Jaboulay 氏手术，JA）治疗成人鞘膜积液的结果，比较两种方法在不良事件（AEs）和患者满意度方面的差异。在这项随机对照试验中，前瞻性地将原发性鞘膜积液的成年男性患者分配到 S-W 或 JA 组。我们记录了围手术期数据和术后 AEs（切口长度、复发、血肿、伤口感染和水肿消失时间）。最终，共有 42 例成年患者接受了 S-W（n=22）或 JA（n=20）手术。所有 42 例患者均顺利完成手术。两组患者在年龄、症状持续时间、体重指数和鞘膜积液大小方面无显著差异。S-W 组的切口长度（1.00±0.24cm）明显短于 JA 组（6.10±1.46cm）。随访 6 个月后，获得了 90.5%（38/42）的完整数据。无严重不良事件发生。S-W 组的复发率、血肿、伤口感染、水肿消失时间和满意度均优于 JA 组。S-W 组所有患者均对这种新手术方法满意，特别是因为切口微创。总之，新型“SW 技术”治疗鞘膜积液仅采用 1cm 阴囊切口即可获得满意的美容效果。与传统的“JA 手术”相比，由于壁层 TV 的近乎完全切除，因此无复发，AEs 较少，术后康复较快。内镜下“SW 技术”可能是治疗成人原发性鞘膜积液的一种可行的手术替代方法。
