Department of Urology, Pusan National University Yangsan Hospital, Yangsan, Korea.
Department of Urology, Pusan National University School of Medicine, Yangsan, Korea.
J Korean Med Sci. 2023 Mar 13;38(10):e79. doi: 10.3346/jkms.2023.38.e79.
Hydrocele on the contralateral side after surgical repair is an uncommon condition compared to surgical site recurrence. Although there has been much research on metachronous contralateral inguinal hernia in children, metachronous contralateral hydrocele, which share a common pathology with inguinal hernias, has not yet been investigated. We have investigated the incidence and risk factors for metachronous contralateral occurrence of communicating and noncommunicating hydroceles in children younger than 8 years.
From January 2017 to June 2020, 302 children younger than 8 who were diagnosed with unilateral hydroceles were treated in our hospital without surgical exploration of contralateral hydrocele. The disease was classified into communicating and noncommunicating hydroceles. We divided patients into two groups according to the presence of metachronous contralateral hydrocele and analyzed the differences between the two groups.
Among 302 patients, the mean age was 36.4 ± 20.9 months. Metachronous contralateral hydrocele occurred in 15 (4.9%) patients as communicating hydroceles. Comparison between the two groups showed statistically significant differences in type of hydrocele ( = 0.047) at first diagnosis.
Clinically evident risk of metachronous contralateral hydrocele after unilateral hydrocelectomy was 4.9%. Despite the relatively low incidence rate, the risk of metachronous contralateral occurrence should always be consulted with parents before surgical treatment of hydroceles.
与手术部位复发相比，手术后对侧出现鞘膜积液是一种罕见的情况。尽管已经有很多关于儿童同期对侧腹股沟疝的研究，但与腹股沟疝具有共同病理的同期对侧交通性和非交通性鞘膜积液尚未得到研究。我们调查了 8 岁以下儿童交通性和非交通性鞘膜积液同期对侧发生的发生率和危险因素。
从 2017 年 1 月至 2020 年 6 月，我院收治了 302 例年龄小于 8 岁的单侧鞘膜积液患儿，未对对侧鞘膜积液进行手术探查。将疾病分为交通性和非交通性鞘膜积液。我们根据同期对侧鞘膜积液的存在将患者分为两组，并分析两组之间的差异。
302 例患者中，平均年龄为 36.4 ± 20.9 个月。15 例（4.9%）患者出现同期对侧交通性鞘膜积液。两组比较，首次诊断时鞘膜积液类型有统计学差异（ = 0.047）。
单侧鞘膜积液切除术后同期对侧发生鞘膜积液的临床明显风险为 4.9%。尽管发生率相对较低，但在对鞘膜积液进行手术治疗之前，应始终与家长讨论同期对侧发生的风险。
