©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 26, 2019; 7(6): 727-733
Published online Mar 26, 2019. doi: 10.12998/wjcc.v7.i6.727
Published online Mar 26, 2019. doi: 10.12998/wjcc.v7.i6.727
Individualized minimally invasive treatment for adult testicular hydrocele: A pilot study
Le Lin, Huai-Shan Hong, Tao Li, Qing-Guo Zhu, Lie-Fu Ye, Yong-Bao Wei, Shengli Clinical Medical College of Fujian Medical University, Fuzhou 350001, Fujian Province, China
Le Lin, Huai-Shan Hong, Tao Li, Qing-Guo Zhu, Lie-Fu Ye, Yong-Bao Wei, Department of Urology, Fujian Provincial Hospital, Fuzhou 350001, Fujian Province, China
Yun-Liang Gao, Jin-Rui Yang, Department of Urology, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China
Author contributions: All authors helped to perform the research; Lin L and Hong HS drafted the manuscript; Gao YL and Ye LF reviewed the published articles and analyzed the data; Yang JR and Zhu QG performed the surgeries and participated in the case diagnosis and follow-up; Li T and Wei YB sponsored the study; all authors read and approved the final manuscript.
Supported by the Joint Funds for Innovation of Science and Technology , Fujian Province, No. 2017Y9064 .
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Fujian Provincial Hospital (No. K2018-12-010).
Informed consent statement: Written informed consent was obtained from all of the patients.
Conflict-of-interest statement: The authors have stated that they have no conflicts of interest.
Corresponding author: Yong-Bao Wei, MD, Attending Doctor, Shengli Clinical Medical College of Fujian Medical University; Department of Urology, Fujian Provincial Hospital, No. 134, Dong Street, Fuzhou 350001, Fujian Province, China. weiyb2008@163.com
Telephone: +86-591-88217270 Fax: +86-591-88217270
Received: January 14, 2019
Peer-review started: January 15, 2019
First decision: January 26, 2019
Revised: February 2, 2019
Accepted: February 26, 2019
Article in press: February 26, 2019
Published online: March 26, 2019
Processing time: 71 Days and 23.9 Hours
Peer-review started: January 15, 2019
First decision: January 26, 2019
Revised: February 2, 2019
Accepted: February 26, 2019
Article in press: February 26, 2019
Published online: March 26, 2019
Processing time: 71 Days and 23.9 Hours
Core Tip
Core tip: Hydrocelectomy, the gold standard for the treatment of hydrocele, often causes complications. We report a minimally invasive technique for individualized treatment of testicular hydrocele. We retrospectively analyzed the records of 52 adult patients with idiopathic hydrocele who underwent this procedure. The extent of tunica vaginalis sheath resection was based on the maximum hydrocele diameter (d) by ultrasound, with the maximum diameter of the resected portion estimated as πd/2. Only a 2-cm incision was required, through which part of the sheath was pulled, separated, and removed. All patients were successfully treated within a short time and with few complications.