title: [Treatment of hydrocele with evacuation and percutaneous sclerosis with polidocanol].
abstract: Twenty male patients aged 26-79 years old, with symptomatic unilateral hydrocele, were treated by evacuation puncture and intracavitary instillation of 2 ml of a 3% polydocanol solution. In 13 cases, treatment was done ambulatory and only in the first few cases sperm cord anaesthetics was used. Regular follow-up of at least 6 months was made. No complications were encountered and only one third of patients complained of mild pain. In 12 cases (60%) hydrocele cure was achieved and 6 relapsed (another 2 were lost to follow-up). Testes ultrasound performed 1 month later showed that 4 patients had non-symptomatic multicystic relapse, which disappeared spontaneously within 6 months in three cases. The advantages of this substance in hydrocele non-surgical treatment versus other therapies used until now are reviewed, concluding by recommending other groups to test it clinically.
authors.affiliation: Servicio de Urología, Fundación Puigvert, Barcelona.
authors.forename: L A
authors.initials: LA
authors.lastname: Fariña
authors.forename: H
authors.initials: H
authors.lastname: Villavicencio
mesh_terms: D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D006801:Humans; D007322:Instillation, Drug; D008297:Male; D008875:Middle Aged; D000077423:Polidocanol; D011092:Polyethylene Glycols / Q000627:therapeutic use*; D011677:Punctures; D012597:Sclerosing Solutions / Q000627:therapeutic use*; D015911:Sclerotherapy / Q000379:methods; D006848:Testicular Hydrocele / Q000628:therapy*
chemical_list: D012597:Sclerosing Solutions; D000077423:Polidocanol; D011092:Polyethylene Glycols
vernacular_title: Tratamiento del hidrocele mediante evacuación y esclerosis percutánea con polidocanol.