Tetracycline sclerotherapy for testicular hydroceles in renal transplant recipients.
OBJECTIVE
To study the efficacy of tetracycline sclerotherapy in renal transplant recipients with symptomatic hydroceles.


METHODS
A total of 21 patients with symptomatic hydroceles following renal transplantation underwent aspiration of hydrocele and injection of tetracycline hydrochloride. Sclerosant solution was prepared by dissolving 1 g tetracycline hydrochloride powder in 10 mL 1% lidocaine. The amount of sclerosant used depended on the volume of the sac: 5 mL for a sac containing up to 100 mL and 2.5 mL of sclerosant was added for each increase of 100 mL in sac volume.


RESULTS
Twelve patients (57%) required only one treatment and 9 patients (43%) had up to 3 injections. The larger the hydrocele, the more treatments were required. The resolution of hydrocele was complete in 12 patients (57%) and partial in 7 (33%) with 2 (10%) failures. Pain at injection was observed in one third of the patients. No major complications (fever, hematoma, infections, abscess, or scrotal necrosis) occurred in any patient. No changes in the structure or size of the testicles were found by ultrasound during an average follow-up period of 35 months.


CONCLUSIONS
Tetracycline sclerotherapy is a safe, effective, and economical form of out-patient therapy that can be recommended as primary treatment for hydroceles in patients who have undergone renal transplantation.
Shokeir
A A
AA
Urology and Nephrology Center, Mansoura University, Egypt.
Eraky
I
I
Hassan
N
N
Wafa
E W
EW
Mohsen
T
T
Ghoneim
M A
MA
D000293:Adolescent; D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D015552:Injections, Intralesional; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D015911:Sclerotherapy; D013396:Suction; D006848:Testicular Hydrocele / Q000209:etiology / Q000628:therapy*; D013752:Tetracycline / Q000627:therapeutic use*
D013752:Tetracycline