title: Does incision of the tunica vaginalis during the Palomo procedure prevent post-operative hydrocele?
abstract: OBJECTIVE
  To assess whether incision of the tunica vaginalis of the ipsilateral testis during the Palomo procedure affects the incidence of post-operative hydrocele.
  
  
  METHODS
  Forty-two patients with varicocele were treated between 1992 and 1996, all undergoing the Palomo procedure. In 15 patients, incision of the tunica vaginalis of the ipsilateral testis was performed with the Palomo procedure, to prevent the formation of hydrocele. All patients were followed at regular intervals, for 3 months to 4 years.
  
  
  RESULTS
  Of 27 patients who underwent the Palomo procedure alone, four developed post-operative hydrocele requiring operation. None of those who underwent incision of the tunica vaginalis with the Palomo procedure developed a hydrocele. The duration of hospital stay was the same in both groups (mean 2.5 days). During the follow-up, there was no difference in the size of the testes, as assessed with the Prader orchidometer, between the two groups.
  
  
  CONCLUSIONS
  Incision of the tunica vaginalis of the ipsilateral testis in addition to the Palomo procedure prevents the development of post-operative hydrocele and causes no adverse sequelae.
authors.affiliation: Department of Paediatric Surgery, Hippokration General Hospital, Thessaloniki, Greece.
authors.forename: G K
authors.initials: GK
authors.lastname: Tsikopoulos
authors.forename: X S
authors.initials: XS
authors.lastname: Roussis
authors.forename: J
authors.initials: J
authors.lastname: Georgakis
authors.forename: G
authors.initials: G
authors.lastname: Papouis
authors.forename: G J
authors.initials: GJ
authors.lastname: Tryfonas
mesh_terms: D000293:Adolescent; D002648:Child; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control*; D006848:Testicular Hydrocele / Q000517:prevention & control*; D013737:Testis / Q000601:surgery*; D014646:Varicocele / Q000601:surgery*