Aspiration and tetracycline sclerotherapy of primary vaginal hydrocoele of testis in adults.
BACKGROUND
Primary Vaginal Hydrocoele of Testis is a common condition which is primarily treated surgically. Many patients with Hydrocoele of testis are either not willing or are unfit for surgery. This study was done to know the safety, efficacy and out come of tetracycline induced sclerotherapy of Primary Vaginal Hydrocoele of Testis in adults.


METHODS
This quasi experimental study was done in Shahina Jamil Hospital, attached with Frontier Medical College and Ayub Teaching Hospital, Abbottabad from March 2006 to April, 2007. Thirty-seven patients with primary vaginal hydrocoele were included in the study. Aspiration and instillation of Tetracycline was done after spermatic cord block with 2% lignocaine. Procedure time, Peri and Post-procedure complications, number of injections for cure and patients' satisfaction with the procedure were recorded. Patients were discharged home 3 to 4 hours after the procedure and followed up after one week, one month, three months and six months. Direct admission and re-admissions were recorded.


RESULTS
The mean age of patients was 47 years. Mean procedure time was 45 minutes. All patients were cured. Mild postoprocedure pain occurred in 12 (40%), moderate pain in 14 (46%) patients and severe pain in 4 (13.3%) patients. No patient developed haematoma or local infection. One patient (3.3%) had micturition problem. Two (6.6%) patients had minimal recurrence. One injection was sufficient for cure in all patients. 28 (93%) patients were satisfied while 2 (6.6%) patients were not satisfied with this procedure. No patient was admitted in the hospital after the procedure.


CONCLUSIONS
Aspiration and injection of tetracycline in Primary vaginal Hydrocoele of Testis in adults is safe, effective and very economical procedure.
Ali
Johar
J
Department of Surgery, Frontier Medical College, Abbottabad, Pakistan. dr_johar_ali@yahoo.com
Anwar
Waqas
W
Akbar
Mohammad
M
Akbar
Syed Ali
SA
Zafar
Arshad
A
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011500:Protein Synthesis Inhibitors / Q000627:therapeutic use*; D015911:Sclerotherapy / Q000379:methods*; D013396:Suction; D006848:Testicular Hydrocele / Q000503:physiopathology / Q000628:therapy*; D013737:Testis / Q000000981:diagnostic imaging; D013752:Tetracycline / Q000627:therapeutic use*; D014463:Ultrasonography
D000900:Anti-Bacterial Agents; D011500:Protein Synthesis Inhibitors; D013752:Tetracycline