title: [Differential indications in hydrocele operations - a contribution to prophylaxis for recurrent hydrocele].
abstract: BACKGROUND
  In the operative treatment of idiopathic hydroceles the available techniques are frequently not selected as indicated according to the different expansions of hydroceles but rather the accustomed procedures are used.
  
  
  METHODS
  In a retrospective analysis the methods and complications of hydrocele operations were evaluated.
  
  
  RESULTS
  From 1988 to 2008 195  hydroceles in 191  patients were operated upon: 22 (11.3 %) by eversion (according to Jaboulay), 27 (13.8 %) by resection (according to von Bergmann) and 146 (74.9 %) by a combination of resection and eversion (according to Kocher) of the tunica vaginalis communis. In 14 (7.2 %) patients the operation was indicated by a recurrent hydrocele, either after an eversion alone (n = 7) or after an insufficient resection (n = 7) of the tunica vaginalis communis. As complications of the operation an abscess occurred in 4 (21 %) cases, a haematoma in 5 (2.6 %) cases and a combination of both had to be reoperated in 2 (1.0 %) cases.
  
  
  CONCLUSIONS
  In order to prevent recurrent hydroceles the available methods for the operative treatment of idiopathic hydrocele should be selected according to the different expansions of the hydroceles and as such consequently executed.
authors.affiliation: Klinik und Poliklinik für Urologie, Universitätsklinikum Bonn.
authors.forename: M K
authors.initials: MK
authors.lastname: Laaser
authors.forename: V
authors.initials: V
authors.lastname: Lent
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005104:Expert Testimony / Q000331:legislation & jurisprudence; D006406:Hematoma / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008318:Malpractice / Q000331:legislation & jurisprudence; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control* / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D055502:Secondary Prevention; D013530:Surgical Wound Infection / Q000209:etiology / Q000601:surgery; D006848:Testicular Hydrocele / Q000517:prevention & control* / Q000601:surgery*; D055815:Young Adult