title: [Treatment of hydrocele by a general surgeon practicing in a rural resource-poor setting in Africa].
abstract: Hydrocele in adults is a collection of peritesticular fluid between the parietal and visceral layers of the tunica vaginalis testis. An endemic disease in Africa, its cause is either idiopathic or a reaction to filariasis. In the absence of treatment, its volume increases spontaneously. The onset of symptoms justifies treatment. In tropical zones, surgery is the most effective treatment. The technique must be simple to perform, require few resources, and limit the risks of complication. Three surgical techniques should be used. In resource-poor practice conditions, fenestration and, to a lesser extent, plication are the techniques most appropriate when the tunica vaginalis is essentially healthy. Only resection is possible when it is damaged.
authors.affiliation: Service de chirurgie urologique, HIA Val-de-Grâce, Paris, Service de chirurgie urologique, HIA Sainte-Anne, BP 600, 83800 Toulon Cedex 09.
authors.forename: P
authors.initials: P
authors.lastname: Chiron
authors.affiliation: Service de chirurgie urologique, HIA Sainte-Anne, BP 600, 83800 Toulon Cedex 09.
authors.forename: N
authors.initials: N
authors.lastname: Amadane
authors.affiliation: Service de chirurgie viscérale, HIA Percy, Clamart.
authors.forename: S
authors.initials: S
authors.lastname: Bonnet
authors.affiliation: Service de chirurgie urologique, HIA Sainte-Anne, BP 600, 83800 Toulon Cedex 09.
authors.forename: J
authors.initials: J
authors.lastname: Laroche
authors.affiliation: Service de chirurgie urologique, HIA Sainte-Anne, BP 600, 83800 Toulon Cedex 09.
authors.forename: R
authors.initials: R
authors.lastname: Fournier
authors.affiliation: Service de chirurgie urologique, HIA Sainte-Anne, BP 600, 83800 Toulon Cedex 09.
authors.forename: P-H
authors.initials: PH
authors.lastname: Savoie
mesh_terms: D000349:Africa; D013502:General Surgery; D006801:Humans; D008297:Male; D011203:Poverty; D019035:Rural Health Services; D006848:Testicular Hydrocele / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods
keywords: Africa; fenestration; hydrocele; isolated area; plication; resection