Surgical Management of a Giant Hydrocele of the Vagina in Adult
- 1 General and Digestive Surgery Department, Bouaké Hospital and University Center, Bouaké, Côte d’Ivoire
- 2 General and Digestive Surgery Department, Bouaké Hospital and University Center, Bouaké, Côte d’Ivoire
- 3 General and Digestive Surgery Department, Bouaké Hospital and University Center, Bouaké, Côte d’Ivoire
- 4 General and Digestive Surgery Department, Yopougon Hospital and University Center, Yopougon, Côte d’Ivoire
- 5 General and Digestive Surgery Department, Bouaké Hospital and University Center, Bouaké, Côte d’Ivoire
- 6 General and Digestive Surgery Department, Bouaké Hospital and University Center, Bouaké, Côte d’Ivoire
- 7 General and Digestive Surgery Department, Bouaké Hospital and University Center, Bouaké, Côte d’Ivoire
- 8 General and Digestive Surgery Department, Bouaké Hospital and University Center, Bouaké, Côte d’Ivoire
- 9 General and Digestive Surgery Department, Bouaké Hospital and University Center, Bouaké, Côte d’Ivoire
- 10 General and Digestive Surgery Department, Bouaké Hospital and University Center, Bouaké, Côte d’Ivoire
- 11 General and Digestive Surgery Department, Yopougon Hospital and University Center, Yopougon, Côte d’Ivoire
- 12 General and Digestive Surgery Department, Bouaké Hospital and University Center, Bouaké, Côte d’Ivoire
- 13 General and Digestive Surgery Department, Bouaké Hospital and University Center, Bouaké, Côte d’Ivoire
Abstract
Introduction: Vaginal hydrocele is an amber-colored, sterile collection found between the parietal and visceral testis. It is said to be giant when it is larger than the patient’s skull or when it contains more than two liters of liquid. Objective: To report our method and the result of the surgical treatment. Observation: The authors reported an observation of a 50-year-old patient who consulted for a painless large left bursa. Clinical and paraclinical investigations, in particular scrotal ultrasound, have made it possible to diagnose a giant hydrocele of the vagina. The patient had surgical treatment which consisted of resecting of the vagina with hemostatic suture of the resected vaginal slice. The post-operation effects were not complicated. After a six-month setup, we did not notice any recurrence. Conclusion: Resection of the vagina with hemostatic suture of the resected vaginal slice in case of giant hydrocele could certainly give good results.
- Blandey, P.J. (1984-1986) Lecture Notes on Urology: Testicle and Seminal Test. 3rd Edition, 279.
- Falandry, L. and M’Pouho-Apouba, L. (1993) La fenêtre vaginale dans la cure des hydrocèles idiopathiques de l’adulte: Un procédé simple et fiable. Medecine d’Afrique Noire, 40, 620-622.
- Hirano, S., Kawaguchi, S., Mikawa, I., Motoi, I. and Masuda, S. (1991) Giant Hydrocele: Two Cases Reports. Hinyokikakiyo, 37, 195-198.
- Akpo, E.E. (2005) Giant Hydrocele—An Epitome of Neglect. African Health Sciences, 5, 343-344.
- Aubert, J., Irani, J. and Vigouroux, V. (1993) Hydrocèle vaginale idiopathique. Cure par injection sclérosante de minocycline. Progrès en Urologie, 3, 205-208.
- Ku, H.J., Kim, M.E., Lee, N.K. and Park, Y.H. (2001) The Excisional Placation and Internal Drainage Techniques: A Comparison of the Results for Idiopathic Hydrocele. BJU International, 87, 82-84. https://doi.org/10.1046/j.1464-410x.2001.00022.x
- Ahorlua, C.K., Dunyo, S.K., Asamoah, G. and Simonsen, P.E. (2001) Consequences of Hydrocele and the Benefits of Hydrocelectomy: A Qualitative Study in Lymphatic Filariasis Endemic Communities on the Coast of Ghana. Acta Tropica, 80, 215-221. https://doi.org/10.1016/S0001-706X(01)00159-0
- Agbakwuru, E.A., Salako, A.A., Olajide, A.O., Takure, A.O. and Eziyi, A.K. (2008) Hydrocelectomy under Local Anesthesia in a Nigerian Adult Population. African Health Sciences, 8, 160-162.
- Shan, C.J., Lucon, A.M. and Arap, S. (2003) Comparative Study of Sclerotherapy with Phenol and Surgical Treatment for Hydrocele. Journal of Urology, 169, 1056-1059. https://doi.org/10.1097/01.ju.0000052680.03705.40
- Lord, P.H. and Bloodless, A. (1964) Operation for the Radical Cure of Idiopathic Hydrocele. British Journal of Surgery, 51, 914-916. https://doi.org/10.1002/bjs.1800511212
- Chiron, P., Amadane, N., Bonnet, S., Laroche, J., Fournier, R. and Savoie, P.-H. (2014) Cure d’hydrocèle par un chirurgien généraliste en poste isolé en Afrique. Médecine et Santé Tropicales, 24, 32-38. https://doi.org/10.1684/mst.2014.0286
- Cariou, G. (2000) Traitement chirurgical de l’hydrocèle vaginale. Journal de Chirurgie, 137, 342-344.
- Kidoo, A.D., Wollin, T.A. and Mador, D.R. (2004) A Population Based Assessment of Complications Following Outpatient Hydrocelectomy and Spermatocelectomy. Journal of Urology, 171, 746-748. https://doi.org/10.1097/01.ju.0000103636.61790.43