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Review
. 2024 Jun;63(6):607-617.
doi: 10.1007/s00120-024-02367-7. Epub 2024 May 23.

[Hydrocele]

[Article in German]
S Filmar  1 , A J Gross  2 , S Hook  2 , C M Rosenbaum  2 , C Netsch  2 , B Becker  2
Affiliations
Review

[Hydrocele]

[Article in German]
S Filmar et al. Urologie. 2024 Jun.

Abstract
in English, German

The hydrocele is overall a rare condition in urology. A differentiation between primary and secondary hydrocele is essential for further treatment. A primary hydrocele with a patent vaginal process tends to spontaneously regress in the first 2 years of life in newborns. If treatment is necessary, open as well as laparoscopic methods are available with good results. The treatment of scrotal pathologies, especially secondary hydrocele, often poses a challenge in the clinical practice. Despite the benign nature, supposedly simple surgical techniques and good chances of healing, postoperative complications are frequent. In comparison to open surgery, sclerotherapy provides a good alternative for the treatment of secondary hydrocele.

Die Hydrozele ist insgesamt ein seltenes Krankheitsbild in der Urologie. Die Unterscheidung zwischen einer primären und einer sekundären Hydrozele ist unerlässlich für die weitere Therapie. Die primäre Hydrozele mit dem offenem Processus vaginalis neigt im Neugeborenenalter zur spontanen Rückbildung in den ersten beiden Lebensjahren. Sollte eine Behandlung notwendig sein, stehen offene sowie laparoskopische Methoden mit guten Ergebnissen zur Verfügung. Die Behandlung von skrotalen Pathologien insbesondere der sekundären Hydrozele stellt im klinischen Alltag häufig eine Herausforderung dar. Trotz der Benignität, vermeintlich einfacher Operationstechnik und guter Heilungschancen sind postoperative Komplikationen häufig. Zur offenen Operation bietet die Sklerosierungstherapie eine gute Alternative zur Behandlung der sekundären Hydrozele.

Keywords: Complications; Hydrocele; Sclerotherapy; Scrotal mass; Spermatocele.

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References

Literatur

    1. Hutson JM, Li R, Southwell BR et al (2015) Regulation of testicular descent. Pediatr Surg Int 31:317–325. https://doi.org/10.1007/s00383-015-3673-4 - DOI - PubMed
    1. Keeratibharat N, Chansangrat J (2022) Hydrocele of the Canal of Nuck: A Review. Cureus 14:e23757. https://doi.org/10.7759/cureus.23757 - DOI - PubMed - PMC
    1. Brainwood M, Beirne G, Fenech M (2020) Persistence of the processus vaginalis and its related disorders. Australas J Ultrasound Med 23:22–29. https://doi.org/10.1002/ajum.12195
    1. Ozdilek S (1957) The pathogenesis of idiopathic hydrocele and a simple operative technique. J Urol 77:282–284. https://doi.org/10.1016/s0022-5347(17)66554-6
    1. Palmer LS (2013) Hernias and Hydroceles. Pediatr Rev 34:457–464. https://doi.org/10.1542/pir.34-10-457 - DOI - PubMed