- Lord's repair has lower rates of complication and postoperative hematoma than 2 other techniques for treating hydroceles: Jaboulay bottleneck and hydrocelectomy.
Why this matters
- Little research has been reported on cure rates and follow-up for patients undergoing different hydrocele treatment surgeries.
- Researchers studied the health records of patients who underwent surgeries for idiopathic hydrocele (N=276; Jaboulay repair, 26%; hydrocelectomy, 46%; Lord's repair, 28%), analyzing recurrence rates, complication rates, and other surgical data.
- Funding: None disclosed.
- 6% (18) of patients required repeat surgery for recurrence, regardless of technique.
- Hematoma, postoperative testalgia, infection, or other complications occurred in 32 (11.6%) patients.
- Both overall complication and hematoma rates were significantly lower in patients who underwent Lord's repair (P=.0016 and P=.023, respectively).
- The study was nonrandomized and retrospective.
- Patients who underwent Jaboulay repair had shorter follow-up.