Lord's repair bests 2 other hydrocele treatment techniques

  • Tsai L & al.
  • Urology
  • 12 Dec 2018

  • curated by Craig Hicks
  • Clinical Essentials
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Takeaway

  • 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.

Study design

  • 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.

Key results

  • 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).

Limitations

  • The study was nonrandomized and retrospective.
  • Patients who underwent Jaboulay repair had shorter follow-up.

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