PMID- 31235709
OWN - NLM
STAT- MEDLINE
DCOM- 20201023
LR  - 20210109
IS  - 2045-2322 (Electronic)
IS  - 2045-2322 (Linking)
VI  - 9
IP  - 1
DP  - 2019 Jun 24
TI  - A comparison of a novel endoscopic "Su-Wang technique" with the open "Jaboulay's 
      procedure" for the surgical treatment of adult primary vaginal hydrocele.
PG  - 9152
LID - 10.1038/s41598-019-45229-5 [doi]
LID - 9152
AB  - This paper was aimed to introduce and compare outcomes of a novel "Su-Wang (S-W) 
      technique" for endoscopic treatment of adult hydrocele with conventional open 
      hydrocelectomy with "Jaboulay's (JA) procedure" regarding adverse events (AEs) 
      and patient satisfaction. In the randomized controlled trial, adult males with 
      primary hydroceles were prospectively assigned into S-W or JA group. We recorded 
      perioperative data and postoperative AEs (incision length, recurrence, hematoma, 
      wound infection and edema vanished time). Finally, a total of 42 adult patients 
      underwent the S-W (n = 22) or JA (n = 20) procedure. Procedures were successfully 
      completed for all 42 patients. No significant differences were found between the 
      two groups regarding age, symptom duration, body mass index, and size of the 
      hydrocele. The incision length was significantly shorter in the S-W group 
      (1.00 +/- 0.24 cm) than in the JA group (6.10 +/- 1.46 cm). After 6 months' 
      follow-up, complete data of 90.5% (38/42) were obtained. Severe AEs did not occur 
      in any patient. Recurrence, hematoma, wound infection, edema vanished time 
      values, and satisfaction in the S-W group were superior to those in the JA group. 
      All patients in the S-W group were satisfied with this novel procedure, 
      particularly due to the minimally invasive incision. In conclusion, the novel 
      "S-W technique" for hydrocelectomy provided satisfactory cosmetic results with a 
      1-cm scrotal incision only. With the near-complete excision of the parietal TV, 
      it resulted in no recurrence, fewer AEs, and rapid postoperative rehabilitation 
      in comparison to the traditional "JA procedure." The endoscopic "S-W technique" 
      may be a viable alternative for the surgical treatment of adult primary vaginal 
      hydrocele.
FAU - Lei, Junhao
AU  - Lei J
AD  - Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan University, 
      Wuhan, 430071, China.
FAU - Luo, Chunhua
AU  - Luo C
AD  - Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan University, 
      Wuhan, 430071, China.
AD  - Operating room, Department of Urology, Zhongnan Hospital of Wuhan University, 
      Wuhan University, Wuhan, 430071, China.
FAU - Zhang, Yangyang
AU  - Zhang Y
AD  - Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan University, 
      Wuhan, 430071, China.
FAU - Guo, Yuming
AU  - Guo Y
AD  - Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan University, 
      Wuhan, 430071, China.
FAU - Su, Xinjun
AU  - Su X
AD  - Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan University, 
      Wuhan, 430071, China. 13697326659@139.com.
FAU - Wang, Xinghuan
AU  - Wang X
AD  - Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan University, 
      Wuhan, 430071, China. wangxinghuan@whu.edu.cn.
AD  - Center for Evidence-based and Translational Medicine, Wuhan University, Wuhan, 
      430071, China. wangxinghuan@whu.edu.cn.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20190624
PL  - England
TA  - Sci Rep
JT  - Scientific reports
JID - 101563288
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Endoscopy/*instrumentation
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Testicular Hydrocele/*surgery
PMC - PMC6591509
COIS- The authors declare no competing interests.
EDAT- 2019/06/27 06:00
MHDA- 2020/10/24 06:00
PMCR- 2019/06/24
CRDT- 2019/06/26 06:00
PHST- 2018/10/05 00:00 [received]
PHST- 2019/05/30 00:00 [accepted]
PHST- 2019/06/26 06:00 [entrez]
PHST- 2019/06/27 06:00 [pubmed]
PHST- 2020/10/24 06:00 [medline]
PHST- 2019/06/24 00:00 [pmc-release]
AID - 10.1038/s41598-019-45229-5 [pii]
AID - 45229 [pii]
AID - 10.1038/s41598-019-45229-5 [doi]
PST - epublish
SO  - Sci Rep. 2019 Jun 24;9(1):9152. doi: 10.1038/s41598-019-45229-5.