[Sclerotherapy of idiopatic hydrocele with polidocanol: a study about 190 cases].

Abstract

AIM:

To evaluate the efficacy and side-effects of Polidocanol used as sclerosing agent for testicular hydrocele.

METHODS:

One hundred and ninety men, with a median age of 55,9 years (40-89), treated for idiopatic hydrocele were assessed. After puncture and aspiration, the empty sac was instilled with 3% Polidocanol. We recorded recurrence, complications and associated pain on a visual analogue scale.

RESULTS:

With a median follow-up of 19 months, The cure rate of hydroceles after one sclerotherapy session was 62,1%, and the overall cure rate using the procedure was 82,6%. Re-instillation was done for recurrences in 41% of patients. Polidocanol therapy was almost pain-free. A low rate of complications was observed.

CONCLUSION:

Polidocanol is a useful sclerosing agent for treating testicular hydrocele. Due to its ease of administration, low frequency of complications, high rate of effectiveness, and excellent tolerability; we recommend sclerotherapy with polidocanol as the primary treatment for hydroceles.

• Authors: Sataa Sallami, Mohamed Yassine Binous, Sami Ben Rhouma, Mohamed Chelif, Mohamed Hmidi, Yasssine Nouira, Nawfel Ben Rais, Ali Horchani
• Journal: La Tunisie medicale (Tunis Med) Vol. 89 Issue 5 Pg. 440-4 (May 2011) ISSN: 0041-4131 [Print] Tunisia
• Vernacular Title: La sclérothérapie au polidocanol dans le traitement des hydrocèles vaginales idiopathiques : Etude à propos de 190 cas.
• PMID: 21557180 (Publication Type: Clinical Trial, Journal Article)

Chemical References

• Sclerosing Solutions
• Polidocanol
• Polyethylene Glycols

Topics

• Adult
• Aged
• Aged, 80 and over
• Cohort Studies
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Polidocanol
• Polyethylene Glycols (adverse effects, therapeutic use)
• Sclerosing Solutions (adverse effects, therapeutic use)
• Sclerotherapy (adverse effects, methods)
• Testicular Hydrocele (drug therapy)
• Treatment Outcome