Öz
Backround And Design.- We evaluated the success, complications and cost-effectiveness of aspiration and schlerotherapy in treatment of hydrocele. Between December 1998 and March 2001 we performed aspiration and schlerotherapy in 38 patients and 40 hydrocele cases. 16-18 canule was used for aspiration, then schlerosant agent (%3 sodium tetradecyl sulphate) mixed with saline and anesthesic drug was given through the same canule . Patients used prophilactic antibiotic after the procedure. We followed up the patients with physical examination 2, 6 months and yearly.
Results.- Mean patient age was 45,7 (17-72) years, follow up period was 31,9 (12,3-46,7) months and the measured mean aspirated hydrocele volume was 192,5 cc (50-520). We repated the tratment for 15 of 21 cases which recurrence was seen. 26 of 40 (%65) hydrocele aspiration was successful. The success rates for the aspirated volume below and above 150 cc were found %67,8 and %25,9 respectively, and statistically significant (chi square -p=0,02). In 2 patients postprocedure inguinal pain was controlled with NSAID and epydidymitis was diagnosed in 1 patient. In cytologic examination no malignant cells were present and positive cultures were noted in only 2 patients. Costs of hydrocelectomy, aspiraton -schlerotherapy and second procedure were 450 $, 80 $, and 30 $ respectively. The total cost in the schlerotherapy group: total cost of (first procedure + second procedure + failed cases (if surgery performed)) is (40 x 80 $) + (15 x 30 $) + (14 x 450 $) = 9950 $. This result which we found was 55,3 % of the total cost of 40 hydrocelectomies (40 x 450 $ = 18000 $).
Conclusıon.- Aspiration and schlerotherapy is the first choice of treatment because of its success, easily performability, low morbidity and cost-effectiveness.
Hidrosel tedavisinde sıklıkla uygulanan prosedür cerrahidir. ABD’de sigorta aracılığı ile 1995’de 10132 hidroselektomi vakası tespit edilmiş1. Her yaş grubunda cerrahi tedavinin uzun dönem sonuçları memnun edicidir. Fakat anestezi gereksinimi, postoperatif rahatsızlık ve normal aktiviteye dönüş zamanı hasta için önemlidir. Çok eski zamanlardan beri aspirasyon ve skleroterapi hidrosel tedavisinde uygulanan yöntem olup bu konuda çeşitli sonuçlar rapor edilmiştir.2,3 Biz hidrosel tedavisinde aspirasyon ve %3 sodyum tetradecyl sulfate ile skleroterapinin etkinlik, güvenlik ve maliyetini araştırdık.
* Anahtar Kelimeler: Skleroterapi, hidrosel, sodyum tetradecyl sulfate
* Key Words: Schlerotherapy, hydrocele, sodium tetradecyl sulphate
Anahtar Kelimeler
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Araştırmalar |
| Yazarlar | |
| Yayımlanma Tarihi | 27 Temmuz 2014 |
| Yayımlandığı Sayı | Yıl 2004 Cilt: 35 Sayı: 1 |