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[Modified scrotoscopic surgery for testicular hydrocele].

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第一作者： Tian-Hao,Feng

第一单位： Department of Urology, The Fourth Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 211800, China.

作者： Tian-Hao,Feng ^[1] ; Ai-Bing,Yao ^[1] ; Qi,Jiang ^[1] ; Xiao-Feng,Zhu ^[1] ; Yu,Xiong ^[1] ; Zhen-Qian,Song ^[1] ; Feng-Feng,Lu ^[1] ; Bin,Jiang ^[1] ; Zhi-Feng,Wei ^[1]

作者单位： Department of Urology, The Fourth Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 211800, China. ^[1]

关键词 Objective: To explore the application of modified scrotoscopic surgery (MSS) in the treatment of testicular hydrocele. Methods: We selected 45 cases of testicular hydrocele for this study, 22 treated by traditional scrotoscopic surgery (TSS) and the other 23 by MSS, which was performed with a pin-shaped electrode bent inward at an angle of 60° instead of a circular electrode used in TSS. We recorded the general clinical data, operation time, incision length, intraoperative injury, incision infection, scrotal edema, postoperative hospital stay and postoperative Visual Analogue Scale (VAS) scores of the patients and compared them between the two groups. Results: There was no statistically significant difference in the general clinical data between the two groups (P > 0.05). Compared with the patients of the TSS group, those of the MSS group showed significantly shorter operative time (［32.86 ± 3.80］ vs ［26.13 ± 2.81］ min, P<0.05), incision length (［14.09 ± 2.23］ vs ［8.73 ± 1.48］ mm, P<0.05) and postoperative hospital stay (［4.36 ± 1.05］ vs ［2.00 ± 0.90］ d, P<0.05), and achieved remarkably lower VAS scores on postoperative days 1 (4.41 ± 1.05 vs 3.09 ± 0.79, P<0.05), 2 (3.36 ± 1.05 vs 2.78 ± 1.13, P<0.05), 3 (2.65 ± 0.72 vs 1.74 ± 0.86, P<0.05) and 7 (1.91 ± 0.81 vs 1.04 ± 0.82, P<0.05). At 3 and 7 days after surgery, scrotal edema was markedly milder in the MSS than in the TSS group (P<0.05). No testicular or epididymal damage, or wound infection occurred in either of the two groups. Conclusion: MSS is safe and effective in the treatment of testicular hydrocele, superior to TSS for its advantages of shorter operation time, smaller surgical incision, less postoperative pain and milder scrotal edema.

医学主题词男(雄)性(Male);人类(Humans);睾丸鞘膜积液(Testicular Hydrocele);阴囊(Scrotum);成年人(Adult);治疗结果(Treatment Outcome);青年人(Young Adult);中年人(Middle Aged);青少年(Adolescent);泌尿外科手术, 男性(Urologic Surgical Procedures, Male)

PMID 40783855

发布时间 2025-08-10

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Zhonghua nan ke xue = National journal of andrology

2024年30卷10期

910-914页

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Zhonghua nan ke xue = National journal of andrology

2024年30卷10期

910-914页

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[Modified scrotoscopic surgery for testicular hydrocele].

Zhonghua nan ke xue = National journal of andrology

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Zhonghua nan ke xue = National journal of andrology

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[Modified scrotoscopic surgery for testicular hydrocele].

Zhonghua nan ke xue = National journal of andrology

相似文献

同项目论文

Zhonghua nan ke xue = National journal of andrology

相关期刊

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