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West Indian med. j ; 42(1): 24-6, Mar. 1993.
Artigo | MedCarib | ID: med-15841


Two hundred and seventy one cases of inguinal hernias and hydrocoels in children treated at the University Hospital of the West Indies over a five-year period have been reviewed. The dominance of the boys and the right side is borne out. The younger infant has the highest risk of incarceration which is more common in boys and in right-sided hernias. Females with inguinal hernias were screened for testiculaar feminization and none was found. There were three girls with hydeocoels of the Canal of Nuck. The incidence of metachronous presentations of contralateral hernia occurred only in 6.6 percent of cases. When routine explorartion of the contralateral side was undertaken in 5.2 percent of cases, a hernia sac was found only in less than half of them. These findings support the present policy of not routinely exploring the opposite side in unilateral inguinal hernias. Herniotomy was adequate for 92.6 percent of cases. Herniorrhaphy was seen in only one case. One testicular atrophy occurred following incarceration. Eighty-six per cent of these children were managed as day cases. Inpatient management was required when the hernia was complicated or when there were associated other medical conditions. (AU)

Humanos , Lactente , Pré-Escolar , Criança , Masculino , Feminino , Hérnia Inguinal/cirurgia , Hidrocele Testicular/cirurgia , Estudos Retrospectivos , Fatores Sexuais , Hérnia Inguinal/complicações
West Indian med. j ; 34(suppl): 57, 1985.
Artigo em Inglês | MedCarib | ID: med-6654


Hydrocoele, a common problem in Guyana, is regarded as mainly of nuisance value. We therefore investigated the effects of hydrocoele on seminal fluid analyses of patients (20-48 yrs) who had bilateral hydrocoele for 6 months to eight years. Three separate preoperative masturbation specimens were collected into glass jars and analysed within one hour from eight patients. Similar specimens were analysed within 3 months and after 3 months of Lord's repair of their hydrocoeles. The quantity of fluid at operation was measured. In five patients where each sac contained more than 100 ml (125-825 ml), the sperm count was consistently less than 20 million/ml and motility was less than 50 percent. The lowest counts and motility were seen in patients with long-standing hydrocoeles. In three patients, one of the two sacs contained less than 25 ml. The sperm count averaged 70 million/ml and motility was approximately 60 percent. Cross seminal fluid volume was similar in the two groups. Seminal analysis returned to preoperative or improved levels within 3 months. These findings suggest that hydrocoele is a potential cause of infertility and that early operation may preserve spermatogenesis (AU)

Humanos , Masculino , Adulto , Pessoa de Meia-Idade , Hidrocele Testicular/complicações , Espermatogênese , Guiana