The outcomes of conservative management and the natural history of asymptomatic hydroceles in children.
Pediatr Surg Int
; 36(10): 1189-1195, 2020 Oct.
Article
en En
| MEDLINE
| ID: mdl-32700002
ABSTRACT
PURPOSE:
To elucidate the natural history of asymptomatic hydroceles (AHs) in children with conservative management and to discuss management strategies for AHs in children.METHODS:
We retrospectively reviewed 113 children with AHs who were followed without immediate surgery. Patients were divided into four groups according to age at presentation; group 1 ≤ 1 month, group 2 1-12 months, group 3 12-24 months, and group 4 > 24 months. Ages at spontaneous resolution or surgery were reviewed. To assess the effect of AH on the testis, testicular size before and after conservative management was compared in 11 cases.RESULTS:
In groups 1, 2, 3, and 4, spontaneous resolution occurred in 94.3%, 75.0%, 65.0%, and 33.3%, and the average time to resolution from presentation was 5, 5, 17, and 9 months, respectively. 41 patients underwent surgery at a mean age of 4.2 years. The testicular size did not differ significantly between before and after conservative management (14.4 vs. 14.5 mm, p = 0.483).CONCLUSION:
About one-third of children over 2 years of age achieve spontaneous resolution. Hydroceles with conservative management may not affect the testicular size. Thus, initial conservative management before surgery is recommend for AHs in children, even over 2 years of age.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Enfermedades Asintomáticas
/
Tratamiento Conservador
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Hidrocele Testicular
Tipo de estudio:
Observational_studies
Límite:
Child
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Child, preschool
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Humans
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Male
Idioma:
En
Año:
2020
Tipo del documento:
Article