Inguinal Versus Scrotal Approach in the Operative Treatment of Hydrocele

Abstract

A series of 99 patients with hydrocele is presented. Sixty-three were treated as outpatients between 1963 and 1965: 21 by puncture and aspiration and 42 by scrotal incision and removal of the hydrocele. A group of 36 patients operated upon as inpatients via the inguinal route in 1962 served as controls. The results showed puncture and aspiration followed by the injection of a sclerosing solution not to be recommendable. Outpatient operation by scrotal incision without drainage gave good results and the patients could be allowed home a few hours later. The dangers attending the scrotal approach were no greater than those carried by the inguinal route. Outpatient operation by scrotal incision is recommended.