PRIMARY VAGINAL HYDROCELE;

Background: A hydrocele is a fluid - filled sac surrounding a testis that resultsin the swelling of scrotum. They can develop due to inflammation or injury within the scrotum.Objective: This study aimed to evaluate the efficacy and adaptation of different surgicalprocedures in the repair of hydrocele. Study design: Comparative, Retrospective study .Placeand duration of Study: The study was conducted at Fauji Foundation Hospital Karachi , Al-TibriMedical College, Karachi and Civil Hospital Karachi from January, 2000 to December, 2013.Patients and methods: Patients with primary vaginal hydrocele registered during the periodof thirteen years in the out patient department of surgery were selected. A total of 300 patientswere assessed clinically, diagnostically and radiologically about the status of hydrocele beforethe surgical procedures and anesthetic opinion. The different surgical technique were carriedout in different group of patients asJaboulay’s technique in 70 patients, Lord’s procedure in 70patients, Aspiration and Sclerotherapy in 05 patients, Window operation technique in 05 patientsand the Hydrocelectomyby supra pubic procedure were carried out in 150 patients out of total300 registered patients. The data collected and analyzed statistically in SPSS version 19.00.Results: The different procedures have been adopted surgically in patients with primary vaginalhydrocele. The results showed that among the different operative techniques adopted, the bestprocedure regarding hydrocelectomy is the supra pubic approach line of treatment. It showedbetter result and recovery with very minimum complications and side effects as compared toother surgical procedure. Conclusions: The data thus concluded that hydrocelectomy donevia supra pubic approach in number of patients proved to be the best procedure because ofhaving very little complications.