Pediatrics(구연) (NP-015)

음낭수종절제술을 시행받은 소아들에 있어 초음파로 측정한 수술 시행 전, 후의 음낭 크기의 비교
전남대학교병원 비뇨의학과.
송재익, 이호연, 김재현, 임도경, 김태희, 은성종, 오주용, 유성현, 김명수, 정호석, 유호송, 오경진, 김선옥, 정승일, 강택원, 권동득, 박광성
Purpose: The purpose of this study is to investigate whether there is an association between hydroceles and testicular volume in boys. We prospectively evaluated the volume of testes using ultrasound before and after hydrocelectomy, and compared these data with normative values.
Methods: This prospective study was conducted on 312 boys who presented to the Chonnam National University Hospital with hydrocele and underwent hydrocelectomy during the period from May 2011 to December 2016. Comparison was made between preoperative and postoperative testis volume measured by ultrasonography.
Results: Mean operation time and hospital stay day was 72.48 ± 16.42 min and 4.13 day. Among them, the number of communicating hydrocele was 244 (78.21%), non-communicating hydrocele was 46 (14.74%) and hydrocele of cord was 22 (7.05%). Mean follow up period was 3.58 months, post-operative complication rate was 5.43%. There was significant increase in mean testicular volume after hydrocelectomy, especially before the age of 3 years old compared to the boys older than 3 years old.
Conclusions: This study shows that there is an association between hydroceles and testicular volume in boys. Clinicians should be aware that there is a chance to increase of testicular volume after hydrocelectomy when surgical correction was made before 3 years old.

keywords : Hydrocelectomy, Testis volume, Age

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