Current practice regarding timing of patent processus vaginalis ligation for idiopathic hydrocele in young boys: a survey of UK surgeons
Current practice regarding timing of patent processus vaginalis ligation for idiopathic hydrocele in young boys: a survey of UK surgeons
Purpose: The aim of this study was to determine the current UK practice regarding timing of surgical repair of hydroceles in young boys.
Methods: Through a validated, online survey, participants were asked their preferred management option in five different clinical scenarios across five age ranges.
Results: 71 responses were included in the analysis. The most common age to offer surgical intervention for a congenital hydrocele that is stable or increasing in size, or a hydrocele of the cord is 24-36 months. For a stable hydrocele presenting after 12 months of age, the most common age to offer repair is between 36 and 48 months. Approximately ¼ of respondents defer surgery until 4 years of age for any stable hydrocele. For a congenital hydrocele that is decreasing in size, the majority of respondents (57%) do not offer surgical intervention even over 4 years of age. The majority of respondents (61%) do not differentiate between communicating and non-communicating hydroceles when considering age for repair.
Conclusion: These results suggest that there is uncertainty regarding the optimum age for PPV ligation and adequate underlying variability in practice to support a prospective study of the optimum age for hydrocele repair and the natural history of PPV closure.
hydrocele; patent processus vaginalis ligation
Jobson, Matthew
d803a2a5-662e-4804-b692-906f58b8bab1
Hall, Nigel
6919e8af-3890-42c1-98a7-c110791957cf
Jobson, Matthew
d803a2a5-662e-4804-b692-906f58b8bab1
Hall, Nigel
6919e8af-3890-42c1-98a7-c110791957cf
Jobson, Matthew and Hall, Nigel
(2017)
Current practice regarding timing of patent processus vaginalis ligation for idiopathic hydrocele in young boys: a survey of UK surgeons.
Pediatric Surgery International.
(doi:10.1007/s00383-017-4085-4).
Abstract
Purpose: The aim of this study was to determine the current UK practice regarding timing of surgical repair of hydroceles in young boys.
Methods: Through a validated, online survey, participants were asked their preferred management option in five different clinical scenarios across five age ranges.
Results: 71 responses were included in the analysis. The most common age to offer surgical intervention for a congenital hydrocele that is stable or increasing in size, or a hydrocele of the cord is 24-36 months. For a stable hydrocele presenting after 12 months of age, the most common age to offer repair is between 36 and 48 months. Approximately ¼ of respondents defer surgery until 4 years of age for any stable hydrocele. For a congenital hydrocele that is decreasing in size, the majority of respondents (57%) do not offer surgical intervention even over 4 years of age. The majority of respondents (61%) do not differentiate between communicating and non-communicating hydroceles when considering age for repair.
Conclusion: These results suggest that there is uncertainty regarding the optimum age for PPV ligation and adequate underlying variability in practice to support a prospective study of the optimum age for hydrocele repair and the natural history of PPV closure.
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Jobson Manuscript for PSI_R1
- Accepted Manuscript
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art_10.1007_s00383-017-4085-4
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Accepted/In Press date: 5 April 2017
e-pub ahead of print date: 19 April 2017
Keywords:
hydrocele; patent processus vaginalis ligation
Organisations:
Human Development & Health
Identifiers
Local EPrints ID: 407785
URI: http://eprints.soton.ac.uk/id/eprint/407785
ISSN: 0179-0358
PURE UUID: 391be057-2ab0-4a33-be5c-3a9a3aa91bb7
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Date deposited: 26 Apr 2017 01:06
Last modified: 16 Mar 2024 05:15
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Author:
Matthew Jobson
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