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Epidemiology of hyd...
Epidemiology of hydrocele and spermatocele; incidence, treatment and complications
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- Lundström, Karl-Johan (author)
- Umeå universitet,Urologi och andrologi,Umea Univ, Inst Surg & Perioperat Sci, Umea, Sweden
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- Söderstrom, Lars (author)
- Östersund Hosp, Unit Res Educ & Dev, S-83183 Östersund, Sweden
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- Jernow, Henning (author)
- NU Hosp Grp, Trollhättan, Sweden
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- Stattin, Pär (author)
- Uppsala universitet,Umeå universitet,Urologi och andrologi,Department of Surgical Sciences, Uppsala University, Uppsala, Sweden,Urologkirurgi,Umeå Univ, Inst Surg & Perioperat Sci, Umeå, Sweden;Uppsala Univ, Dept Surg Sci, Uppsala, Sweden
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- Nordin, Pär (author)
- Umeå Univ, Inst Surg & Perioperat Sci, Umeå, Sweden
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(creator_code:org_t)
- 2019-04-16
- 2019
- English.
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In: Scandinavian journal of urology. - : Taylor & Francis. - 2168-1805 .- 2168-1813. ; 53:2-3, s. 134-138
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Objectives: To estimate the incidence of men seeking specialized care and receiving treatment for hydro or spermatocele complaints. Also, to determine the risk of complications of treatment.Materials and methods: The total number of men living in Sweden each year from 2005 to 2014 was used to calculate incidence and age distribution of adult (≥18 years) men seeking specialized healthcare with either hydro or spermatocele. This was done by using nationwide registries, mandatory by law. They contain information on primary or discharge diagnosis, procedure codes and antibiotic prescriptions. Also, complication rates comparing aspiration (with or without sclerotherapy) and conventional surgery were analysed.Results: The incidence of men with either hydro or spermatocele diagnosis in specialized healthcare was ∼100/100,000 men. The treatment incidence was 17/100,000 men. Orchiectomy was used as primary treatment in 2.4% of cases. The risk of experiencing a complication was clinically and statistically significantly increased with conventional surgery as compared with aspiration, 17.5% (1607/9174) vs 4.6% (181/3920), corresponding to relative risk of 3.79 (95% CI = 3.27–4.40). Hematoma and infections were the most common complications.Conclusion: Hydro and spermatoceles are common, affecting elderly men. Aspiration seems advantageous with respect to complications and can be recommended due to the benign course of the disease. The indication for conventional surgery might be questioned such as the use of orchiectomy as primary treatment.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
Keyword
- Testicular hydrocele
- spermatocele
- incidence
- postoperative complications
Publication and Content Type
- ref (subject category)
- art (subject category)
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