Komunikan Hidroseli Olan Yenidoğanlarda Cerrahi Gerekliliğini Öngörebilir miyiz?: Prospektif Kohort Çalışma

Abstract

Objective: To determine the predictive factors for surgery need, non-resolution and development of hernia, in neonates with communicating hydrocele. Material and Methods: All newborn babies were examined. Patients who were diagnosed as having a communicating hydrocele by physical examination and ultrasonography (being able to squeeze or press fluid from the scrotum back into the abdomen) were included in the study. Resolution was accepted as no presence of swelling on physical examination and ultrasonography and on medical history in the last 3 months. Patients whose hydrocele did not disappear until at least one year of age or developed inguinal hernia were operated. Hydroceles were divided into three groups 20 cc according to size. Results: Fifty-seven patients and 89 hydroceles were included in the final analysis. Of that 89, 24 (27%) hydroceles were operated, 10 (11.2%) of them due to hernia, and 14 (15.8%) no resolution. The surgical requirement was 2.25 times higher in the unilateral cases than bilateral ones (p=0.017). Surgery need was 2.2 times higher in the right side than left (p=0.04); 12 times higher in the >20 cc and 4.3 times higher in the 10-20 cc than 20 cc) is an important risk factor for hernia development.