You have accessJournal of UrologyPediatrics: Testis & Varicoceles, Stones1 Apr 2015MP40-17 INCIDENCE AND RISK FACTORS OF RECURRENCE AFTER HYDROCELE REPAIR IN CHILDREN Jae Min Chung, Ja Yoon Ku, Ho Kyung Seo, Jeong Zoo Lee, Moon Kee Chung, and Sang Don Lee Jae Min ChungJae Min Chung More articles by this author , Ja Yoon KuJa Yoon Ku More articles by this author , Ho Kyung SeoHo Kyung Seo More articles by this author , Jeong Zoo LeeJeong Zoo Lee More articles by this author , Moon Kee ChungMoon Kee Chung More articles by this author , and Sang Don LeeSang Don Lee More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1199AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The purpose of this study is to evaluate the incidence and risk factors of hydrocele recurrence after repair in children. METHODS Between December 2008 and April 2014, 347 children were treated for hydrocele at a single institution and were included in the present study. All patients were followed from 1.1 to 66.2 months (average, 29.3 ± 17.7 months) and were divided into two groups: group I (no recurrence, n = 338) and group II (recurrence, n = 9). Clinical data including age, hydrocele location, incision method, patent process vaginalis, epididymis form and hydrocele wall thickness were collected retrospectively through chart review. RESULTS Average patient age was 49.4 ± 42.7 months. The recurrence rate of hydrocele was 2.6%, and the average time to recurrence was 17.2 ± 8.0months. Among total patients 167 patients (48.1%) were associated with patent process vaginalis. In Pearson correlation coefficient analysis, parameters including age, location, patent process vaginalis, epididymis form, and hydrocele wall thickness demonstrated no significant correlation with recurrence, but incision method exhibited a significant relationship with recurrence (p = 0.011). In multivariate analysis, incision method was the only significant factor related to hydrocele recurrence (odds ratio [OR], 9.847; p = 0.039). However, hydrocele wall thickness showed a tendency toward correlation with hydrocele recurrence (OR, 0.242; p = 0.096). CONCLUSIONS Patients that underwent scrotal incision and had thicker hydrocelewalls had a higher likelihood of recurrence after hydrocele repair. Half of the patients had patent process vaginalis. Thus, we recommend the inguinal incision approach for hydrocele repair in children. Table 1. Demographic characteristics Parameter Group I (n=338) Group I (n=9) p-value Age (months) 49.8±43.1 36.6±20.1 0.360 Location of hydrocele 0.729 Both 13 (3.8%) 0 Rt. 216 (63.9%) 7 (77.8%) Lt. 109 (32.2%) 2 (22.2%) Incision method 0.011 Inguinal 215 (63.6%) 2 (22.2%) Scrotal 123 (36.4%) 7 (77.8%) Patent processvaginalis 0.116 Present 165 (48.8%) 2 (22.2%) Absent 173 (51.2%) 7 (77.8%) Epididymis form 0.442 Abnormal 45 (13.3%) 2 (22.2%) Normal 293 (86.7%) 7 (77.8%) Hydrocele wall thickness 0.721 Abnormal 243 (71.9%) 6 (66.7%) Normal 95 (28.1%) 3 (33.3%) Table 2. Multivariate analysis of risk factors predicting recurrence after hydrocele repair Risk factor OR (95% CI) p-value Age 0.979 (0.945-1.014) 0.234 Incision site 9.847 (1.125-86.193) 0.039 Epididymis form 1.953 (0.355-10.734) 0.441 Patent process vaginalis 1.089 (0.133-8.923) 0.937 Hydrocele wall thickness 0.242 (0.046-1.283) 0.096 © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e469-e470 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jae Min Chung More articles by this author Ja Yoon Ku More articles by this author Ho Kyung Seo More articles by this author Jeong Zoo Lee More articles by this author Moon Kee Chung More articles by this author Sang Don Lee More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...