A clinical study of analysis of cystic swellings of the scrotum

BACKGROUND AND OBJECTIVES: 1. To study various types of clinical presentation of cystic swelling of scrotum. 2. To find out the commonest cause of Cystic swelling of scrotum. 3. Different treatment modalities adopted. 4. Outcome of the Treatment. PATIENTS AND METHODS: Between April 2014 and April 2015 about 60 patients with cystic swelling of scrotum admitted in surgical unit of Tirunelveli Medical College and Govt. Hospital, Tirunelveli were taken up for study, and various surgical techniques like eversion, plication, subtotal/partial excision and eversion of sac was adopted. RESULTS: Primary vaginal hydrocele (70%) is the commonest cause of cystic swelling of scrotum, followed by secondary hydrocele (10%) and epididymal cyst (3%), incidence was more in age group of 21-30years (31%), most of them were coolie by occupation (38%), side wise, Right side the incidence was higher. Haematoma and infection was seen in cases where eversion and partial/subtotal excision of sac was done; In Lords procedure none of them developed haematoma or infection, flattening of testis was seen in 5 cases of primary vaginal hydrocele. CONCLUSION: Lord’s Plication for hydrocele is simple, effective, safe and economical; could be done as a day care surgery. In eversion of sac and partial/subtotal exicision and eversion of sac heamatoma formation and infection is common; but still it is the choice of operation for large hydrocele and in thickened sac