A Comparative study between Inguinal Approach of Hydrocele and Scrotal Approach of Hydrocele in Government Kilpauk Medical College and Hospital

BACKGROUND: Hydrocele is common cause of painless scrotal swelling worldwide. AIMS OF THE STUDY: 1. To study difference between two approaches of hydrocele surgeries. 2. Complications associated with two approaches of surgeries. 3. Effective wound healing rate. METHODS: Hydrocele is a common cause of painless scrotal swelling world wide. The study was carried out with the aim of comparing inguinal approach of Hydrocele surgery with scrotal approach of Hydrocele surgery. 100 patients were enrolled in the study from the period of SEP 2018 to SEP 2019 and were randomly selected for inguinal and scrotal approach (n=50). They were compared on the basis of Post operative time, length of hospital stay, time to return of activity, post operative complications. RESULTS: Patients aged range from 20 to 35 years of age (28.42+-4.06) in inguinal approach and 21 to 35 years of age (29.7+-3.6) in scrotal approach. Operative time in scrotal approach was less and associated with increased post operative complications (pain and scrotal oedema being common), longer hospital stay compared with inguinal approach. In inguinal approach marginally longer hospital stay, less Post operative complications, lesser duration of hospital stay and early return of daily life activities. CONCLUSIONS: Hydrocele surgery by inguinal approach is a better alternative to scrotal approach in idiopathic primary Hydrocele