Abstract
Hydrocelectomy remains the most common treatment modality in the management of idiopathic hydrocoele. Aspiration and Sclerotherapy for hydroceles has gained increasing acceptance owing to its less-invasiveness and improved treatment outcomes almost par with surgery.
Objective: This study demonstrated the use of 10% Povidone Iodine for sclerotherapy as a safe and effective treatment option in the management of idiopathic hydroceles in adults.
Methods: This study was quasi-experimental in nature. Non-septated idiopathic hydroceles diagnosed at Vicente Sotto Memorial Medical Center Uro- OPD from October 1, 2014 - September 30, 2015, underwent hydrocele aspiration and sclerotherapy with 10% Povidone Iodine. Follow-up data were collected at 1, 4 and 8 weeks respectively. Patients with noted decrease in scrotal size, improved physical symptoms and minimal persistence (<30cc) of hydrocele fluid per scrotal ultrasound at 8 weeks were regarded as successful cases.
Results: A total of 20 patients presenting with 24 hydroceles underwent Aspiration and Scleroptherapy with Povidone Iodine. Twenty-one (87.5%) were successfully treated after a single procedure, and 3 (12.5%) eventually had hydrocelectomy. Mean aspirate volume of the success group is 249 cc versus 710 cc in the failure group. All of the patients reported no experience of pain/ discomfort during and immediately after the procedure. One patient followed up with a hematoma which spontaneously resolved at the 4th day post procedure.
Conclusion: The use of 10% Povidone Iodine is effective and safe sclerosing agent for aspiration and sclerotherapy of Idiopathic hydrocoeles. We report a success rate of 87% thus, using Povidone Iodine sclerotherapy for idiopathic hydroceles can be a practical, effective, safe and minimally invasive treatment alternative.