Abstract
Skleroterapinin hidrosel tedavisindeki etkinlik ve emniyetini değerlendirmek amacıyla, 30 hidrosel olgusunda prospektif, randomizeserum fizyolojik kontrollü bir çalısma yapıldı.
-Hidroselde yas faktörti göz önüne alnmaksızın, mayi miktarınınderecesine bah olarak 250-500 mg. tetrasiklin skleroterapisi uygulanılmıştır. Mayi miktarının çok, kavitenin büyük olduğu olgularda tetrasiklin miktarının da artırılması gereği ortaya çıkmıştır.Ntiksti önleyici en ideal işlem, hidrosel mayisinin tam aspirasyonu ve enjekte edilen tetrasiklinin yayılmasını sağlayıcı manüplatif hareketlerin yapılması olarak gözükmektedir. it grupta % 90 başarı oranı sağlanırken, kontrol grubu olgularımın da eklenilmesi ile bu başarı oranı % 93.4 oranına yükselmistir. Elde ettigimiz sonuglar bize, tetrasiklin skleroterapisinin hidrosel tedavisinde herhangi bir seleksiyon yapılmaksızın uygulanabileceğini ve özellikle cerrahiye uygun olmayan vakalarda olmak üzere etkili, emniyetli, ekonomik ve pratik bir yöntem olduğunu göstermistir,
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Supporting Institution
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References
- 1. Bodker, A., Sommer, W., Andersen, J.T., Kristensen, J.K.: Treatment of hydrocele of the testis with aspiration and injection of Tetracycline. Br. J. Urol, 57 :192-93, 1985.
- 2. Bullock, N., Thurston, A.V. : Tetracycline sclerotherapy for hydroceles and epididymal cysts. Br. J. Urol., 59 : 340-42, 1987.
- 3. Hellestrém, P., Malinen, L., Kontturi, M. : Sclerotherapy for hydroceles and epididymal cysts with ethanolamine oleate. Ann. Chir, Gynaec. 75 : 51, 1986.
- 4. Levine, A.L., DeWolf, W.C. : Aspiration and Tetracycline sclerotherapy of hydroceles. J. Urol., 139 : 959-60, 1988.
- 5. Macfarlane, J.R. : Sclerosant therapy for hydroceles and epididymal cysts. Br. J. Urol, 55 : 81-82, 1983.
- 6. Maloney, G.E. : Comparison of results of treatment of hydroceles and epididymal cysts by surgery and injection. Br. Med. J., 3 ; 478, 1975.
- 7. Nash, J.R.: Sclerotherapy for hydrocele and epididymal cysts : A five year study. Br. Med. J., 288 : 1652, 1984.
- 8. Ning hU,K., Khan, A.8., Gonder, M. : Sclerotherapy with Tetracycline solution for hydrocele. Urology., 24 : (6) 572-76, 1984.
- 9. Rubinson, R.M., Bolooki, H. : Intrapleural Tetracycline for control of malignanpleural effusions. : A preliminary report. South. Med. J., 65 : 847, 1972.
- 10. Thomson, H., Odell, M. : Sclerosant treatment for hydroceles and epididymal cysts. Br. Med. J., 2 : 704, 1979.
Abstract
A prospective, randomized, serum saline controlled study to evaluate the safety and efficiency of sclerotherapy for hydroceles on 30 patients has been done.Regardless of the age of patients, 250-500 mg. tetracycline sclerotherapy was applied according to the amount of aspirated fluid. Greater dose of tetracycline was used for larger hydrocels. In order to avoid recurrence, following the aspiration, tetracycline was injected by the same route and has been spread all through the cavity. In the study group the success rate was found to be 90 %. When evaluated together with the control group it was increased to 93.4 %. The results of this study indicate that, without patient selection, tetracycline sclerotherapy for hydroceles is economic, practical, safe and efficient. Especially in patients who are not suitable to surgery.
Keywords
Supporting Institution
-
Project Number
-
Thanks
-
References
- 1. Bodker, A., Sommer, W., Andersen, J.T., Kristensen, J.K.: Treatment of hydrocele of the testis with aspiration and injection of Tetracycline. Br. J. Urol, 57 :192-93, 1985.
- 2. Bullock, N., Thurston, A.V. : Tetracycline sclerotherapy for hydroceles and epididymal cysts. Br. J. Urol., 59 : 340-42, 1987.
- 3. Hellestrém, P., Malinen, L., Kontturi, M. : Sclerotherapy for hydroceles and epididymal cysts with ethanolamine oleate. Ann. Chir, Gynaec. 75 : 51, 1986.
- 4. Levine, A.L., DeWolf, W.C. : Aspiration and Tetracycline sclerotherapy of hydroceles. J. Urol., 139 : 959-60, 1988.
- 5. Macfarlane, J.R. : Sclerosant therapy for hydroceles and epididymal cysts. Br. J. Urol, 55 : 81-82, 1983.
- 6. Maloney, G.E. : Comparison of results of treatment of hydroceles and epididymal cysts by surgery and injection. Br. Med. J., 3 ; 478, 1975.
- 7. Nash, J.R.: Sclerotherapy for hydrocele and epididymal cysts : A five year study. Br. Med. J., 288 : 1652, 1984.
- 8. Ning hU,K., Khan, A.8., Gonder, M. : Sclerotherapy with Tetracycline solution for hydrocele. Urology., 24 : (6) 572-76, 1984.
- 9. Rubinson, R.M., Bolooki, H. : Intrapleural Tetracycline for control of malignanpleural effusions. : A preliminary report. South. Med. J., 65 : 847, 1972.
- 10. Thomson, H., Odell, M. : Sclerosant treatment for hydroceles and epididymal cysts. Br. Med. J., 2 : 704, 1979.
Details
| Primary Language | English |
|---|---|
| Subjects | Urology |
| Journal Section | Articles |
| Authors | |
| Project Number | - |
| Publication Date | March 31, 1990 |
| Published in Issue | Year 1990 Volume: 43 Issue: 1 |
