A comparison of preoperative and postoperative testicular volume and blood flow in patients with inguinal hernia, hydrocele, and cord cyst: A prospective cohort study | [Pakistan Journal of Medical Sciences • 2017]

Author(s):

1. Ahmet Ali Tuncer: Department of Pediatric Surgery, Afyon Kocatepe University, Medical Faculty, Afyonkarahisar, Turkey.

2. Tamer Peker: Department of Pediatric Surgery, Afyon Kocatepe University, Medical Faculty, Afyonkarahisar, Turkey.

3. Mehtap Beker Acay: Department of Pediatric Surgery, Afyon Kocatepe University, Medical Faculty, Afyonkarahisar, Turkey.

4. Didem Baskin Embleton: Department of Pediatric Surgery, Afyon Kocatepe University, Medical Faculty, Afyonkarahisar, Turkey.

5. Salih Cetinkursun: Department of Pediatric Surgery, Afyon Kocatepe University, Medical Faculty, Afyonkarahisar, Turkey.

Abstract:

Objective: To evaluate the effect of inguinal operations performed with a modified Ferguson technique upon testicular volume and blood flow. Methods: This study involved 23 children receiving surgery for inguinal hernia, hydrocele, and cord cyst. This was a prospective study performed between April 2016 and June 2016 in a medical faculty pediatric surgery unit. The color Doppler ultrasound (CDUS) was used to assess testicular volume and blood flow before and after a modified Ferguson technique surgery. The pre- and post operative testicular volume and blood flow were compared with the contralateral testes. SPSS software was used to statistically analyze the data arising; the Mann-Whitney U test and Friedman test were used to compare samples, and P<0.05 was accepted as statistically significant. Results: Preoperative and postoperative testicular volumes were not statistically different when compared to contralateral testes. In patients with right sided inguinal pathology, testicular blood flow on the right side was significantly lower than that on the left side (P=0.023). The testicular blood flow was not statistically different compared with the contralateral testes during the first week evaluation and first month evaluation. The blood flow, probably reduced due to the pressure caused by inguinal pathology, was normalized through surgery. Conclusions: The modified Ferguson technique do not change the testes volume and blood flow .

Page(s): 363-368

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 33, Issue: 2, Year: 2017

Keywords:

Children , Inguinal hernia , Testis , Doppler ultrasonography

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