Aspects épidemiologiques et thérapeutiques des hydrocèles vaginales au centre hospitalier régional de Dapaong (Togo)

Conclusion l’hydrocèle vaginale est une pathologie fréquente en zone tropicale et nécessite une prise en charge chirurgicale. La réduction de son incidence dans nos milieux passera par une éradication des filarioses lymphatiques. Objectives To describe the epidemiology and the treatment of vaginal hydrocele in a filarial endemic area. Patients and methods This was a retrospective descriptive study of patients admitted and treated in the General Surgery Service of the Regional Hospital of Dapaong (Togo) for hydrocele, diagnosed on clinical and paraclinical evidence. Results One hundred and nineteen patients were operated over six years and represented 54% of the activity in urologic surgery. Among them, 19.3% were under fifteen years old and had the hydrocele since childhood, while the average disease duration was 9 years in adults. Hydrocele was bilateral in 15% of patients. Removal of the peritoneo-vaginal canal was accomplished in all patients under fifteen years and hydrocelectomy using the technique of Bergmann was conducted in adult patients. There was no mortality and the morbidity was 11%, mainly parietal suppuration and scrotal hematoma. Conclusion Vaginal hydrocele is a frequent pathology in the tropics and requires surgical management. Reducing its impact in our communities can be accomplished through eradication of lymphatic filariasis.
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research