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107
19–22 APRIL, 2017, BARCELONA, SPAIN
RESULTS
Median age at referral was 18 months [1.5-62]. 10 patients (71.4%) had associated medical co-
morbidities. 6 (43%) had airway/respiratory co-morbidities with potential to complicate anaesthesia.
5 (35.7%) had pre-operative US to confirm diagnosis. 3 (21%) with bilateral undescended testes
received pre-operative HCG. 10 patients (17 testes) underwent orchidopexy at a median age
of 33 [18-61] months. 2 with impalpable testis underwent 2-stage orchidopexy. 3 with bilateral
undescended testis had bilateral orchidopexy performed as a single procedure. 5 had unilateral
orchidopexies. 1
st
follow-up review was undertaken at 2.7 [1.5-16] months. There were no early
(<30 days) complications. Total follow-up 1.3 [0.6-3.7] years. 3 out of 17 operated testes (18%)
atrophied at 13, 14 & 32 months.
CONCLUSIONS
Early orchidopexy in PWS results in high rate of loss of testis and associated medical co-morbidities
pose a challenge to anaesthesia in infancy. As fertility potential and testosterone production is
unlikely to benefit from early orchidopexy surgery should be postponed to later childhood but under-
taken before weight gain and behavioural issues of adolescence become significant.
S9-12 (P without presentation)
THE COMPARISON OF HIGH LIGATION ONLY VERSUS HIGH
LIGATION WITH HYDROCELECTOMY IN THE PEDIATRIC
HYDROCELE: IS HYDROCELECTOMY NECESSARY
IN PEDIATRIC HYDROCELE?
Ji Yong HA, Teak Jun SHIN, Won Ho JUNG, Byung Hoon KIM, Choal Hee PARK and Chun Il KIM
Keimyung University School of Medicine, Department of Urology, Daegu, REPUBLIC OF KOREA
PURPOSE
We reviewed the outcomes of hydrocele repair to assess the necessity of hydrocelectomy.
MATERIAL AND METHODS
A total of 77 boys received hydrocele repairs from March 2014 to June 2016. The patients were
divided into 2 groups. Group 1 consisted of 22 patients who underwent high ligation with hydrocelec-
tomy or unroofing via inguinal incision. Group 2 included 55 patients who received laparoscopic high
ligation with or without scrotal aspiration. The surgical complication or recurrence were assessed
between the groups. Patient visitations were arranged at 1 week, 1 month, 1 year after surgery.
RESULTS
The mean operative time was 25 and 14 min for group 1 and group 2, respectively. Median follow-up
period was 16 months (6-26 months) in group1, 14 months (2-25 months) in group 2. No postopera-
tive hydrocele recurrence was observed in group 1. Two patents in group 2 experienced recurrence
due to incomplete enclosing of internal inguinal ring. Seven children had postoperative scrotal
swelling or hematoma in group1. No complication happened in group 2. Of the group 2, 3 cases
had no patent processus vaginalis (PPV) identified at laparoscopy and of them 2 were converted to
open surgery through a scrotal incision, 1 was just aspirated.