Results of fibrin glue application therapy in testicular hydrocele.

Abstract:

:Nine patients, mean age 55 years, with testicular hydroceles, were treated by aspiration and two-component fibrin glue injection. One patient was treated twice. The glue contains 70-110 mg fibrinogen and 500 IU human thrombin in 0.5- and 2-ml injections, respectively (Tisseel duo quick, Immune AB). The smaller glue volume was used in 4 cases and the larger volume in 6 cases. The average volume of hydrocele fluid was 77 (range 60-120) ml. Treatment caused no pain or discomfort other than puncture of the skin and no pain-relieving medication was required afterwards. In this series there were no infections but one conservatively treated hematoma. The hydrocele of that patient disappeared. Although the hydroceles recurred in 9 cases during the mean follow-up of 3.5 months, in 2 patients the hydroceles were clinically smaller than the original one and symptoms were milder subjectively. Our findings suggest that fibrin-adhesive glue is not sufficiently effective in treatment of testicular hydroceles.

journal_name

Eur Urol

journal_title

European urology

authors

Sirpa A,Martti AO

doi

10.1159/000019641

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

497-9

issue

5

eissn

0302-2838

issn

1873-7560

pii

eur33497

journal_volume

33

pub_type

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