A comparison of preoperative and postoperative testicular volume and blood flow in patients with inguinal hernia, hydrocele, and cord cyst: A prospective cohort study

Ahmet Ali Tuncer, Tamer Peker, Mehtap Beker Acay, Didem Baskın Embleton, Salih Çetinkurşun

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. 

doi: https://doi.org/10.12669/pjms.332.12487

How to cite this:Tuncer AA, Peker T, Acar MB, Embleton DB, Cetinkursun S. A comparison of preoperative and postoperative testicular volume and blood flow in patients with inguinal hernia, hydrocele, and cord cyst: A prospective cohort study. Pak J Med Sci. 2017;33(2):363-368.   doi: https://doi.org/10.12669/pjms.332.12487

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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