Surgical outcomes of isolated hydrocoeles and concurrent V-Y-Scrotoplasty for a compound penoscrotal fusion of under-5 years at Ho Teaching Hospital

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Abstract Purpose: Failure of reconstructive surgery and wound breakdown occur when scrotoplasty is combined with other multiple surgeries. Unfortunately, hydroceles are common whether isolated or associated with other conditions in penoscrotal malformations that may require surgical intervention during the reconstruction procedure. Method: We retrospectively reviewed the surgical outcome of under-five year old children with isolated hydrocoeles or in combination with other inguinoscrotal pathologies operated at the Ho Teaching Hospital over a 12-month period.The diagnoses, procedure performed, complications and days of hospital stay were analysed and descriptively presented. Results: Majority 17(85.0%) of the 20 patients reviewed were diagnosed with communicating and vaginal hydrocoele with surgeries been division of the patent processus or excision of tunica vaginalis respectively. Left-sided lesions were dominance for communicating hydrocoele. Hydrocoeles associated with undescended testes and the Penoscrotal fusion in 15.0% had orchidopexy and penoscrotal reconstruction. The frequent complication was wound infection. Conclusion: Wound infection was not a side effect against combine PSF reconstruction and hydrocoele operation however, it appeared to be more severe.

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