To Evaluate the Outcome of Epididymal Cystectomy at Liaquat Medical College Hospital Jamshoro Pakistan
Zameer Husaain Laghari
Department of Surgery, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Sindh, Pakistan.
Qumber Laghari
Department of Surgery, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Sindh, Pakistan.
Ahsan Ali Laghari
Department of Surgery, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Sindh, Pakistan.
Ambreen Munir
Department of Surgery, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Sindh, Pakistan.
Sheeraz Ahmed Shaikh
Department of Surgery, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Sindh, Pakistan.
Faiza Hameed
Department of Surgery, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Sindh, Pakistan.
Arslan Ahmer *
Institute of Pharmaceutical Sciences, People’s University of Medical and Health Sciences for Women (PUMHSW), Nawabshah, Sindh, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Epididymal cystectomy is the procedure in which removal of cyst attached to epididymis is done. The cyst contains cleat/straw colored fluid. It is excised because of its increasing size causing discomfort or pain to patient.
Methodology: A Cross sectional observational study was conducted at Surgical Unit 1, Department of of Surgery LMC Hospital Jamshoro from January 2020 to January 2021. All the patients were admitted through Surgical OPD (SOPD) with cystic swellings in scrotum. History and clinical examination of inguino-scrotal region was done. Transillimination test was also done. Ultrasound was obtained to confirm the diagnosis, number of cysts, sizes and site of cyst. Hydrocele, spermatocele and testicular malignancies were ruled out through investigations. Surgery was planned after getting cardiac and anesthesia fitness. The surgery was done. Patients were shifted to ward and assessed for 3 to 5 days. Patient was called for follow up for 6 months. Results were analyzed using statistical package for social sciences (SPSS) version 23.
Results: Total patients included in our study are 49.32 (65%) patients had solitary cyst and 17 (35%) had multiple cysts. 30 (61.2%) patients had left sided epididymal cysts and 19 (38.7%) had right sided cysts. Hematoma was developed by 6.1%, chronic pain by 12.2%, infection by 8.1%, scrotal edema by 10.2% and recurrence by 6.1% patients.
Conclusion: Epididymal cystectomy is the procedure with better outcome and least complications rate.
Keywords: Epididymis, hematoma, infection, recurrence, scrotal edema