Practice Variation in the Management of Adult Hydroceles: A Multinational Survey
Background: Although hydrocele is one of the most common urologic pathologies, it is seldom studied, and the major urologic associations have no guidelines for the management of adult hydroceles. Objective: To characterize international practice variation in the treatment of adult hydroceles. Design...
Published in: | European Urology Open Science |
---|---|
Main Authors: | , , , , , , , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Elsevier
2023
|
Subjects: | |
Online Access: | https://doi.org/10.1016/j.euros.2023.09.005 https://doaj.org/article/879c4165cbc540d1b9aafeb4e50a6996 |
id |
ftdoajarticles:oai:doaj.org/article:879c4165cbc540d1b9aafeb4e50a6996 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:879c4165cbc540d1b9aafeb4e50a6996 2024-01-14T10:07:53+01:00 Practice Variation in the Management of Adult Hydroceles: A Multinational Survey Mikko Forss Kostiantyn Bolsunovskyi Yung Lee Tuomas P. Kilpeläinen Yoshitaka Aoki Sigurdur Gudjonsson François Hervé Petrus Järvinen Sachin Malde Katsuhito Miyazawa Jukka Sairanen Lotte Sander Philippe D. Violette Lambertus P.W. Witte Gordon H. Guyatt Kari A.O. Tikkinen 2023-12-01T00:00:00Z https://doi.org/10.1016/j.euros.2023.09.005 https://doaj.org/article/879c4165cbc540d1b9aafeb4e50a6996 EN eng Elsevier http://www.sciencedirect.com/science/article/pii/S2666168323010856 https://doaj.org/toc/2666-1683 2666-1683 doi:10.1016/j.euros.2023.09.005 https://doaj.org/article/879c4165cbc540d1b9aafeb4e50a6996 European Urology Open Science, Vol 58, Iss , Pp 1-7 (2023) Hydrocele Physicians’ practice patterns Practice variation Surgical procedures operative Survey Treatment outcome Diseases of the genitourinary system. Urology RC870-923 Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 article 2023 ftdoajarticles https://doi.org/10.1016/j.euros.2023.09.005 2023-12-17T01:38:59Z Background: Although hydrocele is one of the most common urologic pathologies, it is seldom studied, and the major urologic associations have no guidelines for the management of adult hydroceles. Objective: To characterize international practice variation in the treatment of adult hydroceles. Design, setting, and participants: An international survey was conducted addressing the management of hydroceles among urologists in Belgium, Denmark, Finland, Iceland, Japan, and the Netherlands from September to December 2020. We invited a random sample of 170 urologists from each country (except Iceland). Outcome measurements and statistical analysis: Urologists’ treatment options, factors relevant for decision-making, expected patient satisfaction, and outcomes after aspiration versus surgery were assessed. Results and limitations: Of the 864 urologists contacted, 437 (51%) participated. Of the respondents, 202 (53%) performed both hydrocelectomies and aspiration, 147 (39%) performed hydrocelectomies only, and 30 (8%) performed aspiration only. In Belgium (83%), the Netherlands (75%), and Denmark (55%), urologists primarily performed hydrocelectomies only, whereas in Finland (84%), Japan (61%), and Iceland (91%), urologists performed both hydrocelectomies and aspiration. Urologists favored hydrocelectomy for large hydroceles (78.8% vs 37.5% for small), younger patients (66.0% for patients <50 yr vs 41.2% for ≥70 yr), patients with few or no comorbidities (62.3% vs 23.1% with multiple comorbidities), and patients without antithrombotic agents (53.5% vs 36.5% with antithrombotic agents). Most urologists considered patient satisfaction to be highest after hydrocelectomy (53.8% vs 9.9% after aspiration) despite believing that hydrocelectomy is more likely to cause complications (hematoma 77.8% vs 8.8% after aspiration). Estimates varied between countries. Conclusions: We found a large variation in the treatment of adult hydroceles within and between countries. Optimization of hydrocele management globally will require ... Article in Journal/Newspaper Iceland Directory of Open Access Journals: DOAJ Articles European Urology Open Science 58 1 7 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Hydrocele Physicians’ practice patterns Practice variation Surgical procedures operative Survey Treatment outcome Diseases of the genitourinary system. Urology RC870-923 Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
spellingShingle |
Hydrocele Physicians’ practice patterns Practice variation Surgical procedures operative Survey Treatment outcome Diseases of the genitourinary system. Urology RC870-923 Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Mikko Forss Kostiantyn Bolsunovskyi Yung Lee Tuomas P. Kilpeläinen Yoshitaka Aoki Sigurdur Gudjonsson François Hervé Petrus Järvinen Sachin Malde Katsuhito Miyazawa Jukka Sairanen Lotte Sander Philippe D. Violette Lambertus P.W. Witte Gordon H. Guyatt Kari A.O. Tikkinen Practice Variation in the Management of Adult Hydroceles: A Multinational Survey |
topic_facet |
Hydrocele Physicians’ practice patterns Practice variation Surgical procedures operative Survey Treatment outcome Diseases of the genitourinary system. Urology RC870-923 Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
description |
Background: Although hydrocele is one of the most common urologic pathologies, it is seldom studied, and the major urologic associations have no guidelines for the management of adult hydroceles. Objective: To characterize international practice variation in the treatment of adult hydroceles. Design, setting, and participants: An international survey was conducted addressing the management of hydroceles among urologists in Belgium, Denmark, Finland, Iceland, Japan, and the Netherlands from September to December 2020. We invited a random sample of 170 urologists from each country (except Iceland). Outcome measurements and statistical analysis: Urologists’ treatment options, factors relevant for decision-making, expected patient satisfaction, and outcomes after aspiration versus surgery were assessed. Results and limitations: Of the 864 urologists contacted, 437 (51%) participated. Of the respondents, 202 (53%) performed both hydrocelectomies and aspiration, 147 (39%) performed hydrocelectomies only, and 30 (8%) performed aspiration only. In Belgium (83%), the Netherlands (75%), and Denmark (55%), urologists primarily performed hydrocelectomies only, whereas in Finland (84%), Japan (61%), and Iceland (91%), urologists performed both hydrocelectomies and aspiration. Urologists favored hydrocelectomy for large hydroceles (78.8% vs 37.5% for small), younger patients (66.0% for patients <50 yr vs 41.2% for ≥70 yr), patients with few or no comorbidities (62.3% vs 23.1% with multiple comorbidities), and patients without antithrombotic agents (53.5% vs 36.5% with antithrombotic agents). Most urologists considered patient satisfaction to be highest after hydrocelectomy (53.8% vs 9.9% after aspiration) despite believing that hydrocelectomy is more likely to cause complications (hematoma 77.8% vs 8.8% after aspiration). Estimates varied between countries. Conclusions: We found a large variation in the treatment of adult hydroceles within and between countries. Optimization of hydrocele management globally will require ... |
format |
Article in Journal/Newspaper |
author |
Mikko Forss Kostiantyn Bolsunovskyi Yung Lee Tuomas P. Kilpeläinen Yoshitaka Aoki Sigurdur Gudjonsson François Hervé Petrus Järvinen Sachin Malde Katsuhito Miyazawa Jukka Sairanen Lotte Sander Philippe D. Violette Lambertus P.W. Witte Gordon H. Guyatt Kari A.O. Tikkinen |
author_facet |
Mikko Forss Kostiantyn Bolsunovskyi Yung Lee Tuomas P. Kilpeläinen Yoshitaka Aoki Sigurdur Gudjonsson François Hervé Petrus Järvinen Sachin Malde Katsuhito Miyazawa Jukka Sairanen Lotte Sander Philippe D. Violette Lambertus P.W. Witte Gordon H. Guyatt Kari A.O. Tikkinen |
author_sort |
Mikko Forss |
title |
Practice Variation in the Management of Adult Hydroceles: A Multinational Survey |
title_short |
Practice Variation in the Management of Adult Hydroceles: A Multinational Survey |
title_full |
Practice Variation in the Management of Adult Hydroceles: A Multinational Survey |
title_fullStr |
Practice Variation in the Management of Adult Hydroceles: A Multinational Survey |
title_full_unstemmed |
Practice Variation in the Management of Adult Hydroceles: A Multinational Survey |
title_sort |
practice variation in the management of adult hydroceles: a multinational survey |
publisher |
Elsevier |
publishDate |
2023 |
url |
https://doi.org/10.1016/j.euros.2023.09.005 https://doaj.org/article/879c4165cbc540d1b9aafeb4e50a6996 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
European Urology Open Science, Vol 58, Iss , Pp 1-7 (2023) |
op_relation |
http://www.sciencedirect.com/science/article/pii/S2666168323010856 https://doaj.org/toc/2666-1683 2666-1683 doi:10.1016/j.euros.2023.09.005 https://doaj.org/article/879c4165cbc540d1b9aafeb4e50a6996 |
op_doi |
https://doi.org/10.1016/j.euros.2023.09.005 |
container_title |
European Urology Open Science |
container_volume |
58 |
container_start_page |
1 |
op_container_end_page |
7 |
_version_ |
1788062299277230080 |