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...

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Published in:European Urology Open Science
Main Authors: 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
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
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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
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