Practice Variation in the Management of Adult Hydroceles : A Multinational Survey

Publisher Copyright: © 2023 The Authors 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 t...

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Bibliographic Details
Published in:European Urology Open Science
Main Authors: Forss, Mikko, Bolsunovskyi, Kostiantyn, Lee, Yung, Kilpeläinen, Tuomas P., Aoki, Yoshitaka, Gudjonsson, Sigurdur, Hervé, François, Järvinen, Petrus, Malde, Sachin, Miyazawa, Katsuhito, Sairanen, Jukka, Sander, Lotte, Violette, Philippe D., Witte, Lambertus P.W., Guyatt, Gordon H., Tikkinen, Kari A.O.
Other Authors: Faculty of Medicine, Surgical Services
Format: Article in Journal/Newspaper
Language:English
Published: 2023
Subjects:
Online Access:https://hdl.handle.net/20.500.11815/4538
https://doi.org/10.1016/j.euros.2023.09.005
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Summary:Publisher Copyright: © 2023 The Authors 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 ...