halidou, maazou université de zinder - faculté dessciences de la santé, hôpital national de zinder - service d’urologie, Niger , amadou magagi, ibrahim université de zinder - faculté des sciences de la santé, hôpital national de zinder - service de chirurgie générale b, niger , adamou, harissou université de zinder - faculté des sciences de la santé, hôpital national de zinder - service de chirurgie générale b, Niger , habou, oumarou université de zinder - faculté des sciences de la santé, hôpital national de zinder - service de chirurgie pédiatrique, Niger , amadou, magagi université de zinder - faculté des sciences de la santé, hôpital national de zinder - service d’anesthésie réanimation, Niger , adamou, mansour hôpital national de zinder - service d’urologie, Niger , roua, amadou hôpital national lamordé - service d’urologie, niger , sanda, ganda hôpital national lamordé - service d’urologie, niger , amadou, soumana hôpital national lamordé - service d’urologie, Niger

Chirurgie de l’Hydrocèle de l’Adulte à l’Hôpital National de Zinder (Niger)

20563

Introduction. Adult hydrocele is defined as an abnormal collection of serous fluid in the space between the parietal and visceral layers of the vaginal tunica. The objective of this study was to describe the socio-epidemiological and surgical aspects of adult vaginal hydrocele at Zinder National Hospital, Niger. Subjects and methods. This was a retrospective, descriptive study performed at the urology department of the Zinder National Hospital over a 3-year period from January 2014 to December 2016. Patients with hydrocele aged 18 and over were included. Our variables of interest were the clinical profile, the type of surgery and the results of treatment. Results. During the study period, 1056 surgical procedures were performed by the urology department, including 216 hydrocele cures, ( 20.45%). The median age was 60 years (range: 18 - 90 years). The main reason for consultation was sexual interference and difficulties in socioprofessional activities in 50.46% (n = 109), followed by negative social comments in 39.35% (n = 85) and aesthetic 10.19% (n = 22).Complications as intra scrotal hematoma were found in 6.02% (n = 13) and superficial chirurgical wound infection in 9.12% (n = 21).The median duration of stay was six days with extremes of 2 and 24 days. No deaths were recorded. Conclusion. Vaginal hydrocele of the adult is a common pathology in Niger. The surgical treatment by total resection of the vaginal with hemostatic overjet gives good results. Its morbidity is low, dominated by intra-scrotal hematoma and infection of the surgical site.

69

Hydrocele , clinical aspects , Capuano’sclassification , vaginal resection

Health Sciences an‎d Diseases

72