Comparison of sodium tetradecyl sulphate versus conventional hydrocelectomy for adult hydrocele aspiration.


  • Hamid Raza Laghari PAQSJ.
  • Muhammad Akram PAQSJ.
  • Farhan Ali PAQSJ.
  • Syed Kashif Hussain Al Hayat Hospital.
  • Illahi Bux Brohi PAQSJ.
  • Zulfiqar Ahmed Qaim PAQSJ.



Hydrocele, Sodium Tetradecyl Sulphate, Sclerotherapy


Objective: To evaluate the treatment of hydrocele and compare the post-operative course and outcome of sodium tetradecyl sulfate (3 %) (STDS) as a harmless and active sclerosant followed by aspiration with conventional hydrocelectomy for the management of adult hydrocele. Study Design: Cross Sectional, Randomized study. Setting: Liaquat University of Medical and Health Sciences, Jamshoro. Period: 1st May 2019 to 31st October 2019. Material & Methods: Fifty patients with unilateral or bilateral primary vaginal hydrocele were included in this study. Subjects with secondary vaginal hydrocele (secondary to trauma, malignancy, or epididymo-orchitis), communicating hydrocele, infected hydrocele, having a positive history of previous intervention (sclerotherapy or operation) and/or uncontrolled diabetes mellitus were excluded. Data were analyzed in SPSS version 22.0. Results: All patients were equally divided into two groups A and B. Group A (n = 25) patients were submitted to Sclerotherapy and Group B (n = 25) patients were submitted to the Conventional Surgical Hydrocelectomy. Most of the patients 24(96.0%) who underwent in Group A (Sclerotherapy, n = 25), were discharged within 1-6 days i.e. less postoperative stay whereas the majority of the patients 14(56.0%) who underwent in Hydrocelectomy group were discharged between 1 to 6 days. Patients who underwent Hydrocelectomy had more postoperative stay and in 3 cases up to 18 days. Conclusion: Sclerotherapy is the treatment of choice for primary hydrocele. Complications like pain, hematoma, and infection are less than surgical procedures. Hospital stay is minimal and does not affect the day-to-day work of the patient having sclerotherapy.

Author Biographies

Hamid Raza Laghari, PAQSJ.

MBBS, FCPS, MS, Assistant Professor Surgery and Allied, 

Muhammad Akram, PAQSJ.

MBBS, FCPS, Assistant Professor Surgery and Allied, 

Farhan Ali, PAQSJ.

MBBS, FCPS, Assistant Professor General Surgery, 

Syed Kashif Hussain, Al Hayat Hospital.

MBBS, MS, Consultant General Surgery, 

Illahi Bux Brohi, PAQSJ.

MBBS, FCPS, Assistant Professor Pediatric Surgery, 

Zulfiqar Ahmed Qaim, PAQSJ.

MBBS, FCPS, Assistant Professor Urology,