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박영요 梨花女子大學校 醫科大學 醫科學硏究所 1986 EMJ (Ewha medical journal) Vol.9 No.3
Hydrocele, an abnormal accumulation of fluid between the parietal and visceral layers of the tunica vaginalis of the testis is the most frequently encountered mass of the scrotum. There are two types of treatment for hydrocele : Surgery and Sclerotherphy. Surgical treatment is generally considered the most effective. However, due to the frequent occurrence of complications of surgical procedure, sclerotheraphy may provide an alternative means of treatment. We here report the results of study using aspiration and subsequent injection of tetracycline as definitive treatment of testicular hydrocele. Four patients were treated after informed consent and followed for 5 to 10 months after sclerotheraphy. All treatment were given as an out-patient procedure. The aspiration were performed under local anesthesia, and the mean volume aspirated was 225㎖(range : 150-350㎖). Hereafter, 500㎎ of tetracycline diluted to a volume of 5㎖ in isotonic saline and 3㎖ in 2% lidocaine was injected. At 5 to 10 months follow up, all patients were cured-3 patients after one, and 1 patient after two injections. In one patient, the injection was immediately followed by scrotal pain which was relieved by spermatic cord block. The pain of the other patient were relieved by some oral analgesic medication. No infection or hematoma occured. In conclusion, aspiration and sclerotheraphy using tetracycline seems a favorable alternative to surgery for hydreceles. Tetracycline is both sclerosing, antibacterial and cheap. Further, the technique is simple, it carries a low morbidity and does not require hospitalization.
급성 부고환염과 정계염전 환자 45례에 관한 임상적 분석 : Clinical Analysis of 45 Cases
박영요,권성원 梨花女子大學校 醫科大學 醫科學硏究所 1989 EMJ (Ewha medical journal) Vol.12 No.1
Acute scrotum is any pathologic condition of the scrotum or intrascrotal contents that requires emergency medical or surgical management. Among the acute scrotum acute epididymitis and spermatic cord torsion are most difficult to differentiate each other because of their similar symptoms and sings. Clinical analysis was undertaken on 45 patients with acute epididymitis and spermatic cord torsion. The following results were obtained. 1) There were 36 patients with acute epididymitis and 9 spermatic cord torsion. 2) Mean ages were 32.6 year old in acute epidiymitis and 12.5 spermatic cord torsion. 3) Symptoms and sings showed no significant differences from each other, but Prehn's sign was somewhat useful. 4) In 5 patients with spermatic cord torsion that had arrived to the hospital within 24 hours from onset of symptoms, the testis could be saved. 5) Testicular scan with 99mTc-pertechnetate was performed in 17 patients and the diagnostic accuracy was 94%. 6) Twenty-one patients with acute epididymitis had urinary tract infections and 3 spermatic cord torsion had cryptorchidisms.