Aspiration and Tetracycline of Hydrocele: Sclerotherapy Can It Replace Surgical Treatment?

A randomized prospeclive study was carried out on 79 patients with a IOta1 of 86 hydroceles to compare surgical treatment with aspiration and tetracycline sclerotherapy. Results revealed that although surgical treatment carried a higher risk of complications (10%) yet, recurrence following it (2.5%) was very low compared lo recurrence in sclerotherapy group (67.4%). We concluded that surgery is the treatment of choice for hydrocele. Aspiration/ sclerotherapy should be preserved only for patients who are unfit for surgery and it gives the best results in hydroceles with a volume of less than 100 cc.