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Scrotal reconstruction - A standard procedure for giant hydrocele repair: Association of Surgeons in Training 2018 Conference

Research output: Contribution to journalMeeting abstract

D. Gu, M. Dhar, N. Cavale, A. Khan, P. Thompson

Original languageEnglish
Pages (from-to)S123-S124
JournalInternational Journal Of Surgery
Early online date2 Aug 2018
E-pub ahead of print2 Aug 2018

King's Authors


Aim: Giant hydrocele is defined as having fluid content of greater than 1 Litre (L). They present usually secondary to neglect and fear on part of the patient. We present two cases of giant hydrocelectomy involving scrotal reconstruction.

Methods: An orange peel was used to mimic the outcome of the construction. Case one is a 73-year-old man with a 4-year history of a giant right-sided inguinoscrotal hernia with symptoms urinary incontinence due to a retracted penis. Case two is a 79-year-old man with a 4-year history of an enlarged scrotum.

Results: In case one, 12L of fluid was drained from the scrotum peri-operatively with a total of 3kg of lymphoedematous tissue excised including the non-viable right testis. Penis and scrotum were reconstructed with fasciocutaneous flaps. In case two, 1.5L of fluid was drained, excessive skin and tissue were excised and the scrotum was reconstructed to normal size. Postoperative recovery was unremarkable.

Conclusion: For giant hydroceles, simple hydrocelectomy without scrotal reconstruction could leave the patient with a huge flap of scrotal skin, affecting the appearance and mobility. The orange-peel is useful to learn how to model scrotal skin reconstruction and the excision of excess.

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