COMPARATIVE OUTCOMES OF JABOULAY'S TECHNIQUE VS. HYDROCELECTOMY FOR SAC EXCISION USING VESSEL SEALING DEVICE IN ADULT PATIENTS WITH HYDROCELE AT A TERTIARY CARE HOSPITAL

Abstract

Hydrocele management techniques such as Jaboulay’s procedure and hydrocelectomy with sac excision using a vessel sealing device are commonly employed. However, their comparative outcomes in terms of postoperative complications and recovery remain underexplored. Objective: To compare the outcomes of Jaboulay’s technique versus hydrocelectomy with sac excision using a vessel-sealing device in adult patients with hydroceles. Methods: This randomized controlled trial was conducted at a tertiary care hospital. A total of 86 patients with idiopathic hydroceles were randomly allocated into two groups. Group A (n=43) underwent hydrocelectomy with sac excision using a vessel sealing device, while Group B (n=43) underwent Jaboulay’s procedure. Post-operative outcomes, including hematoma, edema, surgery duration, and hospital stay, were recorded over a 4-week follow-up period. Results: Among the 86 patients, 89.5% had unilateral and 10.5% had bilateral hydroceles. The mean age was 49.92 ± 6.78 years, with 66.3% over 45 years of age. Urban residents comprised 69.8% of the cohort, and 66.3% were from middle-income backgrounds. Group A had fewer cases of hematoma (2.3%) compared to Group B (7.0%), though the difference was not statistically significant (P=0.306). Edema was significantly lower in Group A (9.3%) compared to Group B (34.9%) (P=0.004). Surgery duration was comparable between the groups (P=0.674). Hospital stay was significantly shorter for Group A (1.51 ± 0.63 days) compared to Group B (1.88 ± 0.62 days) (P=0.007). Conclusion: Hydrocelectomy with sac excision using a vessel sealing device demonstrated superior outcomes compared to Jaboulay’s technique, with significantly fewer complications, particularly edema, and a shorter hospital stay. This method offers a safe and effective alternative for managing adult hydrocele patients.