Single Versus Double Incision in Bilateral Hydrocele - A Comparative Study

Abstract

Background: A single-incision approach for bilateral hydrocele may reduce operative duration and postoperative discomfort compared with two separate incisions.

Methods: This comparative observational study included 86 patients with bilateral vaginal hydrocele: 43 underwent single-incision and 43 underwent double-incision hydrocelectomy. Operative duration, postoperative pain, complications, and hospital stay were compared.

Results: Mean operative duration was significantly shorter with single incision (23.49 ± 12.22 vs. 32.33 ± 15.09 minutes; p<0.001). Pain scores were also lower on postoperative day 1 (2.42 ± 0.73 vs. 2.70 ± 0.51; p=0.040) and day 2 (1.91 ± 0.78 vs. 2.51 ± 0.67; p<0.001). Pain at discharge was comparable (p=0.740). Haematoma occurred in one patient in each group, with no fever or surgical-site infection. Hospital stay was similar between the groups.

Conclusion: Single-incision bilateral hydrocelectomy reduced operative duration and early postoperative pain without increasing complications and may be preferred in appropriately selected patients.