Calculi in Hydrocele: Incidence and Results of Infrared Spectroscopy Analysis
Vahlensieck Winfried, Hesse Albrecht,
소속 상세정보
( Vahlensieck Winfried )
Germany University of Bonn Bad Wildungen-Reinhardshausen Klinik Wildetal Department of Urology Oncology Nephrology
( Hesse Albrecht )
Germany University of Bonn Department of Urology
KMID : 0358320100510050362
Abstract
Trauma, inflammation, or necrosis in the scrotal cavity may lead to depositing of organic material in hydrocele fluid with consecutive calcification if the fluid is oversaturated. During a period of 25 years, 2 scrotal calculi (calculous material in hydrocele fluid) in 2 of 42 patients (4.8%) were found during surgery on symptomatic hydroceles by the first author. In these symptomatic cases, infrared spectroscopy revealed carbonate apatite as the causative mineral. The appearance of scrotal calculi in hydrocele does not change the treatment or prognosis of hydroceles. However, if the calculous material is attached to the visceral or parietal part of the tunica vaginalis and does not change position during sonography with different postures, tumor growth may be a problem. An inguinal approach for operation should be chosen in such situations. Infrared spectroscopy can be used to determine the mineralogy of scrotal calculi. Carbonate apatite, the predominantly found mineral in scrotal calculi, can precipitate in an alkaline milieu.
키워드
Calcinosis;Carbonate apatite;Near-infrared spectroscopy;Testicular hydrocele
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