DOI: 10.36347/sasjs.2023.v09i05.002

Pages: 359-364

The aim of the study was to describe hydrocelectomy under local anesthesia in the health district of Kolondièba. This was a cross-sectional (analytical) study by exhaustive survey. The study took place in two phases: a collection phase from November 6 to 13, 2017 and a phase devoted to encoding, entry, purification, data analysis and writing from November 20 to November 15. December 2017. Included in this study are all patients operated on for filarial hydrocele, i.e. 42 patients. We proceeded by a purposive sampling by taking all patients with a filarial hydrocele whose age is greater than 11 years. The average age was 59 years old and 78.6% were married men. Farmers accounted for 69%. The duration of evolution of the hydrocele varied between 5 to 10 years. Half of the patients had grade 2 hydroceles. The impact of the hydrocele on their patients' work was found in 69% of cases and 73.8% had an impact on their sexual life. Total vaginal resection using the Winckelmann technique was performed in 90.5% of cases. The average duration of hydrocelectomy was 30 minutes in 97.6% of cases. A significant link between the quantity of fluid and the impact of hydrocele on work was found (P= 0.010 which is less than 5%). Filaricele surgery requires a good knowledge of the anatomy of the male reproductive system, mastery of surgical techniques, potential complications that may arise during the operation and adequate equipment. The vaginal resection technique is the one commonly used, recommended by WAHO and WHO.