dc.contributor.author |
Forss, Mikko |
dc.contributor.author |
Bolsunovskyi, Kostiantyn |
dc.contributor.author |
Lee, Yung |
dc.contributor.author |
Kilpeläinen, Tuomas P. |
dc.contributor.author |
Aoki, Yoshitaka |
dc.contributor.author |
Gudjonsson, Sigurdur |
dc.contributor.author |
Hervé, François |
dc.contributor.author |
Järvinen, Petrus |
dc.contributor.author |
Malde, Sachin |
dc.contributor.author |
Miyazawa, Katsuhito |
dc.contributor.author |
Sairanen, Jukka |
dc.contributor.author |
Sander, Lotte |
dc.contributor.author |
Violette, Philippe D. |
dc.contributor.author |
Witte, Lambertus P.W. |
dc.contributor.author |
Guyatt, Gordon H. |
dc.contributor.author |
Tikkinen, Kari A.O. |
dc.date.accessioned |
2023-11-10T01:05:07Z |
dc.date.available |
2023-11-10T01:05:07Z |
dc.date.issued |
2023-12 |
dc.identifier.citation |
Forss , M , Bolsunovskyi , K , Lee , Y , Kilpeläinen , T P , Aoki , Y , Gudjonsson , S , Hervé , F , Järvinen , P , Malde , S , Miyazawa , K , Sairanen , J , Sander , L , Violette , P D , Witte , L P W , Guyatt , G H & Tikkinen , K A O 2023 , ' Practice Variation in the Management of Adult Hydroceles : A Multinational Survey ' , European Urology Open Science , vol. 58 , pp. 1-7 . https://doi.org/10.1016/j.euros.2023.09.005 |
dc.identifier.issn |
2666-1691 |
dc.identifier.other |
211322122 |
dc.identifier.other |
2022ec71-9cac-4e19-8a6d-1e9f8c59f301 |
dc.identifier.other |
85174744047 |
dc.identifier.uri |
https://hdl.handle.net/20.500.11815/4538 |
dc.description |
Publisher Copyright: © 2023 The Authors |
dc.description.abstract |
Background: Although hydrocele is one of the most common urologic pathologies, it is seldom studied, and the major urologic associations have no guidelines for the management of adult hydroceles. Objective: To characterize international practice variation in the treatment of adult hydroceles. Design, setting, and participants: An international survey was conducted addressing the management of hydroceles among urologists in Belgium, Denmark, Finland, Iceland, Japan, and the Netherlands from September to December 2020. We invited a random sample of 170 urologists from each country (except Iceland). Outcome measurements and statistical analysis: Urologists’ treatment options, factors relevant for decision-making, expected patient satisfaction, and outcomes after aspiration versus surgery were assessed. Results and limitations: Of the 864 urologists contacted, 437 (51%) participated. Of the respondents, 202 (53%) performed both hydrocelectomies and aspiration, 147 (39%) performed hydrocelectomies only, and 30 (8%) performed aspiration only. In Belgium (83%), the Netherlands (75%), and Denmark (55%), urologists primarily performed hydrocelectomies only, whereas in Finland (84%), Japan (61%), and Iceland (91%), urologists performed both hydrocelectomies and aspiration. Urologists favored hydrocelectomy for large hydroceles (78.8% vs 37.5% for small), younger patients (66.0% for patients <50 yr vs 41.2% for ≥70 yr), patients with few or no comorbidities (62.3% vs 23.1% with multiple comorbidities), and patients without antithrombotic agents (53.5% vs 36.5% with antithrombotic agents). Most urologists considered patient satisfaction to be highest after hydrocelectomy (53.8% vs 9.9% after aspiration) despite believing that hydrocelectomy is more likely to cause complications (hematoma 77.8% vs 8.8% after aspiration). Estimates varied between countries. Conclusions: We found a large variation in the treatment of adult hydroceles within and between countries. Optimization of hydrocele management globally will require future studies. Patient summary: Our international survey shows that treatment of adult hydrocele varies considerably within and between countries. |
dc.format.extent |
7 |
dc.format.extent |
505969 |
dc.format.extent |
1-7 |
dc.language.iso |
en |
dc.relation.ispartofseries |
European Urology Open Science; 58() |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.subject |
Þvagfæraskurðlæknisfræði |
dc.subject |
Hydrocele |
dc.subject |
Physicians’ practice patterns |
dc.subject |
Practice variation |
dc.subject |
Surgical procedures, operative |
dc.subject |
Survey |
dc.subject |
Treatment outcome |
dc.subject |
Urology |
dc.title |
Practice Variation in the Management of Adult Hydroceles : A Multinational Survey |
dc.type |
/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article |
dc.description.version |
Peer reviewed |
dc.identifier.doi |
10.1016/j.euros.2023.09.005 |
dc.relation.url |
http://www.scopus.com/inward/record.url?scp=85174744047&partnerID=8YFLogxK |
dc.contributor.department |
Faculty of Medicine |
dc.contributor.department |
Surgical Services |