1Assistant Professor, Sri Lakshminarayana Institute of Medical Sciences, Kudapakkam Post, Puducherry, 605502

2Assistant Professor, Bharath Medical College and Hospital, Selaiyur, Chennai, Tamil Nadu 600073
Hydrocele ,Idiopathic disease ,surgical repair ,

Hydrocele is a condition that affects about 1% of adult males. The most common form of hydrocele in adults is primary or idiopathic hydrocele, which is caused by an excess of fluid surrounding the testis between the parietal and visceral layers of the tunica vaginalis. This fluid retention is caused by a reduction in blood flow.The fluid from the tunica vaginalis is absorbed by lymphatic channels. The majority of hydroceles do not need care, but if they are large enough to cause discomfort, a simple outpatient procedure may be performed.In 91-97 percent of cases, the procedure is effective.The authors' main goal in this research is to see whether there is a disparity in recurrence rates between patients who have Lord's procedure and those who have other hydrocele repair techniques. The authors' secondary aim is to compare the complication rates of the different groups and see if there are any benefits of conducting one procedure over the others.Between these classes, there was a major difference (Kruskal-Wallis test, p=0.03).. Recurrence differences were not statistically significant (chi-square test, p=0.23). Complications were discovered in 20 (33.3%) of the patients. Table 1 summarises the findings of the data on complications. The most common complication was hematoma, which was accompanied by infection and postoperative pain. Patients who underwent Lord's procedure for hydrocele treatment experienced no complications. In terms of hematoma development and overall complications, there was a major difference between classes. There was no connection between the location of the drain and the rate of complications. For idiopathic hydrocele, the Lord's procedure is an excellent treatment choice. Recurrence rates are mild, comparable to conventional excisional and Jaboulay bottleneck procedures, with a lower hematoma and overall complication rate. Furthermore, there is no need for a drain, and we can use this technique on hydroceles of any scale

9 , 2 , 2019