Research Article | | Peer-Reviewed

Management of Chronic Scrotal Swelling at the Urology Department of de la Paix Hospital of Ziguinchor

Received: 26 November 2025     Accepted: 15 December 2025     Published: 26 December 2025
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Abstract

Introduction: Chronic scrotal swelling is a common reason for consultation at Urology. Its global prevalence remains unknown. Among adults, it is often perceived as a shameful condition. Traditional treatments expose patients to potentially severe complications. This study aimed to assess the management of chronic scrotal swelling within our department. Methods: We conducted a four-year retrospective descriptive study (January 1, 2017–December 31, 2020). All patients who underwent surgery for chronic scrotal swelling at the Urology Department of De la Paix Hospital of Ziguinchor, were included. Data were collected from medical records. Variables studied included epidemiological, clinical, etiological, therapeutic, and evolutionary parameters. Results: A total of 67 patients were recorded (frequency: 23.3%). The mean age was 54.3 years for adults (range: 20–89 years) and 4.8 years for children (range: 7 months–12 years). Farmers were the most represented group (34.5%). A history of inguinal hernia repair was noted in 12.1%. Scrotal swelling was the main reason for consultation (83%). The right side was affected in 43%. The mean duration of symptoms was 5 years. Inguino-scrotal hernia was the most common etiology (53.4%), while a persistent peritoneo-vaginal duct (PPVD) was the sole cause in children. Bassini technique was used in 27.6% of cases of hernia. In-hospital follow up was performed for 24 hours in 63.8% of adults and 77.7% of children. At 3-month follow-up, outcomes were unremarkable in 96.5%. Complications occurred only on adults including operative wound infection, chronic pain with testicular hypotrophy, and one death. Conclusion: Chronic scrotal swelling can occur at any age and remains a frequent condition in urology. Diagnosis is primarily clinical, and surgery is essential but can lead to potential complications.

Published in International Journal of Clinical Urology (Volume 9, Issue 2)
DOI 10.11648/j.ijcu.20250902.29
Page(s) 214-218
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Chronic Scrotal Swelling, Surgery, Scrotal Hernia, Hydrocele

References
[1] EV Sewa. Hydrocele: treating this testicular condition. Afr J Urol 2016; 9.
[2] M Coulibaly, LT Coulibaly, S Guisse, HJG Berthe, ML Diakite, Z Ouattara. Management of Bursa Pathologies at Gabriel Toure University Hospital. Health Sci Dis 2019; 20: 50–4.
[3] M Kafka, K Strohhacker, F Aigner, F Steinkohl, W Horninger, R Pichler, and al. Incidental TesticularPathologies in Patients With Idiopathic Hydrocele Testis: Is Preoperative Scrotal Ultrasound Justified? Anticancer Res 2020; 40: 2861–4.
[4] Ngom G, Mohamed A, Saleck A, Mbaye P, Ndour O, Faye A, et al. Uncomplicated processus vaginalis in Dakar: a report of 125 cases. J Pediatr Pueric 2015; 28: 114–7.
[5] Palmer LS. Hernias and hydroceles. Pediatr Rev 2013; 34: 457–64.
[6] Sarr A, Sow Y, Fall B, Ze Ondo C, Thiam A, Ngandeu M, et al. The pathology of the peritoneovaginal canal in urological practice. Prog En Urol 2014; 24: 665–9.
[7] Guena MN, Zilbinkai FA, Amvene JM, Ngaroua N, Tchantcho BSN, Engoumou AS, et al. Ultrasound Aspects of Painful Bursae at the Ngaoundéré Regional Hospital, Cameroon. Health Sci Dis2019; 20: 44–9.
[8] Ndiaye M, DaMé I, Welle I. Pathology of the processus vaginalis in rural areas: epidemiological, clinical and therapeutic aspects. Uro'Andro 2018; 11: 4.
[9] Ouattara K, Dafé S, Yakwe Y, Ciss C. Investigation into “large purses” in tropical zones. Black Africa medicine 1991: 4.
[10] Diallo T, Barry MI, Bah M, Diallo T, Diallo A. Surgery for Adult Hydrocele at the Kolda RegionalHospital (Senegal) 2022; 23: 88–91.
[11] O Kone, A Kassogue, MT Coulibaly, I Sissoko, D Sangare, HJ Berthe, and al. Epidemiological, clinical and therapeutic study of hydroceles in three health districts of the Sikasso region/Mali. Ann Afr Med 2019; 13: 3513–8.
[12] F Boukinda, G Nervetti. Vaginal hydrocele. A report of 55 surgically treated cases. Ann Urol2003; 37: 293–5.
[13] HM Tran, I MacQueen, D Chen, M Simons. Systematic Review and Guidelines for Managementof Scrotal Inguinal Hernias. J Abdom Wall Surg 2023; 2: 11195.
[14] B Shakiba, K Heidari, A Jamali, K Afshar. Aspiration and sclerotherapy versus hydrocoelectomyfor treating hydrocoeles. Cochrane Database Syst Rev 2014; 2014: CD009735.
[15] K Shine, C Oppong, R Fitzgibbons, G Campanelli, W Reinpold, S Roll, and al. Technical aspects ofinguino scrotal hernia surgery in developing countries. Hernia 2023; 27: 173–9.
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    Traore, A., Ndiaye, M., Doukoure, M., Sonko, A. C., Ndiaye, M. D., et al. (2025). Management of Chronic Scrotal Swelling at the Urology Department of de la Paix Hospital of Ziguinchor. International Journal of Clinical Urology, 9(2), 214-218. https://doi.org/10.11648/j.ijcu.20250902.29

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    ACS Style

    Traore, A.; Ndiaye, M.; Doukoure, M.; Sonko, A. C.; Ndiaye, M. D., et al. Management of Chronic Scrotal Swelling at the Urology Department of de la Paix Hospital of Ziguinchor. Int. J. Clin. Urol. 2025, 9(2), 214-218. doi: 10.11648/j.ijcu.20250902.29

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    AMA Style

    Traore A, Ndiaye M, Doukoure M, Sonko AC, Ndiaye MD, et al. Management of Chronic Scrotal Swelling at the Urology Department of de la Paix Hospital of Ziguinchor. Int J Clin Urol. 2025;9(2):214-218. doi: 10.11648/j.ijcu.20250902.29

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  • @article{10.11648/j.ijcu.20250902.29,
      author = {Aboubacar Traore and Modou Ndiaye and Mohamed Doukoure and Awa Ciss Sonko and Modou Diop Ndiaye and Boubacar Fall},
      title = {Management of Chronic Scrotal Swelling at the Urology Department of de la Paix Hospital of Ziguinchor},
      journal = {International Journal of Clinical Urology},
      volume = {9},
      number = {2},
      pages = {214-218},
      doi = {10.11648/j.ijcu.20250902.29},
      url = {https://doi.org/10.11648/j.ijcu.20250902.29},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20250902.29},
      abstract = {Introduction: Chronic scrotal swelling is a common reason for consultation at Urology. Its global prevalence remains unknown. Among adults, it is often perceived as a shameful condition. Traditional treatments expose patients to potentially severe complications. This study aimed to assess the management of chronic scrotal swelling within our department. Methods: We conducted a four-year retrospective descriptive study (January 1, 2017–December 31, 2020). All patients who underwent surgery for chronic scrotal swelling at the Urology Department of De la Paix Hospital of Ziguinchor, were included. Data were collected from medical records. Variables studied included epidemiological, clinical, etiological, therapeutic, and evolutionary parameters. Results: A total of 67 patients were recorded (frequency: 23.3%). The mean age was 54.3 years for adults (range: 20–89 years) and 4.8 years for children (range: 7 months–12 years). Farmers were the most represented group (34.5%). A history of inguinal hernia repair was noted in 12.1%. Scrotal swelling was the main reason for consultation (83%). The right side was affected in 43%. The mean duration of symptoms was 5 years. Inguino-scrotal hernia was the most common etiology (53.4%), while a persistent peritoneo-vaginal duct (PPVD) was the sole cause in children. Bassini technique was used in 27.6% of cases of hernia. In-hospital follow up was performed for 24 hours in 63.8% of adults and 77.7% of children. At 3-month follow-up, outcomes were unremarkable in 96.5%. Complications occurred only on adults including operative wound infection, chronic pain with testicular hypotrophy, and one death. Conclusion: Chronic scrotal swelling can occur at any age and remains a frequent condition in urology. Diagnosis is primarily clinical, and surgery is essential but can lead to potential complications.},
     year = {2025}
    }
    

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  • TY  - JOUR
    T1  - Management of Chronic Scrotal Swelling at the Urology Department of de la Paix Hospital of Ziguinchor
    AU  - Aboubacar Traore
    AU  - Modou Ndiaye
    AU  - Mohamed Doukoure
    AU  - Awa Ciss Sonko
    AU  - Modou Diop Ndiaye
    AU  - Boubacar Fall
    Y1  - 2025/12/26
    PY  - 2025
    N1  - https://doi.org/10.11648/j.ijcu.20250902.29
    DO  - 10.11648/j.ijcu.20250902.29
    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
    SP  - 214
    EP  - 218
    PB  - Science Publishing Group
    SN  - 2640-1355
    UR  - https://doi.org/10.11648/j.ijcu.20250902.29
    AB  - Introduction: Chronic scrotal swelling is a common reason for consultation at Urology. Its global prevalence remains unknown. Among adults, it is often perceived as a shameful condition. Traditional treatments expose patients to potentially severe complications. This study aimed to assess the management of chronic scrotal swelling within our department. Methods: We conducted a four-year retrospective descriptive study (January 1, 2017–December 31, 2020). All patients who underwent surgery for chronic scrotal swelling at the Urology Department of De la Paix Hospital of Ziguinchor, were included. Data were collected from medical records. Variables studied included epidemiological, clinical, etiological, therapeutic, and evolutionary parameters. Results: A total of 67 patients were recorded (frequency: 23.3%). The mean age was 54.3 years for adults (range: 20–89 years) and 4.8 years for children (range: 7 months–12 years). Farmers were the most represented group (34.5%). A history of inguinal hernia repair was noted in 12.1%. Scrotal swelling was the main reason for consultation (83%). The right side was affected in 43%. The mean duration of symptoms was 5 years. Inguino-scrotal hernia was the most common etiology (53.4%), while a persistent peritoneo-vaginal duct (PPVD) was the sole cause in children. Bassini technique was used in 27.6% of cases of hernia. In-hospital follow up was performed for 24 hours in 63.8% of adults and 77.7% of children. At 3-month follow-up, outcomes were unremarkable in 96.5%. Complications occurred only on adults including operative wound infection, chronic pain with testicular hypotrophy, and one death. Conclusion: Chronic scrotal swelling can occur at any age and remains a frequent condition in urology. Diagnosis is primarily clinical, and surgery is essential but can lead to potential complications.
    VL  - 9
    IS  - 2
    ER  - 

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Author Information
  • Urology Department, Peace Hospital, Ziguinchor, Senegal;Department of Urology, Assane Seck University, Ziguinchor, Senegal

  • Department of Urology, Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal

  • Urology Department, Peace Hospital, Ziguinchor, Senegal;Department of Surgery, Gaston Berger University (UGB), Saint-Louis, Senegal

  • Urology Department, Peace Hospital, Ziguinchor, Senegal

  • Urology Department, Peace Hospital, Ziguinchor, Senegal;Department of Urology, Assane Seck University, Ziguinchor, Senegal

  • Urology Department, Peace Hospital, Ziguinchor, Senegal;Department of Urology, Assane Seck University, Ziguinchor, Senegal

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