Évaluation des effets de la chirurgie sur la qualité de vie des patients présentant une hydrocèle opérée à l’hôpital général de Tiassalé (Côte d’Ivoire)
Year: 2025
Type: article
Study design: Observational Study
Abstract: Background: A free surgery campaign was conducted to improve the quality of life for patients with hydrocele. As part of this effort, a study was conducted to evaluate the effects of the surgery on patients' quality of life at Tiassalé General Hospital. Patients and methods: A retrospective longitudinal study with two measurement points, before and after surgery, was conducted from October 1, 2024, to June 30, 2025. The parameters studied were return to work, resumption of sexual activity, and patient satisfaction. Data were collected one, six, and twelve months after surgery using a questionnaire after informed consent was obtained from patients. The data were then entered into Excel 2013 and analyzed using R software version 4.3.2. Results: Of the 72 patients who underwent surgery, 66 were included in the study. The mean age was 46 years (range: 30-59 years). Most were farmers (82%) who lived with a partner (67%). The mean duration of the hydrocele was 9.2 years (95% CI: 7.9-12 years). Before surgery, patients reported various discomforts, including cosmetic issues (85%), discomfort at work (74%), and discomfort during sexual activity (68%). The procedures were performed under local anesthesia with 2% Xylocaine in 79% of patients. Vaginal resection was successfully performed in 89% of patients. The volume of fluid removed was 250 cc or more in 70% of patients. Following surgical correction, 11% of patients returned to work at one month, 82% at six months, and 98% at 12 months. Resumption of sexual activity was achieved by 3% of patients at one month, 68% at six months, and 89% at 12 months. The proportion of patients who reported being very satisfied was 74% at one month, 92% at six months, and 85% at 12 months. Conclusion: Hydrocele surgery restored patients' dignity by enabling them to resume and improve their social and sexual lives.
Institution: Université Félix Houphouët-Boigny
Language: French
Subfield: Urology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7221073432