A 35-year-old man from Kenya presents with a painless scrotal swelling. Ultrasound confirms a hydrocele. He has a positive filarial antigen test. In t...

Question

A 35-year-old man from Kenya presents with a painless scrotal swelling. Ultrasound confirms a hydrocele. He has a positive filarial antigen test. In the context of lymphatic filariasis, what is the recommended surgical management of hydrocele?

Accepted Answer

Hydrocelectomy - WHO recommends surgical repair as the definitive treatment, ideally performed by trained surgeons at district hospital level as part of MMDP programmes

Answer

No surgery is indicated; hydroceles always resolve with antifilarial treatment

Answer

Repeated aspiration every month

Answer

Sclerotherapy with bleomycin

Answer

Radical orchidectomy

uk-dtmh MCQ (SBA): Filarial Hydrocele Surgery

A 35-year-old man from Kenya presents with a painless scrotal swelling. Ultrasound confirms a hydrocele. He has a positive filarial antigen test. In the context of lymphatic filariasis, what is the recommended surgical management of hydrocele?