Epidemiological overview of surgical treatment of hydrocele in Northeastern Brazil: Analysis of a decade
DOI:
https://doi.org/10.33448/rsd-v14i6.49133Keywords:
Testicular Hydrocele, Surgery, Unified Health System, Epidemiology, Brazil, Pediatric Health.Abstract
This study aimed to analyze the epidemiological profile of hospital admissions for surgical treatment of hydrocele in Northeastern Brazil from 2015 to 2024. This is a quantitative, descriptive, cross-sectional investigation based on secondary data from the Brazilian Unified Health System’s Hospital Information System (SIH/SUS). A total of 29,690 hospitalizations were identified, with a total cost exceeding R$ 9 million and 44,456 hospital days. The Northeast was the second region with the highest number of procedures, behind only the Southeast. A decline in surgeries was observed in 2020, followed by a recovery through 2024, possibly related to the COVID-19 pandemic. Despite the low mortality rate, the underreporting of deaths stands out as a major limitation. The findings offer relevant insights for public health planning and for strengthening regional surgical care within the SUS.
References
Banieghbal, B. (2021). Laparoscopic excision of patent processus vaginalis for pediatric hydroceles. Cureus, 13(10), e18416. https://doi.org/10.7759/cureus.18416
Beiko, D. T., Kim, D., & Morales, A. (2003). Aspiration and sclerotherapy versus hydrocelectomy for treatment of hydroceles. Urology, 61(4), 708–712. https://doi.org/10.1016/s0090-4295(02)02430-5
Ceccanti, S., de Vito, C., Migliara, G., & Cozzi, D. A. (2023). Early surgery versus watchful waiting strategy for infantile abdominoscrotal hydrocele. Journal of Pediatric Surgery, 58(11), 2238–2243. https://doi.org/10.1016/j.jpedsurg.2023.05.020
Chan, Y. Y., Durbin-Johnson, B., & Kurzrock, E. A. (2016). Pediatric inguinal and scrotal surgery - practice patterns in U.S. academic centers. Journal of Pediatric Surgery, 51(11), 1786–1790. https://doi.org/10.1016/j.jpedsurg.2016.07.019
Dagur, G., Gandhi, J., Suh, Y., Weissbart, S., Sheynkin, Y. R., Smith, N. L., Joshi, G., & Khan, S. A. (2017). Classifying hydroceles of the pelvis and groin: An overview of etiology, secondary complications, evaluation, and management. Current Urology, 10(1), 1–14. https://doi.org/10.1159/000447145
Elhaddad, A., Awad, M., Shehata, S. M., & Shehata, M. A. (2022). Laparoscopic management of infantile hydrocele in pediatric age group. Pediatric Surgery International, 38(4), 581–587. https://doi.org/10.1007/s00383-022-05064-8
Guerra, L., & Leonard, M. (2017). Inguinoscrotal pathology. Canadian Urological Association Journal, 11(1-2 Suppl 1), S41–S46. https://doi.org/10.5489/cuaj.4336
Huzaifa, M., & Moreno, M. A. (2023, July 3). Hydrocele. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK559125/
Instituto Brasileiro de Geografia e Estatística. (2024). Projeção da população por unidade da federação: 2024. https://www.ibge.gov.br
Liu, J., Tang, R., Wang, X., Sui, B., Jin, Z., Xu, X., Zhu, Q., Chen, J., Ma, H., & Duan, G. (2021). Laparoscopic vs. open repair surgery for the treatment of communicating hydrocele in children: A retrospective study from a single center. Frontiers in Surgery, 8, 671301. https://doi.org/10.3389/fsurg.2021.671301
Luizeti, B. O., Perli, V. A. S., da Costa, G. G., Eckert, I. C., Roma, A. M., & da Costa, K. M. (2021). Impact of the COVID-19 pandemic on surgical procedures in Brazil: A descriptive study. medRxiv. https://doi.org/10.1101/2021.03.17.21253801
Maki-Lohiluoma, L. K., et al. (2025). Complications and recurrence rates following aspiration sclerotherapy for adult hydrocele and spermatocele in the Helsinki Metropolitan Area. Journal of Urology, 213(4), e121–e122. https://doi.org/10.1097/01.JU.0001109924.89093.ba
Moritoki, Y., Mizuno, K., Kato, T., Yasui, T., & Hayashi, Y. (2018). Unusual cause of acute scrotal pain-inflammatory noncommunicating hydrocele: A pediatric case report. Case Reports in Medicine, 2018, 2862514. https://doi.org/10.1155/2018/2862514
Naito, G. M., Pimentel, C. S. S., Silva, R. R., Guedes, A. A. L., & Guedes, A. (2022). Primary total knee arthroplasties under the Brazilian public health unic system (SUS) – Number of procedures, regional distribution, hospitalization costs, average length of hospital stay and mortality (2012–2021). Research, Society and Development, 11(5), e28548. https://rsdjournal.org/index.php/rsd/article/view/28548
Nogueira Junior, R. C., Igarashi, Á. T., Rêgo, S. S. S. do, & Antunes, R. M. (2024). Análise da incidência e repercussões clínicas das internações por hidrocele e espermatocele. Revista Brasileira de Revisão de Saúde, 7(5), e73493. https://doi.org/10.34119/bjhrv7n5-402
Patoulias, I., Koutsogiannis, E., Panopoulos, I., Michou, P., Feidantsis, T., & Patoulias, D. (2020). Hydrocele in pediatric population. Acta Medica (Hradec Kralove), 63(2), 57–62. https://doi.org/10.14712/18059694.2020.17
Shakiba, B., Heidari, K., Jamali, A., & Afshar, K. (2023). Aspiration and sclerotherapy versus hydrocelectomy for treating primary hydrocele: A systematic review and meta-analyses. World Journal of Urology, 41, 1491–1499. https://doi.org/10.1007/s00345-023-04042-2
Shitsuka et al. (2014). Matemática fundamental para a tecnologia. São Paulo: Ed. Érica.
Sosnowska-Sienkiewicz, P., Januszkiewicz-Lewandowska, D., & Mańkowski, P. (2023). Testicular and scrotal abnormalities in pediatric and adult patients. Polski Przegląd Chirurgiczny, 96(0), 88–96. https://doi.org/10.5604/01.3001.0053.9349
Toassi, R. F. C. & Petry, P. C. (2021). Metodologia científica aplicada à área da Saúde. 2ed. Editora da UFRGS.
Vieira, S. (2021). Introdução à bioestatística. Ed.GEN/Guanabara Koogan.
Villanueva Ramírez, A. (2013). Fisiopatología y tratamiento del hidrocele. Revista Médica de Costa Rica y Centroamérica, 70(608), 701–703. https://www.binasss.sa.cr/revistas/rmcc/608/art24.pdf
Yeap, E., Pacilli, M., & Nataraja, R. M. (2020). Inguinal hernias in children. Australian Journal of General Practice, 49(1-2), 38–43. https://doi.org/10.31128/AJGP-08-19-5037
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Copyright (c) 2025 Letícia Cavalcante da Costa Aragão; Andreza de Oliveira Borges; Tatiane Barros de Araújo; Girlenon de Carvalho e Silva; Alan Lopes de Sousa; Camila Pires da Costa; Priscila Favoritto Lopes

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