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      Persistent Genital Swelling after Hydrocele Ligation in a Patient Receiving Continuous Ambulatory Peritoneal Dialysis

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          Abstract

          We report a case of genital swelling in a patient receiving continuous ambulatory peritoneal dialysis. A physical examination did not identify any defect. Ultrasonography revealed a large hydrocele, and surgical repair brought resolution of the genital swelling. Two months later, however, the genital swelling had recurred and was not improved until peritoneal dialysis was replaced by hemodialysis 3 months later.

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          Genital swelling secondary to leakage from continuous ambulatory peritoneal dialysis: computerized tomography diagnosis.

          C C Capelouto, W DeWolf (1993)
          We report a case of acute genital swelling in a patient receiving continuous ambulatory peritoneal dialysis. Physical examination did not identify or localize any defect. Computerized tomography demonstrated extravasation into the left groin and scrotum. Surgical repair of an inguinal hernia resulted in complete resolution of the genital swelling.
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            Localized genital edema in patients undergoing continuous ambulatory peritoneal dialysis.

            R Kopecky, M Funk, P Kreitzer (1985)
            Localized genital edema occurred in 8 of 81 patients (10 per cent) undergoing continuous ambulatory peritoneal dialysis. Underlying causes included defects in the inguinal canal and noninguinal peritoneal leaks that were localized with clinical, radiographic and scintigraphic techniques. Management included temporary cessation of continuous ambulatory peritoneal dialysis exchanges in half of the patients, particularly those with recently inserted catheters. Surgical repair was recommended in all cases when inguinal defects were identified. Edema resolved permanently in 6 patients and all patients were able to remain on continuous ambulatory peritoneal dialysis.
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              Genital swelling as a surgical complication of continuous ambulatory peritoneal dialysis.

              Stephen Blake, Nader G. Abraham, S Izatt … (1990)
              Genital edema was seen as a complication of continuous ambulatory peritoneal dialysis (CAPD) in 18 patients, who accounted for 4 per cent of all patients on CAPD. In the majority of patients, the swelling developed suddenly and painlessly in the scrotum, penis or labia majora. Some of the patients noticed ultrafiltration failure. In the majority of these patients, this was a result of fluid leakage through the patent processus vaginalis. In one female patient, fluid leaked through the implantation site of the catheter. A computed tomographic scan using contrast media is a useful diagnostic tool in identifying the side of the defect in patients with generalized scrotal or penile edema. Surgical repair of the hernia and the hole in the processus vaginalis or hernia sac prevented recurrence. A trial of temporary discontinuation of CAPD or intermittent peritoneal dialysis using small volumes of dialysis fluid prevented recurrence while reinstituting CAPD in patients with normal findings from contrast studies. Intermittent peritoneal dialysis using low volumes of dialysis fluid with stepwise increase prevented recurrence while reinstituting CAPD two to three weeks after surgical repair.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Int Neurourol J
                Journal ID (iso-abbrev): Int Neurourol J
                Journal ID (publisher-id): INJ
                Title: International Neurourology Journal
                Publisher: Korean Continence Society
                ISSN (Print): 2093-4777
                ISSN (Electronic): 2093-6931
                Publication date (Print): March 2012
                Publication date (Electronic): 31 March 2012
                Volume: 16
                Issue: 1
                Pages: 51-53
                Affiliations
                Department of Urology, Chonnam National University Medical School, Gwangju, Korea.
                Author notes
                Corresponding author: Sun-Ouck Kim. Department of Urology, Chonnam National University Hospital, Chonnam National University Medical School, 42 Jebong-ro, Dong-gu, Gwangju 501-757, Korea. Tel: +82-62-220-6705 / Fax: +82-62-227-1643, seinsena@ 123456hanmail.net
                Article
                DOI: 10.5213/inj.2012.16.1.51
                PMC ID: 3321405
                PubMed ID: 22500255
                SO-VID: 8833d04a-1b94-49ec-bc1e-95108ac9a9a2
                Copyright © Copyright © 2012 Korean Continence Society
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 02 March 2011
                Date accepted : 20 February 2012
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Neurology
                Keywords: testicular hydrocele,genitalia,peritoneal dialysis
                Data availability:
                ScienceOpen disciplines: Neurology
                Keywords: testicular hydrocele, genitalia, peritoneal dialysis

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