{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T23:07:40Z","timestamp":1789686460389,"version":"4.0.1"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die Hydrozele ist eine h\u00e4ufige Ursache skrotaler Schwellung bei erwachsenen M\u00e4nnern. Die operative Therapie gilt als Goldstandard, ist jedoch invasiv und mit perioperativer Morbidit\u00e4t sowie l\u00e4ngerer Rekonvaleszenz verbunden. Die Aspiration mit Sklerosierung stellt eine minimalinvasive Alternative dar, zu der im deutschsprachigen Raum bislang nur begrenzte Daten vorliegen. Ziel der Studie war die Etablierung der Hydrozelensklerosierung sowie die Untersuchung ihrer Sicherheit und Effektivit\u00e4t.<\/jats:p>\n                  <jats:p>In diese monozentrische Beobachtungsstudie wurden konsekutiv M\u00e4nner \u226518 Jahre mit symptomatischer prim\u00e4rer Hydrozele eingeschlossen, die zwischen dem 01.12.2024 und 31.12.2025 behandelt wurden. Nach sonografisch kontrollierter vollst\u00e4ndiger Aspiration wurden ambulant in Lokalan\u00e4sthesie 4 ml Polidocanol 3 % instilliert. Prim\u00e4rer Endpunkt war eine klinisch zufriedenstellende Verkleinerung oder vollst\u00e4ndige Regression. Bei Rezidiv erfolgte abh\u00e4ngig von der Symptomatik eine erneute Sklerosierung oder operative Therapie. Die Nachkontrolle erfolgte nach 6 Wochen klinisch und sonographisch sowie telefonisch am 01.06.2026. Komplikationen wurden nach Clavien-Dindo erfasst.<\/jats:p>\n                  <jats:p>Insgesamt wurden 32 Patienten mit einem mittleren Alter von 61,6 \u00b1 15,7 Jahren behandelt. Das mittlere Aspirationsvolumen betrug 460,0 \u00b1 382,2 ml. Nach prim\u00e4rer Sklerosierung erreichten 23\/32 Patienten (71,9 %) den prim\u00e4ren Endpunkt. Bei 9\/32 Patienten (28,1 %) trat ein behandlungsbed\u00fcrftiges Rezidiv auf; 7 erhielten eine zweite Sklerosierung. Insgesamt wurden 28\/32 Patienten (87,5 %) mit maximal 2 Anwendungen erfolgreich behandelt, 4 Patienten wurden operiert. Nach prim\u00e4rer Sklerosierung traten bei 2 Patienten Schmerzen (Clavien-Dindo I\u00b0) auf. Nach erneuter Sklerosierung kam es bei 2 Patienten zu infekti\u00f6sen Komplikationen, darunter ein Fall mit operativer Revision (Clavien-Dindo IIIb\u00b0).<\/jats:p>\n                  <jats:p>Die Aspiration mit Polidocanol-Sklerosierung ist ein effektives und ambulant durchf\u00fchrbares Verfahren zur Behandlung der symptomatischen Hydrozele. Die Erfolgsrate betrug 71,9 % nach einer und 87,5 % nach maximal 2 Anwendungen. Die operative Therapie bleibt Goldstandard, w\u00e4hrend die Sklerosierung eine wirksame minimalinvasive Alternative darstellt.<\/jats:p>","DOI":"10.1055\/a-2940-8141","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T22:53:34Z","timestamp":1789685614000},"source":"Crossref","is-referenced-by-count":0,"title":["Polidocanol-Sklerosierung zur Behandlung symptomatischer Hydrozelen \u2013 Etablierung eines minimalinvasiven Therapiekonzepts in einem deutschen Zentrum"],"prefix":"10.1055","author":[{"given":"Simon","family":"Filmar","sequence":"additional","affiliation":[{"name":"Asklepios Klinik Barmbek, Germany","place":["Hamburg"],"department":["Abteilung f\u00fcr Urologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Hook","sequence":"additional","affiliation":[{"name":"Asklepios Klinik Barmbek, Germany","place":["Hamburg"],"department":["Abteilung f\u00fcr Urologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Friedrich Otto","family":"Hartung","sequence":"additional","affiliation":[{"name":"Asklepios Klinik Barmbek, Germany","place":["Hamburg"],"department":["Abteilung f\u00fcr Urologie"]},{"name":"Universit\u00e4tsmedizin Mannheim, Germany","place":["Mannheim"],"department":["Abteilung f\u00fcr Urologie und Urochirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura Isabel","family":"Alth\u00f6fer","sequence":"additional","affiliation":[{"name":"Asklepios Klinik Barmbek, Germany","place":["Hamburg"],"department":["Abteilung f\u00fcr Urologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louisa Charlotte","family":"Bormann","sequence":"additional","affiliation":[{"name":"Asklepios Klinik Barmbek, Germany","place":["Hamburg"],"department":["Abteilung f\u00fcr Urologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Netsch","sequence":"additional","affiliation":[{"name":"Asklepios Klinik Barmbek, Germany","place":["Hamburg"],"department":["Abteilung f\u00fcr Urologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedikt","family":"Becker","sequence":"additional","affiliation":[{"name":"Asklepios Klinik Barmbek, Germany","place":["Hamburg"],"department":["Abteilung f\u00fcr Urologie"]},{"name":"Universit\u00e4tsklinikum Schleswig-Holstein, Germany","place":["L\u00fcbeck"],"department":["Klinik f\u00fcr Urologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1016\/s0022-5347(17)66554-6","article-title":"The pathogenesis of idiopathic hydrocele and a simple operative technique","volume":"77","author":"S Ozdilek","year":"1957","journal-title":"J Urol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1007\/s00261-022-03697-w","article-title":"Updated classification system for primary hydrocele","volume":"48","author":"VT Hoang","year":"2023","journal-title":"Abdom Radiol (NY)"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1080\/21681805.2019.1600582","article-title":"Epidemiology of hydrocele and spermatocele; 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