What question did this study set out to answer?

This research aims to compare conservative and surgical treatments for large hematoceles and assess patient outcomes.

March 2, 2026Open Access

Conservative vs. Surgical Treatment for Large Hematocele with Intact Tunica Vaginalis: An Ongoing Debate with Two Clinical Case Reports

Key Points

This research aims to compare conservative and surgical treatments for large hematoceles and assess patient outcomes.
Reported two clinical cases of large hematocele due to blunt scrotal trauma.
Utilized ultrasound to confirm the integrity of the tunica vaginalis.
Administered conservative treatment including bed rest, anti-inflammatory medications, and antibiotics.
One patient underwent surgery due to significant comorbidities.
The other patient managed to tolerate conservative treatment but suffered from six weeks of disability.

Abstract

Abstract Two cases had blunt scrotal trauma that led to large hematocele and Ultrasound confirmed that tunica vaginalis was intact. Both patients were offered conservative treatment, which included bed rest, anti-inflammatory medications, and antibiotics. One patient reported significant comorbidities and had surgery at a private hospital and the other one tolerated conservative treatment but experienced a significant disability and was away from work for six weeks. We suggest that patients be counseled on the advantages and disadvantages of each treatment option. The choice should be a mutual decision, taking into account the patient's individual circumstances and preferences.

Conservative vs. Surgical Treatment for Large Hematocele with Intact Tunica Vaginalis: An Ongoing Debate with Two Clinical Case Reports

Key Points

Abstract

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