Among 48 cases of hypospadias who underwent primary single-stage urethroplasty, 24 cases underwent Tunica Vaginalis
Flap (TVF) repair as soft tissue cover after urethroplasty (Group A) and other 24 operated using Dartos flap as soft tissue cover after urethroplasty (Group B).
The following groups were characterized: (1) control (4 cases): symptomless individuals from which living AWs nonsensitive to antifilarial treatment were removed [17-20]; (2) patients with dead AWs in the PL (1 case); (3) acute filarial hydrocele (3 cases): patients with fluid accumulation in the tunica vaginalis
cavity which appears within a few days after a nodule formation and resolves spontaneously up to 18 months ; (4) filaricele (20 cases): patients with chronic accumulation in the tunica vaginalis
cavity of fluid composed of a combination, in different proportion, of transudate and nonmilky lymph from ruptured dilated lymphatic vessels .
suggest that the presence of multiple and confluent extratesticular masses associated with significant acoustic shadowing and low-to-absent Doppler signal leads to the diagnosis of pseudotumor of the tunica vaginalis
Allen Jr, "Benign fibrous pseudotumor of tunica vaginalis
testis," Urology, vol.
Novel surgical techniques have been explored in both animal models and patients to address testicular compartment syndrome, including incising the tunica albuginea with or without patching it with tunica vaginalis
(Jozsa et al., 2016; Kutikov et al., 2008; Quintaes, Tatsuo, Paulo, Musso, & Boasquevisque, 2013).
Rubino, "Papillary mesothelioma of the tunica vaginalis
," Cancer, vol.
Mesothelial cysts may arise from the tunica vaginalis
, tunica albuginea or less commonly in the epididymis or spermatic cord.
Macroscopically, the changes observed more frequently in infected rams are abscess, usually located in the tail of the epididymis, thickening of the tunica vaginalis
, fibrinous or fibrous periorchitis, and increase in size of seminal vesicles [1, 13].
Ultrasound demonstrated multifocal echogenic lesions with intrinsic vascularity confined to the tunica vaginalis
. These findings were felt to be highly suspicious for mesothelioma (Figure 1).
Mesothelioma of the tunica vaginalis
occurs in middleaged to elderly men (mean, 53.5 years); however, there is one case in the literature (10) that describes this entity occurring in the pediatric population.
In 12 (75%) we did the simple repair and second layer with dartos, in 03 (16.7%) OIU and silicone catheterization was done, but they recurred then repair with tunica vaginalis
cover was performed and 02 (8.3%) patient underwent OIU plus simple repair with dartos.
Other changes in this level of age were entering tail section and part of the epididymis to the scrotum and differentiation of peritoneal layer curtain appendage to tunica vaginalis
, respectively (Figure 12).