Azamat SHAMSIEV, Amine KSIA, Jamshid SHAMSIEV, Zafar MAKHMUDOV
Turkish Journal of Pediatric Surgery - 2026;40(2):93-98
Objectives: The objective of this study was to examine the histomorphological characteristics of spermatic cord cysts in infants and young children. Patients and methods: This retrospective study was conducted at the Specialized Pediatric Surgery Clinic of Samarkand State Medical University. Medical records of 355 male pediatric patients aged 18 days to 12 months who underwent treatment for acute developed cysts of the spermatic cord (ADCSC) between 1994 and 2021 were retrospectively reviewed. Of the 92 operated children from both groups, 88 patients underwent histomorphological examinations of the seminal canal cyst walls to confirm the effectiveness of the developed treatment method in our clinic. Results: A total of 355 male pediatric patients (range, 18 days to 12 months) met the criteria. The patients were divided into two groups based on treatment strategy and period: the control group (n = 160, 45.1%), comprising patients who received conventional blind puncture aspiration between 1994 and 2007. The main group (n = 195, 54.9%) consisted of patients with ADCSC treated using a method developed at the clinic: ultrasound-guided cyst puncture under real-time sonographic visualization between 2008 and 2021. The results show that the thinnest cyst walls are observed in patients aged 1.5 to 3.5 months. In contrast, children aged 3.5 to 12 months have thicker cyst walls compared to the younger age group. Conclusion: The outcomes of puncture treatment for acute spermatic cord cysts in newborns and young children demonstrate a significant advantage of this minimally invasive treatment, especially in infants under three months of age.
