[Subcutaneous endoscopic surgery in urology].

Area of Science:

• Urology
• Minimally Invasive Surgery
• Endoscopic Techniques

Context:

• Endoscopic subcutaneous surgery is established in other surgical fields but novel in urology.
• The inguinal canal and scrotum present unique anatomical challenges for this technique.

Purpose:

• To describe novel endoscopic subcutaneous surgical approaches for the inguinal canal and scrotum.
• To evaluate the feasibility and outcomes of these new urological procedures.

Summary:

• The inguinal approach involved three 5mm trocars for spermatic cord cyst and tumor removal.
• The scrotal approach, used for hydroceles, involves direct access, fluid aspiration, and tunica vaginalis resection.
• Both approaches were technically straightforward with short operative times and potentially less post-operative pain.

Impact:

• This study introduces innovative endoscopic subcutaneous techniques for urological surgery.
• Early excellent results suggest a promising future with expanded indications for these minimally invasive procedures.