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Treatment of bilateral varicocele and other scrotal comorbidities using a single scrotal access: our experience on 34
F Iacono1, A Ruffo1, D Prezioso1
1Department of Urology, Federico II University, Via S. Pansini 5, 80100 Naples, Italy.
Insights
This study shows scrotal access surgery effectively treats bilateral varicocele and related scrotal issues in men. The procedure is safe, with no complications or recurrence reported at six months.
Area of Science:
- Urology
- Andrology
- Surgical Innovation
Background:
- Varicocele is a primary, correctable cause of male infertility.
- Bilateral varicoceles affect a significant number of men.
- Associated scrotal comorbidities often require concurrent treatment.
Purpose of the Study:
- To evaluate the safety and efficacy of scrotal access for bilateral varicocele repair.
- To assess the treatment of concurrent scrotal pathologies.
- To present surgical outcomes in patients with bilateral varicocele and comorbidities.
Main Methods:
- Retrospective analysis of 34 patients with bilateral varicocele.
- Surgical intervention via scrotal access under local anesthesia.
- Inclusion of patients with comorbidities like hydrocele and epididymal cysts.
Main Results:
- No complications were reported at the 6-month follow-up.
- No cases of testicular atrophy or varicocele recurrence were observed.
- Successful treatment of all associated scrotal comorbidities.
Conclusions:
- Scrotal access is a safe and effective surgical approach for bilateral varicocele.
- Local anesthesia provides a viable option for these procedures.
- The technique addresses both varicocele and other scrotal issues concurrently.
Introduction:
Varicocele is the main cause of infertility in male and the most correctable cause of it too. In this study, we present our experience on 34 patients affected by bilateral varicocele and other scrotal comorbidities treated underwent surgery with a scrotal access.
Materials And Methods:
34 patients were enrolled with clinical palpable and infraclinical (ultrasonic doppler scanning) bilateral varicocele and other comorbidities like right hydrocele, left hydrocele, bilateral hydrocele, and epididymal cyst. They all underwent scrotal bilateral varicocelectomy under local anesthesia.
Results And Discussion:
At 6 months, no other complications were reported. No case of testicular atrophy was observed. None had recurrence of varicocele. All scrotal comorbidities were treated as well.
Conclusion:
Scrotal access with local anesthesia is a safe and useful technique to treat patients with bilateral varicocele and other scrotal comorbidities.
