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Bilateral persistent sinus tracts formation post bilateral microsurgical inguinal varicocelectomy: A case report
Omar Alfehaid1, Moayid Fallatah1, Ahmed Aljuhayman2
1King Faisal Specialized Hospital and Research Center, Riyadh, Saudi Arabia.
Urology Case Reports
|October 26, 2020
Summary
A rare complication of bilateral microsurgical varicocelectomy is infected inguinal wounds leading to sinus formation. Prompt wound management, including debridement and sinus excision, is crucial for healing.
Area of Science:
- Urology
- Surgical Complications
Background:
- Varicocele affects 15-20% of the general population and is frequently managed surgically.
- Bilateral microsurgical varicocelectomy is a standard urological procedure.
Observation:
- A rare case of infected inguinal wounds occurred post bilateral microsurgical varicocelectomy.
- This complication resulted in persistent bilateral wound sinus formation.
Findings:
- Multiple bedside wound debridements and sinus tract excisions were performed.
- The patient's wounds eventually healed after surgical intervention.
Implications:
- Close monitoring of post-operative subcutaneous collections is essential to prevent such complications.
- Utilizing fat flaps during wound debridement can help eliminate dead space and reduce recurrence risk.
