Varicocele indicated scrotoplasty with varicocelectomy: A case report

Area of Science:

• Urology
• Surgical Innovation
• Scrotal Pathology

Background:

• Varicocele, a common cause of male infertility, can lead to significant scrotal pain and enlargement.
• Enlarged hanging scrotum (scrotal elephantiasis) can severely impact daily activities and patient well-being.
• Surgical management is often necessary for symptomatic varicoceles and associated scrotal abnormalities.

Observation:

• A 72-year-old male presented with scrotal pain and a significantly enlarged, hanging scrotum exceeding 15 cm.
• Clinical examination confirmed a grade three left varicocele.
• The patient's daily activities were notably impaired by the scrotal condition.

Findings:

• Surgical exploration and successful left varicocelectomy were performed.
• A concurrent scrotoplasty procedure was conducted to address the scrotal enlargement.
• Post-operative follow-up at 15 months revealed an excellent clinical outcome with symptom resolution.

Implications:

• Varicocelectomy combined with scrotoplasty offers an effective treatment for symptomatic varicoceles with severe scrotal enlargement.
• This surgical approach can significantly improve patient quality of life by alleviating pain and restoring normal function.
• Further research into optimizing surgical techniques for complex scrotal pathologies is warranted.