Syed Abid Ali, Fareed Akber Shah.
Varicocelectomy performed under local anesthesia.
J Surg Pak Jan ;11(4):175-7.

Objective: To report a series of varicocelectomy performed under local anaesthesia. Design: Interventional study. Place and Duration of study: Fatima Hospital Karachi from April 2003 to April 2006. Patients and Methods: Thirty consecutive patients with varicolcele were included in this study. All patient were evaluated with a complete clinical history, physical examination and scrotal ultrasonography to assess the testicular volume and to confirm varicocele. Results: All surgeries were done on day care basis. About 76 patients had grade II varicocele. 0.5% xylocaine with adrenaline (1:200000) was used for local infiltration Post operative pain level was assessed with visual analog scale (VAS). It varied from 10mm to 30mm with an average of 21.3. No intra-operative complications occurred. All patients were discharged within 12 hours after surgery. Overall 5 patients had minor complication: 2 had scrotal haematoma, 3 had surgical wound infection one patient had flank pain for 24 hours. Conclusion: This study has shown varicocelectomy under local anaesthesia to be possible, simple, cheap, reliable and a safe method with minimal complications.

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