采用单一阴囊入路治疗双侧精索静脉曲张及其他阴囊合并症：我们对34例患者的经验
Treatment of bilateral varicocele and other scrotal comorbidities using a single scrotal access: our experience on 34 patients.
作者信息
Iacono F, Ruffo A, Prezioso D, Romeo G, Illiano E, Di Lauro G, Romis L, Sansalone S
机构信息
Department of Urology, Federico II University, Via S. Pansini 5, 80100 Naples, Italy.
Department of Urology, Hospital Santa Maria delle grazie, Via Domiziana, Località la Schiana, Pozzuoli, 80078 Naples, Italy.
出版信息
Biomed Res Int. 2014;2014:403603. doi: 10.1155/2014/403603. Epub 2014 Jul 23.
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.
引言
精索静脉曲张是男性不育的主要原因，也是最可纠正的原因。在本研究中，我们介绍了34例患有双侧精索静脉曲张及其他阴囊合并症的患者经阴囊入路手术的经验。
材料与方法
纳入34例临床可触及及亚临床（超声多普勒扫描）双侧精索静脉曲张及其他合并症患者，如右侧鞘膜积液、左侧鞘膜积液、双侧鞘膜积液及附睾囊肿。他们均在局部麻醉下接受阴囊双侧精索静脉结扎术。
结果与讨论
6个月时，未报告其他并发症。未观察到睾丸萎缩病例。无一例精索静脉曲张复发。所有阴囊合并症也得到了治疗。
结论
局部麻醉下经阴囊入路是治疗双侧精索静脉曲张及其他阴囊合并症患者的一种安全有效的技术。
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