Varicocelectomy performed under local anesthesia

ABSTRACT

To report a series of varicocelectomy performed under local anaesthesia. Interventional study. Fatima Hospital Karachi from April 2003 to April 2006. 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. All surgeries were done on day care basis. About 76 patients had grade II varicocele. 0.5% xylocaine with adrenaline [1200000] 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. This study has shown varicocelectomy under local anaesthesia to be possible, simple, cheap, reliable and a safe method with minimal complications