Varicocele indicated scrotoplasty with varicocelectomy: A case report.

A 72 -year- old male patient presented to the clinic complaining of mild dragging scrotal pain and hanging scrotum interfering with his daily activity. Clinical examination revealed grade three left varicocele, enlarged hanging scrotum for more than 15 cm from the scrotal neck. The scrotum was explored and left varicocelectomy was done then scrotoplasty. Fifteen months post-operatively patient has an excellent outcome.

Microscopic subinguinal varicocelectomy for testicular pain: a retrospective study on outcomes and predictors of pain relief.

BACKGROUND: Approximately 2-10% of patients with varicocele complain of pain. Varicocelectomy for testicular pain is a surgical choice when conservative therapy fails to relieve the pain. Different variables have been reported as prognostic factors for pain relief following varicocele ligation. Moreover, the success rate of varicocelectomy for testicular pain has varied among studies. This retrospective study aimed to investigate the predictors and success rate of microscopic subinguinal varicocelectomy performed for the treatment of painful varicocele. RESULTS: Among the 132 patients, 83.3% reported pain relief. A significant association was identified between varicocelectomy for unilateral testicular pain and pain resolution (P < 0.0001); no other factors were predictors of pain relief. CONCLUSIONS: Microscopic subinguinal varicocelectomy for testicular pain is an effective surgical alternative. Varicocelectomy for unilateral testicular pain may predict postoperative pain relief in appropriately selected patients.

RéSUMé: CONTEXTE: Environ 2 à 10 % des patients porteurs de varicocèle se plaignent de douleur. La varicocèlectomie pour douleur testiculaire est un choix chirurgical lorsque le traitement conservateur ne parvient pas à soulager la douleur. Différentes variables ont été rapportées comme facteurs pronostiques du soulagement de la douleur après ligature de la varicocèle. Par ailleurs, le taux de réussite de la varicocèlectomie pour douleur testiculaire varie selon les études. Cette étude rétrospective visait à étudier les facteurs prédictifs et le taux de réussite de la varicocèlectomie subinguinale microscopique réalisée pour traiter une varicocèle douloureuse. RéSULTATS: Parmi les 132 patients opérés, 83,3% ont rapporté le soulagement de la douleur. Une association significative a été identifiée entre la varicocèlectomie pour douleur testiculaire unilatérale et la résolution de la douleur (P <0,0001) ; aucun autre facteur n'était prédictif du soulagement de la douleur. CONCLUSIONS: La varicocèlectomie subinguinale microscopique pour douleur testiculaire est une alternative chirurgicale efficace. La varicocèlectomie pour douleur testiculaire unilatérale peut prédire le soulagement postopératoire de la douleur chez les patients convenablement choisis.

Scrotal calcinosis effect - Case report and review of literature.

Idiopathic scrotal calcinosis is a benign rare diseases that is characterized by single or multiple scrotal skin calcified nodules without evidence of systemic disease. We report the first case in Saudi Arabia of Idiopathic scrotal calcinosis in a patient whose a 42 years old male, medically and surgically free who presented to our clinic with multiple scrotal nodular lesions in which excision was done and histology showed calcium deposition in basophilic globules which is consistent with Idiopathic scrotal calcinosis. Although pathogenesis and etiology of Idiopathic scrotal calcinosis is controversial, surgical excision is the treatment of choice.