Laparoscopic varicocelectomy with lymphatic preservation using methylene blue dye.

A novel technique is described herein to perform a laparoscopic varicocelectomy using the high-ligation modified Palomo technique. The variation in this case is the preservation of lymphatic drainage by intraoperative identification of the lymphatics using intratesticular injection of methylene blue dye.

Genital hair strangulation in an uncircumcised boy.

Penile strangulation injury due to a coil of hair acting as a tourniquet is an uncommon injury in boys that has severe potential complications if diagnosis is delayed. We report the first such case in an uncircumcised boy. The purpose of this report is to call attention to hair as a potential source of injury in the pediatric population. The pathophysiology and management of these injuries are presented.