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Outpatient hydrocele and spermatocele repair under local anesthesia.

We performed 20 hydrocele repairs and 18 spermatocelectomies using Lord's techniques on outpatients under local anesthesia. The only complication was delayed wound healing early in the series when tight pressure dressings were used. We now use only a simple dressing and a scrotal support. This method for these operations reduces the cost by 74 per cent compared to inpatient procedures under general anesthesia. This safety and cost-effectiveness argue strongly for performance of most hydrocele repairs and spermatocelectomies as outpatient procedures under local anesthesia.

Adult↗

[Tetracycline sclerotherapy of hydroceles and spermatoceles].

40 patients were treated by aspiration and instillation of a 10% solution of tetracycline. 32 were cured after average 1.45 instillations. The dominating adverse effect was scrotal pain, reported by 55% of the patients. One patient experienced a transient vasovagal reaction due to the pain, and one patient was suspected of having a slight infection. No other adverse effect was registered, and 90% of the patients would prefer to have the same treatment rather than an operation if another treatment were found necessary. The treatment is given as an outpatient procedure at 1/10 of the cost of traditional operative treatment, and with comparable results.

Adult↗