Clinical Study on the Application of Local Anesthesia to Intrascrotal Surgery and Varicocelectomy

Shim, Jee Eop; Na, Hyun Je

Abstract

We made a clinical study on the effectiveness of local anesthesia in 22 cases of intrascrotal surgeries and 25 cases of varicocelectomies at the Department of Urology, C. A. F. G. H during the period from August 1983 to July 1984. The subjective reaction to pain was evaluated: the seven patients experienced slight pain, the four patients, moderate pain and the remaining thirty six patients, no pain. The operations were performed successfully without converting local anesthesia to general or spinal anesthesia by giving supplemental doses of anesthetic solution, demerol, or valium according to the degree of pain whenever the patients complained of pain. The average duration of anesthesia was 3.8 hours which was sufficient for intrascrotal surgeries and varicocelectomies. No specific complications developed during or after anesthesia except for nausea and vomiting in one case postoperatively. Most of the side effects of general or spinal anesthesia were avoided by adopting local anesthesia. It was not only beneficial to high-risk or elderly patients but ambulatory patients.