title: Bilateral varicocele repair by transscrotal extratunica vaginalis procedure in outpatients: a novel technique.
abstract: OBJECTIVE
  A new technique is proposed to repair bilateral varicocele using local anesthesia and a single scrotal incision in outpatients.
  
  
  METHODS
  Twenty-three patients with bilateral varicocele underwent bilateral ligation of the spermatic veins by median transscrotal procedure. The veins of the anterior and posterior pampiniform plexus were ligated and sectioned bilaterally.
  
  
  RESULTS
  Optical magnification of the area spared the testicular artery.
  
  
  CONCLUSIONS
  These results and the minimal invasiveness of the method described offer a valid alternative to double-access surgery for cases of bilateral varicocele.
authors.affiliation: Urologic Clinic, School of Medicine, University Federico II, Naples, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Iacono
authors.forename: G
authors.initials: G
authors.lastname: Capparelli
authors.forename: M
authors.initials: M
authors.lastname: Darmiento
mesh_terms: D000293:Adolescent; D000328:Adult; D000556:Ambulatory Surgical Procedures; D000772:Anesthesia, Local; D005500:Follow-Up Studies; D006801:Humans; D008026:Ligation / Q000379:methods; D008297:Male; D012611:Scrotum / Q000000981:diagnostic imaging / Q000601:surgery*; D013737:Testis / Q000601:surgery; D018608:Ultrasonography, Doppler; D013519:Urogenital Surgical Procedures / Q000379:methods*; D014646:Varicocele / Q000000981:diagnostic imaging / Q000601:surgery*