title: Treatment of bilateral varicocele and other scrotal comorbidities using a single scrotal access: our experience on 34 patients.
abstract: BACKGROUND
  Varicocele is the main cause of infertility in male and the most correctable cause of it too. In this study, we present our experience on 34 patients affected by bilateral varicocele and other scrotal comorbidities treated underwent surgery with a scrotal access.
  
  
  METHODS
  34 patients were enrolled with clinical palpable and infraclinical (ultrasonic doppler scanning) bilateral varicocele and other comorbidities like right hydrocele, left hydrocele, bilateral hydrocele, and epididymal cyst. They all underwent scrotal bilateral varicocelectomy under local anesthesia.
  
  
  CONCLUSIONS
  At 6 months, no other complications were reported. No case of testicular atrophy was observed. None had recurrence of varicocele. All scrotal comorbidities were treated as well.
  
  
  CONCLUSIONS
  Scrotal access with local anesthesia is a safe and useful technique to treat patients with bilateral varicocele and other scrotal comorbidities.
authors.affiliation: Department of Urology, Federico II University, Via S. Pansini 5, 80100 Naples, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Iacono
authors.affiliation: Department of Urology, Federico II University, Via S. Pansini 5, 80100 Naples, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Ruffo
authors.affiliation: Department of Urology, Federico II University, Via S. Pansini 5, 80100 Naples, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Prezioso
authors.affiliation: Department of Urology, Federico II University, Via S. Pansini 5, 80100 Naples, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Romeo
authors.affiliation: Department of Urology, Federico II University, Via S. Pansini 5, 80100 Naples, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Illiano
authors.affiliation: Department of Urology, Hospital Santa Maria delle grazie, Via Domiziana, Località la Schiana, Pozzuoli, 80078 Naples, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Di Lauro
authors.affiliation: Department of Urology, Hospital Santa Maria delle grazie, Via Domiziana, Località la Schiana, Pozzuoli, 80078 Naples, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Romis
authors.affiliation: Department of Urology, Tor Vergata University, Viale Oxford 81, 00133 Rome, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Sansalone
mesh_terms: D000328:Adult; D015897:Comorbidity; D006801:Humans; D007248:Infertility, Male / Q000473:pathology / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications; D013088:Spermatocele / Q000473:pathology / Q000601:surgery; D006848:Testicular Hydrocele / Q000473:pathology / Q000601:surgery*; D013737:Testis / Q000473:pathology / Q000601:surgery*; D014646:Varicocele / Q000473:pathology / Q000601:surgery*