Hydrocelectomy using a minimally invasive, office-based approach - Landon W. Trost, MD
The current video presents a demonstration of an office-based, minimally-invasive hydrocelectomy technique performed under local anesthesia. Descriptions are provided on methods to assure complete anesthesia, and outcomes of an initial series are provided.
Dr. Hotaling: Performing hydrocelectomy under local, while relatively common in other countries, is not routinely done in North American institutions. While most urologists would not necessarily be comfortable performing this under local, this technique provides a simple description of how this can be easily accomplished. Dr. Trost illustrates how it is vital to control the edges of the tunica vaginalis, which can easily slip back into the small incision and lead to bleeding.