Korean J Androl.  2008 Jun;26(2):86-90.

Complications Related to Scrotal Surgery for Male Infertility

Affiliations
  • 1Kwandong University College of Medicine, Cheil General Hospital & Women's Healthcare Center, Department of Urology, Seoul, Korea. jtandro@cgh.co.kr

Abstract

PURPOSE: We reviewed our experience of various scrotal surgeries for male infertility to determine the postoperative complication rates, and how our experience might differ from other series.
MATERIALS AND METHODS
The medical records of 356 male patients, performed scrotal surgery for infertility from 2005 to 2006 were reviewed retrospectively. All features of postoperative complications were analyzed according to the operative procedures, use of microscope, spermatic cord incision, and type of anesthesia.
RESULTS
All 356 patients of scrotal surgeries were consisted of testicular biopsy (27.2%), microsurgical multiple testicular sperm extraction (m-TESE) (26.4%), vasectomy (17.1%), vasovasostomy (12.6%), scrotal exploration (6.5%), vasoepididymostomy (5.3%) and TESE (4.8%). Complications occurred in 11 (3.1%) procedures and included petechia (27.3%), scrotal edema (27.3%), wound disruption (18.2%), hematoma (18.2%) and hemospermia (9.1%). Most complications were improved by conservative treatments such as compressive scrotal dressing with elevation and resuture was done in 18.2 % (2/11) of patients with wound disruption. In patients of spermatic cord incision, complication rates was higher than in those who did not (8.0% vs. 1.5%, respectively) (p=0.006). There were no significant differences in complication rates regarding type of anesthesia or use of microscope.
CONCLUSIONS
To prevent probable complications following scrotal surgery for male infertility, intraoperative meticulous control of bleeding, compressive scrotal dressing or elevation should be considered. Especially, in surgery combined with spermatic cord incision, physicians should pay more attention to minimize postoperative complications.

Keyword

Scrotum; Surgery; Male infertility; Postoperative complications; Spermatic cord

MeSH Terms

Anesthesia
Bandages
Biopsy
Edema
Hematoma
Hemorrhage
Hemospermia
Humans
Infertility
Infertility, Male
Male
Medical Records
Postoperative Complications
Retrospective Studies
Scrotum
Spermatic Cord
Spermatozoa
Surgical Procedures, Operative
Vasectomy
Vasovasostomy
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