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S. Pieri, P. Agresti, M. Morucci, A. Carnabuci, L. Medici (2003)
A therapeutic alternative in the treatment of epididymal cysts: percutaneous sclerotherapy.La Radiologia medica, 105 5-6
Epididymal cysts are benign structures found during scrotal examination. Clinical management options include conservative, aspiration, sclerosant injection and surgery. Surgical excision carries the risk of infection, hematoma, chronic epididymal pain and morbidity associated with general anesthesia. With this in mind, we present a simple method of excising epididymal cysts under local anesthesia. The method described involves the use of local anesthesia, a 16 guage cannula and minor operating instruments. This technique can be performed using local anesthesia, hence making it suitable for older less fit patients, and as a day case procedure. The technique does not alter the indications for treating epididymal cysts, and as most cysts are multiple, the patient must be warned about the possibility of recurrence.
Current Urology – Karger
Published: Jan 1, 2008
Keywords: Day surgery; Cannula; Epididymal cyst; Local anesthesia
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