53 - Complications of Surgery of the Testicle, Vas Deferens, Epididymis, and Scrotum

Abstract

Surgical procedures involving the scrotum and its contents comprise a high percentage of the operative techniques performed by urologists. These procedures are often regarded as being relatively simple and “low risk,” but the potential exists for significant patient morbidity in the event that complications do arise. With optimal preoperative planning, intraoperative technique, and postoperative care, many of these complications can be averted. Paramount among preoperative considerations is cessation of antiplatelet and other blood thinning products at an appropriate time point in advance of the surgery in order to minimize the risk of bleeding. Intraoperatively, a thorough understanding of the anatomy, identification and avoidance of critical arterial vascular structures, and diligent hemostasis are all approaches that help to decrease operative risk. Finally, providing patients with a clear set of postoperative instructions, including activity restrictions and icing recommendations, can help expedite healing and avert delayed complications such as pain and scrotal hematoma formation.