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Feasibility of local anaesthesia for varicocele correction in one-day-surgery setting. A single center experience

Authors

Giovanni Saredi
giovanni.saredi@asst-settelaghi.it
Department of Urology and Andrology; Circolo and Fondazione Macchi Hospital, Varese, Italy.
Fabrizio I. Scroppo
Department of Urology and Andrology; Circolo and Fondazione Macchi Hospital, Varese, Italy.
Paolo Capogrosso
http://orcid.org/0000-0003-2347-9504
Department of Urology and Andrology; Circolo and Fondazione Macchi Hospital, Varese, Italy.
Giacomo Maria Pirola
Department of Urology, USL Toscana Sud Est, San Donato Hospital, Arezzo, Italy.
Lorenzo Capone
Department of Urology, USL Toscana Sud Est, San Donato Hospital, Arezzo, Italy.
Andrea Pacchetti
Department of Urology, San Martino Hospital, University of Genova, Italy.
Giuseppe Gianesini
Department of Urology and Andrology; Circolo and Fondazione Macchi Hospital, Varese, Italy.
Paolo Maggio
Department of Urology and Andrology; Circolo and Fondazione Macchi Hospital, Varese, Italy.
Giulio Carcano
University of Insubria, Varese; Department of Surgery, Circolo and Fondazione Macchi Hospital, Varese, Italy.
Federico Dehò
Department of Urology and Andrology; Circolo and Fondazione Macchi Hospital, Varese; University of Insubria, Varese, Italy.

Objective: In this study, we compared postoperative outcomes of patients submitted to varicocele correction under general or local anesthesia at a single center.
Methods: All patients underwent varicocele surgical treatment with the Colpi-modified Marmar subinguinal technique. They were managed with either general (Group A) or local with ileo-inguinal and ileo-hypogastric nerves block (Group B) anesthesia. The two groups were compared in terms of timing of discharge and post-operative pain as assessed with the numeric rating scale (NRS) at both rest and movement (NRSm). §
Results: Overall, 63 patients were included with a mean (SD) age of 25 years ± 5 yrs. The NRS mean score was significantly lower for Group B during the first 4 days after surgery at both rest and movement (all p < 0.05). Patients receiving local anesthesia showed a faster time to first urination (210 vs. 240 min; p = 0.02), although the time to discharge was comparable between the two groups (250 vs. 250 min).
Conclusions: These results suggest that local anetshesia for varicocele surgical treatment is feasible and provide better pain control and faster recovery after surgery.

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How to Cite

Saredi, G., Scroppo, F. I., Capogrosso, P., Pirola, G. M., Capone, L., Pacchetti, A., Gianesini, G., Maggio, P., Carcano, G., & Dehò, F. (2021). Feasibility of local anaesthesia for varicocele correction in one-day-surgery setting. A single center experience. Archivio Italiano Di Urologia E Andrologia, 93(2), 233–236. https://doi.org/10.4081/aiua.2021.2.233

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