Legal Aspects of Men's Genitourinary Health

J. Henning; S. Waxman

Disclosures

Int J Impot Res. 2009;21(3):165–170 

In This Article

Scrotal Masses

There are several non-malignant scrotal masses that may present to the clinician, including varicocele, hydrocele and spermatocele. Most are asymptomatic; however, they can enlarge to a size that is uncomfortable or even painful. Varicoceles can also adversely affect fertility.[46]

There are several surgical approaches to varicocele repair, all of which carry the risk of postoperative hydrocele, recurrence, testicular atrophy and loss.[46,47] Although fertility may be improved, varicocelectomy does not guarantee a pregnancy.

Hydrocele and spermatocele repair can also lead to testicular atrophy and loss.[48,49] The relatively elective nature of this procedure makes it important to counsel patients thoroughly regarding the risks and benefits of treatment. Recurrence, chronic pain and epididymal obstruction can occur with any scrotal surgery.[48,49]

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