(118) SURGICAL OUTCOMES OF BENIGN SCROTAL SURGERY PERFORMED UNDER LOCAL ANESTHESIA
Bibliographic record
Abstract
Abstract Introduction General and spinal anesthesia are often used to perform benign scrotal surgery. However, these methods yield substantial healthcare costs, potential side effects, and given the benign nature of the conditions, patients often face considerable wait times to receive surgical care. The use of local anesthesia (LA) only has previously been shown to demonstrate satisfactory patient tolerability for scrotal surgery. However, evidence is limited, and further research is required to evaluate its safety. Objective We sought to evaluate patient intolerability, intra-operative complications and 4–6-week procedure-related adverse events. Methods We conducted a retrospective study of patients undergoing the following procedures, 1) hydrocelectomy, 2) spermatocelectomy, and 3) epididymectomy, at a Canadian ambulatory surgical centre from October 2022 to June 2024. LA administration was performed through a spermatic cord block as well as along the median raphe for all procedures. Procedures performed for a large hydrocele or spermatocele where an early block was not possible, were subsequently performed after delivery of the testicle. Baseline characteristics, intra-operative events, and post-operative adverse events were collected. Results From October 2022 to June 2024, a total of 72 procedures were performed. Of these procedures, 39% (n = 28) were hydrocelectomies, 33% (n = 24) were spermatocelectomies, and 28% (n = 20) were epididymectomies. The mean patient age was 52.6 ± 14.3 years with a BMI of 31.2 ± 11.1. No procedures were aborted due to patient intolerability nor were there any reported intra-operative complications. At 4-6 weeks post-operative follow-up, no patients sought care from their family doctor with only 1.4% (n = 1) patients requiring an emergency department visit for a wound infection. No patients required hospital admission. Conclusions Our early findings demonstrate the safety and feasibility of performing surgical scrotal procedures in an outpatient setting under LA. Safely performing these procedures in an outpatient setting can reduce patient wait times for scrotal surgeries, boost tertiary care centre efficiency, and optimize the use of scarce resources such as operating rooms and inpatient facilities. Further longer-term follow-up is needed to evaluate recurrence rates. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: Boston Scientific.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".