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Scrotal Procedures (Vasectomy / Reversal / Varicocelectomy)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms at side on armboards
Time : 2-4 hours (long)
Blood Loss : Very Low (5-10 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : None for vasectomy or varicocelectomy; reasonable for the long microsurgical reversal if not running deep TIVA.
Blocks : Ilioinguinal/Iliohypogastric
Considerations : Off-site, Fluoroscopy / Xray, PONV

Anesthetic Approaches

1GLMA, TIVA, Propofol Drip
2GETT, TIVA, Propofol Drip, Remifentanil Drip
3MAC, Propofol Drip, Local Anesthetic
The Surgery

Vasectomy - almost always an office procedure under local infiltration. The vas is fixed under the scrotal skin, a small puncture or incision is made, a segment of vas is excised and the ends...

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