Articles: surgery.
-
The nature of the local histopathologic changes secondary to vasectomy is described in tissue excised at vasovasostomy in 37 secondarily infertile patients. Segments of surgically removed vasa were also studied in four patients with primary infertility who underwent scrotal explorations and subsequent vasoepididymostomy. ⋯ These included suture granuloma, sperm granuloma, and vasitis nodosa, the last being a ductular proliferation originating from the central vas lumen and extending into the perivasal soft tissues. Vasitis nodosa occurred in 66% of the patients, and although it was often found with a sperm granuloma, it did occur by itself and is a lesion which should be recognized.
-
Thioglycolic acid, in commercially available spray, lotion or cream, was used to remove the hair from the scrotum, pubis and perineum in 45 patients, with minimal discomfort in only 11 patients and wound infection in only one. Eighty-five per cent of these patients said they preferred the depilatory cream to the routine pre-operative shave with a razor. In 3 of 4 patients where it was instilled intraurethrally to remove hairs from skin-inlay urethroplasties it was successful in removing hairs; in the fourth patient most of the hairs were removed. None of these patients had anything more than a short-lasting irritation afterwards.