These videos illustrate an efficient and cost-effective way to perform simple and complex andrology procedures without the need for an anesthesiologist. Landon W. Trost, MD, uses local anesthesia with liposomal bupivicaine (Exparel) to perform a hydrocelectomy and, in another patient, a vasovasostomy. As OR time is one of the most precious commodities in the health care system, these techniques demonstrate a very simple way to do these procedures without the need for general anesthesia. Infertility, which is typically not covered in most states, is an area where all the costs of the procedure are passed on directly to the patient, leading to a very cost sensitive environment.
—James M. Hotaling, MD, MS, Section Editor
Commentary on the videos is provided by 'Y'tube Section Editor James M. Hotaling, MD, MS, assistant professor of surgery (urology) at the Center for Reconstructive Urology and Men's Health, University of Utah, Salt Lake City.