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August 8, 1914


Author Affiliations

Roanoke, Va.

JAMA. 1914;LXIII(6):483. doi:10.1001/jama.1914.25710060002014b

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Not infrequently associated with varicocele is a long, lax, pendent scrotum which in itself needs consideration, and unless dealt with properly these patients will not obtain complete relief from removal of the veins.

The operation most commonly employed is to clamp off and remove the redundant scrotum en bloc—the clamp being placed in such direction as is thought best.

The operation which I propose is not to use the clamp but to make the incision through the skin only, and this can then be readily dissected or stripped from the subcutaneous tissues. The incision may be elliptic, as when only one side of the scrotum is pendent, to shorten this side; or transverse, removing as much of the lower end of the scrotum as is desired; or following the line of the raphé extending on either side as wide as is desired. It may be closed in a straight

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