Evaluation of Laparoscopic Varicocelectomy in Adult Men

Document Type : Original Article

Authors

1 General Surgery Unit, Department of Surgery, Faculty of Medicine, Suez Canal University

2 Department of Surgery, Faculty of Medicine, Suez Canal University

Abstract

Background: Varicocele is an abnormal dilatation and tortuosity of the testicular veins. Treatment options include inguinal, subinguinal, retroperitoneal, scrotal, and laparoscopic approaches. Laparoscopic varicocele ligation results in lower morbidity, lower analgesic requirements, and more rapid rates of return to work as compared to the open surgical approach. The study aimed at evaluation the laparoscopic varicocelectomy (at 3 and 6 months postoperatively) as regards the intraoperative, postoperative laboratory, and radiological data.
Methods: This prospective study included 40 patients who underwent laparoscopic varicocelectomy procedure from March to November 2020.
Results: Clinically, only four patients were detected to be bilateral, although radiological assessment revealed 22 patients had bilateral affection. The mean grade is 2.15 ± 0.67 for the left side and 0.35 ± 0.74 for the right side, which improved to 0.35 ± 0.57 on the former and 0.1 ± 0.44 on the latter at 6 months postoperatively. Based on ultrasound findings, 11 patients had bilateral affection. The mean grade is 2.25 ± 0.64 for the left side and 0.75 ± 0.78 for the right side, which improved to 0.35 ± 0.67 on the former and 0.35 ± 0.49 on the latter at 6 months postoperatively. In the semen analysis, the sperm count, motility, and abnormal forms significantly improved. The mean operative time and hospital stay were 26.15 + 5.03 min and 1.15 ± 0.36 day, respectively.
Conclusion: Significant symptom, semen parameters improvements were observed during the postoperative follow-up after laparoscopic varicocelectomy. Laparoscopic varicocelectomy is recommended as more beneficial for patients.

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Zagazig University Medical Journal
Volume 30, Issue 1
January and February 2024
Pages 218-222

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