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Updated: Aug 6, 2026
Microscopic Varicocelectomy under Local Anesthesia as the Treatment of Varicocele
Published on: October 25, 2024
Results of microsurgical subinguinal varicocelectomy in children and adolescents
Onder Yaman1, Tarkan Soygur, Ali E Zumrutbas
1Department of Urology, University of Ankara Faculty of Medicine, Ankara, Turkey.
Objectives:
To report our experience with microsurgical subinguinal varicocelectomy in boys younger than 18 years old.
Methods:
A total of 92 boys with a mean age of 15.8 years (range 11 to 18) underwent microsurgical subinguinal varicocelectomy because of ipsilateral testicular hypotrophy (n = 63), pain, or parental preference. The varicoceles were grade III in 82 (89.1%) and grade II in 10 (10.9%) boys. Microsurgery was assisted by an operating microscope (10x to 25x) and Doppler probe. All boys were discharged home on the same day of surgery.
Results:
Of the 92 patients, 78 attended the initial postoperative visit at 1 month and 61 attended the 1-year follow-up visit. At 1 year, 40 (65.6%) of 61 testes demonstrated catch-up growth, with no evidence of testicular loss or persistent hypotrophy in the other 21. The only complication was persistent scrotal pain in 1 patient. At 1 year of follow-up, 1 patient (1.6%) had a recurrence and no patients had hydrocele formation or evidence of testicular loss or persistent hypotrophy.
Conclusions:
Microsurgical subinguinal varicocelectomy is a safe, effective, and minimally invasive treatment modality in children and adolescents.
