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Related Experiment Video

Updated: Jun 14, 2026

Grade III Varicocele Surgical Treatment using Spermatic Vein-Superficial Abdominal Vein Shunt
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Published on: August 23, 2024

Laparoscopic versus inguinal (Ivanissevich) varicocelectomy.

Ahmed Khan Sangrasi1, Abdul Aziz Leghari, Aisha Memon

  • 1Department of Surgery, Liaquat University of Medical and Health Sciences, Jamshoro. ahmedsangrasi@hotmail.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|April 10, 2010
PubMed
Summary

This study compared laparoscopic and open inguinal varicocelectomy in 107 patients. Both procedures improved semen parameters, with laparoscopic surgery offering less pain and shorter hospital stays, while open surgery was faster.

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Microscopic Varicocelectomy under Local Anesthesia as the Treatment of Varicocele
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Microscopic Varicocelectomy under Local Anesthesia as the Treatment of Varicocele
04:49

Microscopic Varicocelectomy under Local Anesthesia as the Treatment of Varicocele

Published on: October 25, 2024

Area of Science:

  • Urology
  • Surgical Techniques
  • Reproductive Medicine

Background:

  • Varicocelectomy is a surgical treatment for varicocele, a common cause of male infertility.
  • Both open and laparoscopic approaches are utilized, each with potential benefits and drawbacks.

Purpose of the Study:

  • To compare the postoperative outcomes of laparoscopic versus open inguinal varicocelectomy.
  • To evaluate operative time, pain, analgesic use, hospital stay, semen parameters, and complications.

Main Methods:

  • A quasi-experimental study involving 107 patients undergoing either open inguinal or laparoscopic varicocelectomy.
  • Pre-operative semen analysis and post-operative assessments of pain, analgesic use, and complications were conducted.
  • Color Doppler ultrasound was used for diagnosis in ambiguous cases.

Main Results:

  • Laparoscopic varicocelectomy demonstrated significantly less postoperative pain and reduced analgesic requirements compared to the open procedure.
  • Operative time was shorter for the open inguinal approach.
  • Both methods resulted in statistically significant improvements in sperm count and motility.

Conclusions:

  • Laparoscopic varicocelectomy and open inguinal varicocelectomy yield comparable improvements in semen parameters and postoperative complications.
  • Laparoscopic surgery offers advantages in reduced pain and shorter hospital stays, while open surgery is quicker.
  • Open inguinal varicocelectomy remains a viable option, particularly when laparoscopic equipment is unavailable or cost-prohibitive.