Related Experiment Video
Updated: Dec 9, 2025
Author Spotlight: Advancing Varicocele Treatment Through Enhanced Surgical Techniques
Published on: October 25, 2024
Scarless laparoscopic varicocelectomy using percutaneous intruments
1Woman and Child Hospital, Azienda Ospedaliera Universitaria Integrata, Department of Pediatric Surgery, Paediatric Fertility Lab, University of Verona Piazzale A. Stefani 1, Verona, Italy.
Background:
Varicocele is one of the most frequent andrological diseases in adolescents; laparoscopic varicocelectomy is a good option. The aim of this study is to investigate, report and evaluate surgical outcomes of laparoscopic technique in pediatric age using percutaneous instruments.
Materials And Methods:
We report our experience with a new technique for varicocelectomy. I.R.B. approved the study. Patients with varicocele and testicular hypotrophy age between 9 and 16 years underwent laparoscopic varicocelectomy using a single transumbilical port for camera and 2 laparosocpic 2.5 mm percutaneous instruments. After dissection of lymphatic vessels and artery, veins were coagulated using monopolar hook. After the procedure a standard umbilical closure was performed using resorbable stiches, without suture into the percutaneous accesses. All patients underwent 2 controls visit at 3 and 6 months after surgery.
Results:
During the study period (April 2018-October 2019) 25 patients were treated; all patients were treated by the same surgeon. There were no cases of recurrence nor hydrocele. All patients reported a good post-op activity without pain and a good cosmetic result.
Conclusion:
This first small series report a new technique for varicocelectomy; our study demonstrate that this technique is safe without complications and it is associated with good cosmetic results.
