Microscopic subinguinal varicocelectomy with video telescopic operating microscope (VITOM) telescope: outcome...

Area of Science:

• Urology
• Surgical Techniques
• Minimally Invasive Surgery

Background:

• Conventional varicocele repair methods carry risks like hydrocele formation, testicular artery ligation, and recurrence.
• Microscopic surgery offers enhanced visualization for precise identification and preservation of critical vascular structures.

Purpose of the Study:

• To evaluate the outcomes of microscopic subinguinal varicocelectomy performed with the Video Telescopic Operating Microscope (VITOM).

Main Methods:

• Retrospective review of 23 patients (18-58 years) with symptomatic varicocele (right, left, or bilateral) undergoing surgery between 2019-2021.
• Diagnosis confirmed and testicular size measured via ultrasound.
• Surgery performed by a single surgeon under spinal anesthesia using the VITOM system; average operative time was one hour.

Main Results:

• All 23 patients experienced symptom resolution (pain, swelling) and had good wound healing post-surgery.
• No instances of varicocele recurrence, testicular pain, hydrocele formation, or sexual dysfunction were reported during follow-up.
• Patients were discharged one day post-operation with minimal complications.

Conclusions:

• Microscopic subinguinal varicocelectomy utilizing the VITOM telescope is a feasible and effective surgical option for varicocele.
• This technique demonstrates a high success rate with excellent patient outcomes and low complication rates.