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Laparoscopic varicocelectomy: indication, technique and surgical results
W D Miersch1, G Schoeneich, P Winter
1Urologic University Clinic of Bonn, Germany.
Objective:
To assess the efficacy of laparoscopic techniques for the operative therapy of varicocele.
Patients And Methods:
Fifty-one patients who underwent laparoscopic varicocelectomy due to subfertility and/or pain between June 1992 and December 1994 were evaluated.
Results:
In all patients, except one with a remaining slight reflux on post-operative Valsalva's manoeuvre, operative therapy was effective and no major complications occurred. The procedure was minimally invasive, effective and, because the anatomy was readily seen, multiple veins and/or collaterals were easily assessed and the surgery precise.
Conclusion:
The laparoscopic technique is an efficient, minimally invasive operation with optimal results. After a brief period of training the operation can be performed in 15-30 min and is therefore no longer than embolization techniques. Treatment of both sides in one session was not a problem.