Laparoscopic varicocelectomy initial experience at Al_Azhar Hospital (Demietta)

Abstract

Background: Varicocele is a collection of dilated veins in the pampiniform plexus that drain the testicle and may contribute to male infertility. A variety of surgical & non-surgical approaches have been advocated for varicocele treatment. Objective: Evaluate laparoscopic varicocelectomy with regard to intra and post-operative parameters. Patients and Methods: At Departments of urology of Al_azhar University Hospitals (Damietta). Prospective randomized study was performed about laparoscopic varicocelectomy during the period from June 2016 to December 2017 after obtaining informed consent. The group included patients with clinically palpable varicocele confirmed by U/S complaining of infertility (primary, secondary) or chronic testicular pain. Results: The range operative bilateral Laparoscopic Varicocelectomy time was 60-90 minutes. There were no intra operative complications in the study group. The average hospital stay was 24-36 hours. Post-operative analgesics (2-3) doses, daily activities initiation usually started after 4-5days. Hydrocele formation was seen in (11.1%) patients recurrence was seen in (5.6%) patient. None of the patient has developed an atrophic testis as a result of the laparoscopic procedure. Patients had improvement of the seminal fluid parameters during follow up period and pregnancy rate was (25%). CONCLUSION: Laparoscopic varicocele ligation is a simple and safe technique causing minimal morbidity and enabling rapid return to normal activity.