You have accessJournal of UrologyTechnology & Instruments: Laparoscopy - Benign Disease1 Apr 20121013 SINGLE PORT LAPAROSCOPIC VARICOCELECTOMY: INITIAL EXPERIENCE AND COMPARISON WITH THE CONVENTIONAL MULTIPORT LAPAROSCOPIC TECHNIQUE Frank Friedersdorff, Joerg Neymeyer, Stefan Hinz, Peter Werthemann, Chris Roller, Hannes Cash, Jonas Busch, Kurt Miller, and T. Florian Fuller Frank FriedersdorffFrank Friedersdorff Berlin, Germany More articles by this author , Joerg NeymeyerJoerg Neymeyer Berlin, Germany More articles by this author , Stefan HinzStefan Hinz Berlin, Germany More articles by this author , Peter WerthemannPeter Werthemann Berlin, Germany More articles by this author , Chris RollerChris Roller Berlin, Germany More articles by this author , Hannes CashHannes Cash Berlin, Germany More articles by this author , Jonas BuschJonas Busch Berlin, Germany More articles by this author , Kurt MillerKurt Miller Berlin, Germany More articles by this author , and T. Florian FullerT. Florian Fuller Berlin, Germany More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1116AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Laparoendoscopic single site varicocelectomy (LESSV) is a novel technique for the treatment of symptomatic varicocele. We compared intraoperative parameters and postoperative outcomes between LESSV and multiport laparoscopic varicocelectomy (MLV). METHODS We identified 12 patients who underwent LESSV between Nov. 2010 and June 2011. Seventy patients who underwent MLV between Jan. 2009 and Dec. 2010 served as controls. MLV was performed using a 10 mm transumbilical optic trocar and two working trocars (5 mm and 10 mm) placed in the left and right lower abdomen. Fig. 1 shows the Storz® X-Cone. A bent laparoscopic grasper was used with a straight scissors. Whenever possible the testicular artery and adjacent lymphatics were preserved. RESULTS Mean follow-up was 7 months in LESSV and 16 months in MLV (P=0.01; Student's t-test). Patient age and BMI was similar in both groups. Common indications for left varicocelectomy were testicular pain (66%) and subfertility (34%). One patient underwent bilateral MLV. Mean operating time for LESSV and MLV was 61 min and 51 min, respectively (P=0.06). No intraoperative complications occurred in either group. In the LESSV group no conversion to MLV was necessary. Blood loss was minimal. Hospital stay was 1.4 days in the LESSV group vs. 1.8 days in the MLV group (P=0.03). One patient in the LESSV group developed left epididymitis two weeks postoperatively. Complications in the MLV group included varicocele recurrence (n=2), hydrocele (n=2), wound infection (n=1) and numbness of the left upper thigh (n=4). A postoperative questionnaire revealed that 90% of the patients experienced either symptom relief or improvement of sperm quality after LESSV, compared with 93% of patients after MLV. In the LESSV group all patients were satisfied or very satisfied with the cosmetic result vs. 89% in the MLV group. In the MLV group only 30% of patients would have opted for a discharge home on postoperative day 1, whereas 90% of the patients in the LESSV group felt that discharge on day 1 was appropriate. CONCLUSIONS Single port varicocelectomy is safe and provides a high amount of patient satisfaction. Because of reusable components and shorter hospitalization compared with conventional laparoscopy, LESSV using the X-Cone is cost effective. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e412 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Frank Friedersdorff Berlin, Germany More articles by this author Joerg Neymeyer Berlin, Germany More articles by this author Stefan Hinz Berlin, Germany More articles by this author Peter Werthemann Berlin, Germany More articles by this author Chris Roller Berlin, Germany More articles by this author Hannes Cash Berlin, Germany More articles by this author Jonas Busch Berlin, Germany More articles by this author Kurt Miller Berlin, Germany More articles by this author T. Florian Fuller Berlin, Germany More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...