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Laparoscopic varicocelectomy: indication, technique and surgical results
Author(s) -
MIERSCH W. D.E.,
SCHOENEICH G.,
WINTER P.,
BUSZELLO H.
Publication year - 1995
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1995.tb07793.x
Subject(s) - medicine , varicocele , surgery , invasive surgery , reflux , laparoscopy , minimally invasive procedures , infertility , pregnancy , genetics , disease , biology
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.