Object: To evaluate the outcome of laparoscopic varicocelectomy in terms of perioperative and postoperative parameters with special emphasis on improvement in symptoms, semen analysis and restoration of fertility.
Background: Varicoceles demanding treatment can be managed by various options like open varicocelectomy, laparoscopic varicocelectomy or by percutaneous embolization. Laparoscopic varicocelectomy have advantage of minimum morbidity, shorter mean hospital stay and early return to work with the advantage of treating bilateral varicoceles without any additional incisions hence can be considered as a preferable surgical technique in the management of symptomatic varicocele.
Material and Methods: This randomized controlled prospective study was conducted in the department of General surgery, Govt RDBP Jaipuria Hospital attached RUHS College of Medical Science, Jaipur over a period of two year from Sep. 2017 to Aug. 2019. All the patients with clinically significant varicoceles were included in this study. The patients underwent transperitoneal 3-port laparoscopic high ligation of the testicular vein.
Results: A total of 26 patients underwent laparoscopic varicocelectomy without any morbidity or conversion to open the procedure. The mean operating time to complete the procedure was 42.4 min. There was no significant blood loss with minimal need of analgesic in the post operative period. There were no major postoperative complications. The mean hospital stay was 2 days. Most of the patients resumed their routine work within 3 days of surgery. Semen analysis showed improvement in terms of sperm concentration, sperm count and improved motility.
Conclusion: Our study concludes that Laparoscopic varicocelectomy is a safe, feasible and effective procedure for varicocele treatment with favorable outcomes in terms of cosmesis, pain, improvement of symptoms and restoration of semen parameters and fertility.