Laparoscopic surgery for adolescent varicocele: Preliminary report on 80 patients

Belloli, G; Musi, L; D'Agostino, S

doi:10.1016/s0022-3468(96)90161-x

Cited by 22 publications

(11 citation statements)

References 26 publications

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“…Palomo's technique, which involves high division of both testicular vein and artery, results in a significant decrease of recurrences compared with the artery-sparing techniques, with no increase in the incidence of testicular athrophy [4 -6]. Recently, numerous studies suggested that LTV is a safe, simple, and minimally invasive procedure in both adults and children [11][12][13][14][15][16][17]. The main advantages of the videosurgical methods over the traditional techniques are the less invasiveness and the optical magnification of the venous plexus that allows a better identification of the spermatic collateral veins to prevent recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…The most popular treatment of varicocele in pediatric patients has been high retroperitoneal ligation of the internal spermatic vein and artery according to Palomo's technique [4][5][6]. In recent years, less invasive methods such as percutaneous retrograde sclerotherapy and laparoscopy have also been used in children [7][8][9][10][11][12][13][14][15]. The principal criticism of pecutaneous retrograde sclerotherapy in pediatric patients is the high technical failure rate [7][8][9][10].…”

mentioning

confidence: 99%

“…The principal criticism of pecutaneous retrograde sclerotherapy in pediatric patients is the high technical failure rate [7][8][9][10]. Several studies have reported good results with the laparoscopic transperitoneal treatment of pediatric varicoceles [11][12][13][14][15][16][17]. However, like in open surgery, the extraperitoneal techniques seem more rational to approach the retroperitoneum [18 -23].…”

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confidence: 99%

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Retroperitoneoscopic varicocelectomy in children and adolescents

Giovanni¹,

Mastroianni²,

Cruccetti³

et al. 2005

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Retroperitoneoscopic varicocelectomy in children and adolescents

Giovanni¹,

Mastroianni²,

Cruccetti³

et al. 2005

Journal of Pediatric Surgery

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“…The longer mean operative time in group II can be explained by the higher incidence of colonic adhesion in the older age group that required adhesiolysis and dissection of colonic adhesion to expose the spermatic veins [30,31]. …”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Varicocelectomy in Infertile Men: Does Age Matter?

El-Shazly

Eissa²

2013

Urol Int

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Introduction: Varicocele affects up to 15% of men in the general population. In couples with subfertility, the prevalence of varicocele in male partners was about 12%. In certain countries like the Middle East and Arabian Gulf, it is not rare to find people in their 5th or 6th decades or even older, who are seeking infertility clinics wishing to achieve paternity. Objectives: What are the results of laparoscopic varicocelectomy in relatively older infertile men (>40 years) in comparison with young infertile men (<40 years)? Methods: It is a prospective observational study done in Farwaniya Hospital, Kuwait. Patients (83 cases) were categorized into two age groups: group I (55 patients) with age ranging from 25 to 40 years, and group II (28 patients) with age >40 years (range 41-53 years). Cases with clinically detectable varicocele only were included (grade II and III). Cases who underwent varicocelectomy for pain were excluded from the study as well as cases with previous abdominal surgeries. Cases with subclinical and mild varicocele (grade I) were also excluded from the study. The intra- and postoperative parameters as well as the improvement in semen quality were compared in both groups. Patients were seen after 3 and 6 months as outpatients. Cases were followed up for a mean period of 1 year (range from 6 to 22 months). Results: The intraoperative and postoperative parameters as well as the improvement in semen quality were compared in both groups. There was colonic adhesion to the posterior peritoneum covering internal spermatic veins in 3 cases in group I (3.6%) and in 5 cases in group II (17.8%). This required more dissection to retract the colon and to expose the internal spermatic veins. The mean operative duration for laparoscopic varicocelectomy was significantly longer in group II (75 vs. 45 min in group I). After 3 months, 26 cases (47.2%) of group I and 11 cases (39.2%) of group II had improvement in semen quality. After 6 months, there was improvement in semen quality in 32 cases (58.2%) in group I and in 15 cases in group II (53.5%). Conclusions: Laparoscopic varicocelectomy in relatively old men is sometimes more difficult technically with relatively longer operative duration. However, it can achieve improvement in semen quality comparable to relatively younger patients. Further randomized controlled trials are needed to draw a more relevant conclusion about the impact of age in the outcome of laparoscopic varicocelectomy.

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“…We have demonstrated that robotic technology can be applied successfully to children ranging from within their first year of life to late adolescence, but with an initial price of longer operative times. We have also observed several important features that will aid in the success of a robotics program, and we recommend the guidelines listed in Table 4 that may help facilitate initiation of a pediatric robotics program [8][9][10][11][12][13][14]. To ensure robot utilization, the RAL program must be supported by multiple, supportive, surgical subspecialties.…”

Section: Discussionmentioning

confidence: 99%