Laparoscopic varicocelectomy: indication, technique and surgical results

Abstract

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.

Comparison of Extraperitoneoscopic and Transperitoneoscopic Techniques for the Treatment of Bilateral Varicocele

“…In laparoscopic techniques, the vein and its collaterals could be ligated at the internal inguinal ring by microscopic dissection. 13 This practice has decreased the recurrence rate. Our results with TP in terms of recurrence are similar to the reports in literature; no data are available on EP.…”

“…The possible explanation for these results is that discrimination of the artery and vein could be performed under optimal vision with the laparoscopic techniques. 13 During laparoscopic surgery, some complications such as injury to the great vessels or bowels, subcutaneous emphysema, pneumoscrotum, and CO 2 toxicity can occur. 1 We were confronted mainly with pneumoscrotum (94.4% of the EP group and 57.1% of the TP group) and subcutaneous emphysema (44.4% and 23.8%, respectively) as the complications.…”

The role of urological surgery in male infertility

“…Delayed ejaculation can be considered a mild form of anorgasmia, and both conditions can be found alternately in the same patient. The causes of delayed ejaculation can be psychological or organic for example incomplete Antegrade sclerotherapy 9 Retrograde sclerotherapy 9.8 (Sigmund et al, 1987) Retrograde embolisation 3.8-10% (Lenk et al, 1994;Feneley et al, 1997) Scrotal approach -Inguinal approach 13.3% (Bassi et al, 1996) High ligation 29% (Bassi et al, 1996) Microsurgical 0.8-4% (Goldstein, 1995;Goldstein et al, 1996) Laparoscopy 3-7% (McDougall, 1995Miersch et al, 1995;Tan et al, 1995) spinal cord lesion (Pryor, 1997), iatrogenic penile nerve damage (Yachia, 1994); or pharmacological (antidepressants, antihypertensives, antipsychotics) (Rudkin et al, 2004)]. Retrograde ejaculation is the total, or sometimes partial, absence of antegrade ejaculation as a result of semen passing backwards through the bladder neck into the bladder.…”

Surgery for varicocele through Vesling line

“…Микрохирургическое лигирование яичковой вены дает рецидивы в 0,8-4,0 % случаев, осложнения -по-слеоперационное гидроцеле, повреждение артерии, гематома мошонки [10,11]. В результате лапароскопи-ческой резекции яичковых вен рецидивы появляются в 3-7 % случаев, осложнения -повреждение яичковой артерии и лимфатических сосудов, повреждение тон-кой кишки, сосудов, нервов, тромбоэмболия легочной артерии, пе ри тонит, кровотечение, послеоперационная боль в правом плече (в связи с растяжением диафрагмы при наложении пневмоперитонеума), пневмоскротум, раневая инфекция [12,13].…”