Laparoscopic Testicular Artery Saving Varicocelectomy for Varicocele in Adolescents

Abstract
Background: Varicocele is generally considered to be the most common correctable cause of male infertility.
Testicular disproportion is considered to be the most important sign of testicular damage in absence of the possibility to do routine semen analysis in adolescent.
Aim of the Study: The aim of our work is to evaluate the feasibility, recurrence rate and postoperative complications of laparoscopic varicocelectomy with preservation of the testicular artery in adolescents.
Patients and Methods: Our prospective clinical study was done between May 2016 and May 2017 at pediatric surgery unit, General Surgery Department, Tanta University Hospital. The study included twenty patients presented with symptomatic varicocele. Then, laparoscopic varicocelectomy with preser-vation of the testicular artery were done for these cases. The operation time, the success rate, the incidence of complications, the length of the hospital stay and conversion to open varic-ocelectomy and data of follow-up were recorded.
Results: Total Operation time ranged between 10 and 40 minutes which was statistically significant in correlation with bilateral cases. There were testicular catch up growth in 5 cases and we had no testicular atrophy in the other cases Recurrence occurred in 2 cases in the period of follow-up (6 months).
Conclusions: Laparoscopic approach had advantages of minimal surgical trauma, lower morbidity and time sparing, faster recovery and better microscopic dissection with pres-ervation of the spermatic artery.