Varicocelectomy: Paloma's procedure versus Ivanissevich's procedure

This prospective study was carried out to see the age incidence of varicocele in our population and to compare the results of two commonly practiced surgical procedures i.e., Ivanissevich's procedure and Paloma's procedure. Seventy-two patients with the mean age of 24.7 years, having left-sided varicocele, were studied over two years. Among them 58.33% had Grade-II varicocele. Operative time and hospital stay was almost same in both the groups. However, postoperative complications rate with Ivanissevich's procedure was comparatively more. Postoperative improvement in semen quality was found in 60% patients having history of infertility or sub-fertility