Résumé
The aim of this work is to determine the efficacy and safety of laparoscopic ligation of the internal spermatic vein [s] cephalad to the internal inguinal ring for symptomatic varicocele. 10 men with unilateral varicocele in 8 cases and bilateral in 2 cases. Diagnosis was based on the history, physical examination and scrotal ultrasound. Laparoscopic ligation was done for sub fertility in 6 patients, testicular pain in 2 patients and testicular atrophy in 2 cases. The spermatic artery was preserved in all cases. The procedure was done on a day surgery basis. The procedure was completed successfully with preservation of the testicular artery in all cases. The average operative time was 50 minutes. No mortality. The morbidity was low and minor; pneumoscrotum in a case. Follow up for 3-6 months showed improvement of the varicoceles with disappearance of pain. Seminal analysis was improved in density by more than 17 millions per ml and motility by more than 33%. No secondary hydroceles were observed. We conclude that, laparoscopic varicocele ablation is simple, safe, and effective with brief convalescence