Comparative study of subinguinal microscopic varicocelectomy and laparoscopic varicocele ligation

ABSTRACT

This study was carried out to compare the operative time, post-operative complications and semen analysis between subinguinal microscopic varicocelectomy [SMV] and laparoscopic varicocele ligation [LVL]. A total of 60 subfertile patients with varicocele, were assigned into two groups according to the method of treatment. Groups 1 included 30 patients treated by subinguinal microscopic varicocelectomy and group 2 included 30 patients treated by laparoscopic varicocele ligation. There were no difference between both groups as regard age, site of affection, symptoms and grade of varicocele. The mean operative time was significantly shorter among patients with LVL and therefore decreased the cost of the operation [P < 0.5]; there is no difference between the two groups as regarding to the duration of hospital stay, time off work and the duration of post-operative analgesic use. Post-operative semen analysis showed a significant increase in the density and motility and a significant reduction in the percentage of abnormal forms in the two groups. The recurrence rate at follow up was reported among patients of SMV [6.7%] and hydrocele formation was reported among patients of LVL [6.7%]. It is concluded that, LVL resulted in significant shorter operative time and lower incidence of recurrence compared with SMV