Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2012 Apr-Jun;16(2):212-7.
doi: 10.4293/108680812x13427982376220.

Comparison of laparoscopic and microscopic subinguinal varicocelectomy in terms of postoperative scrotal pain

Haluk Söylemez  1 , Necmettin Penbegül, Murat Atar, Yaşar Bozkurt, Ahmet Ali Sancaktutar, Bülent Altunoluk
Affiliations
Comparative Study

Comparison of laparoscopic and microscopic subinguinal varicocelectomy in terms of postoperative scrotal pain

Haluk Söylemez et al. JSLS. 2012 Apr-Jun.

Abstract

Background and objectives: In this study, 2 different varicocelectomy methods were compared with regard to postoperative scrotal pain, length of operation, and complications.

Methods: Forty varicocele patients, who visited our clinic because of infertility or scrotal pain between 2008 and 2009, were enrolled in this clinical study. Microscopic subinguinal varicocelectomy was performed on 20 patients in Group I, and laparoscopic varicocelectomy was performed on 20 patients in Group II. Following surgery, the patients were assessed for postoperative requirements for analgesia; return to normal activity; varicocele recurrence; hydrocele formation; scrotal pain at postoperative days 1, 3, and 7; and other complications.

Results: Mean age was 24.2 +/- 3.4 years in Group I and 25.1 +/- 2.1 years in Group II. Mean pain scores at postoperative 1, 3, and 7 days in Group I were (5.20 +/- 1.14, 4.60 +/- 0.97, and 3.50 +/- 0.97, respectively) significantly higher than those of Group II (0.70 +/- 0.82, 0.60 +/- 0.84, and 0.10 +/- 0.32, respectively). Time to return to normal activity was significantly shorter in Group II (3.7 +/- 2.1 days) compared with Group I (6.8 +/- 3.4 days) (p = 0.028). However, the number of recurrences and hydroceles, as a complication of varicocelectomy, was 2 times higher in Group II (10%) than in Group I (5%).

Conclusions: We believe that laparoscopic varicocelectomy is a safe, effective, and minimally invasive procedure. Furthermore, reduced postoperative discomfort and earlier return to normal activity are additional advantages of this method.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Trocar placement.
Figure 2.
Figure 2.
Postoperative scrotal pain scores of the 2 groups (VAS).
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Witt MA, Lipshultz LI. Varicocele: a progressive or static lesion? Urology. 1993;59:613–616 - PubMed
    1. Zini A, Girardi SK, Goldstein M. Varicocele. In: Wayne J.G. Hellstrom, ed. Male Infertility and Sexual Dysfunction. New York: Springer-Verlag; 1997;201–218
    1. Madgar I, Weeissenberg R, Lunenfeld B, Karasik A, Goldwasser B. Controlled trial of high spermatic vein ligation for variocele in infertile men. Fertil Steril. 1995;63:120–124 - PubMed
    1. Goldestein M, Gilbert BR, Dicker AP, Dwosh J, Gnecco C. Microsurgical inguinal varicocelectomy with delivery of the testis: An artery and lymphatic sparing technique. J Urol. 1992;148:1808–1811 - PubMed
    1. Hassan JM, Adams MC, Pope JC, Demarco RT, Brock JW. Hydrocele formation following laparoscopic varicocelectomy. J Urol. 2006;175:1076–1079 - PubMed

Publication types

LinkOut - more resources