[Comparative assessment of extraperitoneoscopic and laparoscopic methods of varicocele treatment].

The article presents a comparative analysis of the results of extraperitoneoscopic and laparoscopic methods of internal seminal vein ligation in 90 varicocele patients (40 and 50 patients, respectively); describes insufficiently known method--extraperitoneoscopic operations. The working space in the prevesical space is created by direct introduction of trocars with optics into the prevesical space without any additional tools. The operations took the same time.

[Videoendoscopic ligation of the internal seminal veins in bilateral varicocele].

Varicocele diagnosis should be based not only on physical methods but on ultrasound dopplerography as well (flebography or scrotal thermography) to detect a subclinical form and bilateral process. Bilateral varicocele (BV) occurs more often than is diagnosed. It results in more changes in spermogram and is a prognostic infertility factor.

[Bilateral varicocele: epidemiology, clinical presentation and diagnosis].

Epidemiology of bilateral varicocele (BV) was studied in 2600 patients with varicocele and in 3900 infertile patients 1196 of whom had varicocele. The diagnosis was made by examination, palpation of sexual organs, dopplerography. In addition, causes and clinical picture of BV were investigated.