[Needle laparoscopic varicocelectomy].

Zhonghua Nan Ke Xue

Department of Urology, the Second Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510120, China.

Published: November 2005

Objective: We evaluated our method and effects of needle laparoscopic varicocelectomy for the treatment of varicocele.

Methods: 72 patients (105 lateral) diagnosed varicocele were performed laparoscopic varicocelectomy under epidural combined intravenous anesthesia from Feb, 2003 to Apr, 2005. Two 2 mm incisions and one 5 mm incision were made on the midline of lower abdomen, by which two 2 mm trocars and one 5 mm trocar were introduced. Vessel-sealing device (Ligasure) was used to seal the internal spermatic veins.

Results: All operations were completed successfully. Mean operation time was 15 minutes unilateral and 21 minutes bilateral. The patients were hospitalized for 3 to 5 days after procedure. Follow-up was scheduled for 6 to 12 months and there was no recurrence.

Conclusion: Needle laparoscopic varicocelectomy gives favorable effect with minimal invasion, rapid recovery, which is the best choice for the treatment of varicocele.

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