Document Detail

Minimally invasive approach for the treatment of idiopathic varicocele.
MedLine Citation:
PMID:  9109245     Owner:  NLM     Status:  MEDLINE    
Laparoscopic ligation of the spermatic veins represents a new approach for the treatment of the idiopathic varicocele. This procedure was performed in 28 consecutive patients. The diagnosis was based on physical examination and Doppler ultrasonography. The indications for surgery were (a) infertility and abnormal semen analyses (15 patients), (b) scrotal pain (six patients), and (c) psychological reasons (seven patients). One patient underwent concomitant hernioplasty. Two cases presented with a recurrence after 6 and 12 months, respectively. The mean operative time was 34 +/- 11 min in unilateral cases and 47 +/- 9 min in bilateral cases. In one patient with left inguinal hernia and varicocele, the operative time was 70 min. All patients were discharged the day after operation without antibiotics and analgesics and resumed normal activity within 5 to 9 days, depending on age and occupation. Postoperative semen analyses (at 12 months' follow-up) were obtained from seven patients and demonstrated an improvement in semen motility (preoperative 40% versus postoperative 56%). This study confirms that laparoscopic treatment of varicocele is safe, minimally invasive, and, according to National Health Service fees, less costly than radiological occlusion procedures.
E Spaziani; G Silecchia; S Ricci; L Raparelli; A Materia; A Fantini; N Basso
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgical laparoscopy & endoscopy     Volume:  7     ISSN:  1051-7200     ISO Abbreviation:  Surg Laparosc Endosc     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-06-24     Completed Date:  1997-06-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9107230     Medline TA:  Surg Laparosc Endosc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  140-3     Citation Subset:  IM    
II Clinica Chirurgica, Policlinico Umberto I, Università degli Studi di Roma La Sapienza, Italy.
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MeSH Terms
Follow-Up Studies
Infertility, Male / diagnosis,  etiology,  surgery
Laparoscopy / methods*
Ligation / methods
Postoperative Period
Prospective Studies
Sperm Count
Sperm Motility
Spermatic Cord / blood supply
Treatment Outcome
Ultrasonography, Doppler
Varicocele / complications,  diagnosis,  surgery*
Veins / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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