Background: Varicocele is a collection of abnormally dilated, tortuous veins. A clinical varicocele is found in about 15% of all adult males, up to 35% of men who present for infertility evaluation and as many as 81% of men with secondary infertility, with a marked left-sided predominance. It is the most common correctable cause of male infertility.
Methodology: This study was conducted in the postgraduate department of surgery, Government Medical College, Srinagar for 2 years from December 2010 till May 2013. This was a prospective study and a total of 100 patients with clinically significant varicocele were included in this study. Patients were divided into two groups. Group A comprised of 50 patients who underwent open surgery, and group B comprised of 50 patients who underwent a laparoscopic approach.
Results: In our series of 100 patients, the minimum age was 10 and maximum was 50 years, eighty six had scrotal pain, 81 had testicular swelling and 25 patients presented with infertility, the operation time for laparoscopic varicocelectomy 48 minutes (mean) and in open surgery was 57 minutes (mean), We observed that postoperative analgesic requirement was almost equal in both groups, average hospital stay of 35.6 hours and 50.6 hours were observed in laparoscopic and open groups respectively.
Conclusion: In our study of 100 patients it was observed that the results of laparoscopic varicocelectomy were comparable to open technique with minimum morbidity, shorter hospital stay and with the advantage of treating bilateral varicoceles without any additional incisions. Also, laparoscopic varicocelectomy produces better overall patient satisfaction and hence can be considered as a preferred surgical technique although sperm analysis results were the same in both methods.
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