Flores TJE, Varela HPE, Weber SA, Garteiz MD

Language: Spanish
References: 13
Page: 25-28
PDF size: 44.66 Kb.

ABSTRACT

Background. Laparoscopic varicocelectomy is an alternative in the treatment of varicocele. Objective. Inform the results of the evaluation of testicular size with ultrasound in patients that have been operated with laparoscopic varicocelectomy with clippage of internal spermatic arteries and veins. Material and methods. From march 1998 to june 2000, 20 patients underwent laparoscopic varicocelectomy with clippage of internal spermatic arteries and veins. Testicular size was evaluated preoperatively and 4 years after surgery with ultrasound. Results. There were no statistically significant changes in testicular size. Discussion. Laparoscopic varicocelectomy with clippage of internal spermatic arteries and veins is a safe procedure in patients without previous inguinal surgery. Conclusion. No changes were observed in the size of the testes in any of the patients, four years after laparoscopic varicocelectomy with clippage of internal spermatic arteries and veins.

REFERENCES

1. Donovan JF, Winfield HN. Laparoscopic varix ligation. J Urol 1992; 147(1): 77-81.

2. Meacham RB, Townsed RR, Rademacher D, et al. The incidence of varicocele in the general population when evaluated by physical examination; Gray scale sonography and color Doppler sonography. J Urol 1995; 153: 704.

3. Goldstein M, Gilbert BR, Dicker AP, et al. Microsurgical inguinal varicocelectomy with delivery of the testis; an artery and lymphatic sparing technique. J Urol 1992; 148: 1808-11.

4. Steckel J, Dicker AP, Goldstein M. Relationship between varicocele size and response to varicocelectomy. J Urol 1993; 149: 769-71.

5. Matsuda T, Horii Y, Yoshida O. Should the testicular artery be preserved at varicocelectomy? J Urol 1993; 149: 1357-60.

6. Flores TJ, Heredia JN, Chousleb KA, Scuchleib CHS. Varicocelectomía laparoscópica: reporte de 20 casos. Rev Mex Cir Endosc 2001; 2(2): 83-6.

7. Matsuda T, Horii Y, Higashi S, et al. Laparoscopic varicocelectomy; a simple technique for clip ligation of the spermatic vessels. J Urol 1992; 147: 636-8.

8. Jarow JP. Clinical significance of intratesticular arterial anatomy. J Urol 1991; 145: 777-9.

9. Esposito C, Mongozzi G, González-Sabin MA, Rubino R, et al. Results and complications of laparoscopic surgery for pediatric varicocele. J Pediatric Surg 2001; 36(5): 767-9.

10. Bebars GA, Zaki A, Dawood AR, El-Gohary MA. Laparoscopic versus open high ligation of testicular veins for the treatment of varicocele. J Soc Laparoscop Surg 2000; 4(3): 209-13.

11. Gershbein AB, Horowitz M, Glassberg KI. The adolescent varicocele I: left testicular hypertrophy following varicocelectomy. J Urol 1999; 162(4): 1447-9.

12. Barqawi A, Furness P, Koyle M. Laparoscopic Palomo varicocelectomy in the adolescent is safe after previous ipsilateral inguinal surgery. BJU International 2002; 89(3): 269-72.

13. Kattan S. The impact of internal spermatic artery ligation during laparoscopic varicocelectomy on recurrence rate and short postoperative outcome. Scandinavian J Urology & Nephrology 2001; 35(3): 218-21.