A comparison between laparoscopic varicocelectomy and the open method : our experience at the hospitals of the royal medical services

Abstract EN

Objective: To report our experience in laparoscopic varicocelectomy in the treatment of varicocele in adults and to compare the results with those treated by the open method. Methods: During the period from January 1998 till January 2001 two groups of adult patients with varicocele were simultaneously operated on at the hospitals of the Royal Medical Services, group I by laparoscopy and group II by open method.

Each group included 100 patients. Results: There was no significant difference regarding the operative time between the two groups.

However, group I patients had significantly less consumption of pethidine equivalent for postoperative pain control, they were mobilized earlier, had a shorter hospital stay, and a faster return to normal activities and less complication rates.

None of this group needed conversion to the open method. Conclusion: Laparoscopic varicocelectomy has results similar to those of the open method.

However, its postoperative advantages compared to the open approach are obvious.