Laparoscopic Surgery Varicocele in the Childhood and Adolescent – Our Experience with 202 Patients

Czech version

Authors: M. Husár; P. Zerhau; J. Tůma; R. Macháček; B. Hnilička
Authors‘ workplace: Brno, přednosta: prof. MUDr. P. Gál, Ph. D. ; Klinika dětské chirurgie, ortopedie a traumatologie, Pracoviště dětské medicíny, Fakultní nemocnice
Published in: Rozhl. Chir., 2006, roč. 85, č. 10, s. 498-500.
Category: Monothematic special - Original

Overview

The aim of this work was to assess benefits and complications of laparoscopic procedures of varicocoelas in children and adolescents, conducted in our clinic.

Material and Methodology:
From 2000 to 2004, 202 patients (198 with leftsided, 2 with rightsided and 2 with bilateral varicocoelas) underwent laparoscopic procedures in our clinic. Patients with stage II and III varicocoelas were operated. The median age of the operated patients was 15 years (range 11–18 years). The procedures saved arteries and lymphatics maximally.

Results:
During a two- year follow up period, 8 patients (3.96%) relapsed, 21 patients (10.39 %) presented with hydroceolas. No testical hypotrophy was recorded in our patient group. Also, no peroperative complications were recorded during the laparoscopic procedures. The procedures lasted 20.4 min, on average, hospitalization lasted 4.2 days, on average (range 4–6 days).

Conclusion:
Laparoscopic varicocolectomy, maximally saving arteries and lymphatics, proved a safe method. The rate of complications is similar to that of other treatment procedures of childhood varicocoelas. Rather long term effects considering a quality of hormonal production of testes and seminal counts, than postoperative complications rates, are the main parametres for choice of a treatment method.

Key words:
varicocoela – laparoscopy – childhood – varicocoelectomy