A Companative Study Of Simple lnte.-nal Spermatic Vein lntc.-ruption And Doppler•­ Guidcd Disconnection In The Laparoscopic Treatment Of var•icocele

Abstract

Varicocele is a common disease. It affects 15% of men and

41% of those who present with infertility. Recently, the sensitivity of clinical examination in detecting varicocele was reported to be 33% to 71°/.,.

The incidence of recurrence alter surgery for varicocele ranges from 6 to 45%. Recurrence is more frequently assessed on clinical basis which yields recurrence rates that range from 5 to 20%. On the other hand assessment on basis of duplex scan or venogarphy reveals- a much higher recurrence (or persistence) rates that range between 29 and 45%.

This work compared a new approach for varicocele (SVD) which specifically addressed known causes of recurrence (or persistence) after surgery, with the traditional approach that is limited to simple interruption of internal spermatic vein.

The results of this study revealed that the technique of selective (Doppler guided) venous disconnection is not associated with undue difficulty, excessive prolongation of the time of the operation, or unaccepted rate of complications. On the other hand, short term results were comparable with the traditional approach if '

not better.